A nurse is providing dietary education to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to the client?

"Increase your intake of spicy foods to stimulate stomach acid production."

"Consume small, frequent meals throughout the day instead of three large meals."

"Avoid fluids with meals to reduce stomach distention and pressure."

"Include plenty of citrus fruits and juices in your diet for added vitamin C."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Increasing the intake of spicy foods can exacerbate symptoms in a client with peptic ulcer disease, as they can irritate the stomach lining and increase acid production.

Choice B reason:

This statement is correct. Consuming small, frequent meals throughout the day can help reduce stomach distention and pressure, minimizing the symptoms of peptic ulcer disease.

Choice C reason:

Avoiding fluids with meals is not a standard recommendation for peptic ulcer disease. Adequate hydration is important, and drinking fluids with meals should not significantly affect stomach distention.

Choice D reason:

Citrus fruits and juices are acidic and can aggravate the stomach lining in a client with peptic ulcer disease. It is best to avoid or limit their consumption.

QUESTIONS

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Correct Answer is A

Explanation

Choice A reason:

This statement is incorrect and indicates a need for further education. PPIs should be taken on an empty stomach, at least 30 minutes before meals, to allow for optimal absorption and effectiveness.

Choice B reason:

This statement is correct. Clients should continue taking the PPI for the full duration as prescribed, even if they start to feel better, to prevent ulcer recurrence.

Choice C reason:

This statement is correct. PPIs can decrease calcium absorption and increase the risk of osteoporosis in some clients. Increasing calcium intake or taking calcium supplements may be necessary for clients on long-term PPI therapy.

Choice D reason:

This statement is correct. Antacids can interfere with the action of PPIs, and clients should avoid taking them together. If needed, antacids should be taken at least 1 hour before or after the PPI.

A. Serum potassium levels B. Blood glucose levels C. Serum creatinine levels D. Complete blood count (CBC)

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. H2 receptor blockers can sometimes cause an increase in serum potassium levels. The nurse should monitor the client's potassium levels closely to detect any abnormalities.

Choice B reason:

H2 receptor blockers do not typically affect blood glucose levels, so monitoring blood glucose is not the priority in this scenario.

Choice C reason:

H2 receptor blockers are not known to have a significant impact on serum creatinine levels, so monitoring creatinine is not the priority in this case.

Choice D reason:

H2 receptor blockers are not known to affect the CBC, so monitoring the complete blood count is not the priority for this client.

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A nurse is providing dietary education to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) as part of the preventive treatment plan. Which of the following statements by the client indicates a need for further education about PPIs?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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