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."
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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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A reason:
Antibiotics do not directly heal the ulcer or reduce stomach acid production. They are prescribed specifically to treat Helicobacter pylori (H. pylori) infection, a common cause of peptic ulcers.
Choice B reason:
This statement is correct. Antibiotics are prescribed to treat H. pylori infection, which is a major cause of peptic ulcers. By eliminating the bacterial infection, the ulcer has a better chance of healing and preventing recurrence.
Choice C reason:
Antibiotics do not promote blood clotting or reduce the risk of bleeding from the ulcer. Other medications may be prescribed to manage bleeding if it occurs.
Choice D reason:
Antibiotics do not relax stomach muscles or alleviate abdominal pain. Pain relief is typically achieved through acid-reducing medications and other pain management strategies.
Correct Answer is B
Explanation
Choice A reason:
Avoiding all dairy products is not a preventive measure for H. pylori reinfection. Dairy consumption does not play a significant role in H. pylori colonization or infection.
Choice B reason:
This statement is correct. H. pylori is primarily transmitted through the oral-oral or fecal-oral route. Practicing strict hand hygiene, especially after using the restroom and before eating, can help reduce the risk of transmission and reinfection.
Choice C reason:
Including raw vegetables in the diet is not a specific preventive measure for H. pylori reinfection. A balanced diet that promotes overall gut health may be beneficial, but raw vegetables alone do not prevent H. pylori reinfection.
Choice D reason:
Taking over-the-counter antacids regularly is not a preventive strategy for H. pylori reinfection. Antacids do not target the bacterium and are not effective in eradicating H. pylori.
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