A nurse is providing discharge instructions to a client diagnosed with peptic ulcer disease. Which of the following statements by the client indicates a need for further teaching?

"I will avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief."

"I will follow a low-fat diet to reduce stomach acid production."

"I will continue taking my prescribed proton pump inhibitor (PPI) as directed."

"I can drink alcohol in moderation while on my ulcer treatment."

Answer and Explanation

The Correct Answer is D

Choice A reason:

Avoiding NSAIDs is essential for clients with peptic ulcer disease as they can worsen the condition and increase the risk of bleeding.

Choice B reason:

Following a low-fat diet does not directly impact stomach acid production, but it can help prevent irritation to the stomach lining by reducing the intake of potentially irritating foods.

Choice C reason:

This statement is correct. Proton pump inhibitors (PPIs) are commonly prescribed to reduce stomach acid production and promote ulcer healing. It is crucial for the client to continue taking PPIs as directed by their healthcare provider.

Choice D reason:

This statement is incorrect and indicates a need for further teaching. Alcohol can irritate the stomach lining and exacerbate peptic ulcer disease. Clients with peptic ulcers should avoid or minimize alcohol consumption.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a hallmark symptom of cholecystitis. The pain is typically sudden, severe, and constant, and it is often triggered by a fatty meal.

Choice B reason:

Left lower quadrant abdominal pain with rebound tenderness is not characteristic of cholecystitis. It may indicate other conditions, such as diverticulitis or appendicitis.

Choice C reason:

Midline epigastric pain aggravated by lying down is more indicative of gastroesophageal reflux disease (GERD) rather than cholecystitis.

Choice D reason:

Diffuse abdominal pain with a low-grade fever may be seen in various conditions, but it does not specifically point to cholecystitis.

A. Increasing intake of spicy foods to stimulate stomach acid production B. Consuming frequent, small meals throughout the day C. Drinking caffeinated beverages to improve digestion D. Including high-fiber foods to stimulate bowel movements

Correct Answer is B

Explanation

Choice A reason:

Increasing intake of spicy foods is not recommended for clients with peptic ulcer disease, as they can irritate the stomach lining and exacerbate symptoms.

Choice B reason:

This statement is correct. Consuming frequent, small meals throughout the day helps prevent prolonged periods of fasting, which can reduce stomach acid production and irritation to the stomach lining. It also aids in maintaining steady blood sugar levels.

Choice C reason:

Drinking caffeinated beverages can increase stomach acid production and may worsen symptoms in clients with peptic ulcer disease. It is best to avoid or limit caffeinated drinks.

Choice D reason:

High-fiber foods can be beneficial for overall digestive health, but they are not specifically recommended for promoting ulcer healing. In some cases, high-fiber foods may need to be avoided if they cause discomfort.

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A nurse is providing discharge instructions to a client diagnosed with peptic ulcer disease. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

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?

A client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

A nurse is conducting a health screening for peptic ulcer disease risk factors in a community setting. Which of the following questions should the nurse include in the assessment?

A client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?

A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

A client with peptic ulcer disease reports experiencing frequent abdominal pain, especially during mealtimes. Which of the following nursing interventions should the nurse implement to alleviate the client's pain?

A nurse is caring for a client with peptic ulcer disease who is receiving intravenous proton pump inhibitors (PPIs) to reduce stomach acid production. Which of the following nursing actions is a priority when administering PPIs to this client?