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 C

Explanation

Choice A reason:

Percussion of the left lower quadrant is not relevant to assess for Boas' sign, which involves the right upper quadrant.

Choice B reason:

Deep palpation of the epigastric region is not associated with Boas' sign. Boas' sign involves palpation of the right subscapular area.

Choice C reason:

This statement is correct. Boas' sign is elicited by palpating the right upper quadrant during inspiration. The client may experience referred pain to the right subscapular area, indicating irritation of the phrenic nerve by the inflamed gallbladder.

Choice D reason:

Auscultation of the left upper quadrant is not relevant to assessing for Boas' sign, which involves the right upper quadrant.

A. "The antibiotics will help to heal the ulcer and reduce stomach acid production." B. "Antibiotics are prescribed to treat any bacterial infection that may be causing the ulcer." C. "The antibiotics will promote blood clotting and reduce the risk of bleeding from the ulcer." D. "Antibiotics will relax the stomach muscles and alleviate abdominal pain."

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.

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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 of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

Correct Answer is C

Explanation

A client with peptic ulcer disease is prescribed a combination therapy that includes antibiotics and acid-reducing medications. The client asks the nurse about the purpose of the antibiotics in the treatment. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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