A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

“Monitor for any changes in the color of your urine such as maroon or red-colored urine.”.

“Monitor for any increase or unintentional weight gain.”.

“Monitor for the appearance of ecchymosis on the sides of your abdomen/pelvic areas.”.

“Monitor for any changes in the color of your stool such as dark or black-colored stool.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Monitoring for changes in the color of urine to maroon or red is not typically associated with peptic ulcers. This could be a sign of other conditions such as urinary tract infections, kidney stones, or certain medications.
Choice B rationale
Unintentional weight gain is not a common symptom of peptic ulcers. In fact, some people with peptic ulcers may experience weight loss due to discomfort while eating or a decrease in appetite.
Choice C rationale

The appearance of ecchymosis (bruising) on the sides of the abdomen or pelvic areas is not a typical symptom or concern with peptic ulcers. This could be a sign of trauma, certain medications, or other medical conditions.
Choice D rationale
One of the symptoms of a peptic ulcer can be changes in the color of the stool, particularly if it becomes dark or black. This can be a sign of bleeding in the gastrointestinal tract, which can occur with peptic ulcers. Therefore, patients should be advised to monitor for this symptom and seek medical attention if it occurs.

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Correct Answer is A

Explanation

Choice A rationale
Ceasing from smoking and consuming alcohol is crucial for patients who have been treated for acute pancreatitis. Both smoking and alcohol consumption can cause further damage to the pancreas and lead to recurrent episodes of pancreatitis.
Choice B rationale
While wearing tight-fitting clothing can be uncomfortable for some individuals, it does not have a direct impact on the recovery from acute pancreatitis.
Choice C rationale

Stopping exercise is not typically recommended for patients recovering from acute pancreatitis. Regular physical activity is generally beneficial for overall health, although a healthcare provider may recommend specific types or amounts of exercise based on the individual’s condition.
Choice D rationale
While practicing good dental hygiene is important for overall health, it does not specifically relate to the treatment or prevention of acute pancreatitis.

A. The client will increase calorie intake by 200 cal per day. B. The client will list foods that are high in calcium, which should be avoided. C. The client will replace cigarettes with smokeless tobacco products. D. The client will walk for 30 min 5 days a week.

Correct Answer is D

Explanation

Choice A rationale
Increasing calorie intake by 200 cal per day may not be beneficial for this client. The client has a BMI of 26, which is considered overweight. Therefore, a goal to increase calorie intake may contribute to further weight gain.
Choice B rationale
Listing foods that are high in calcium which should be avoided is not a relevant goal for this client. Calcium is an essential nutrient and there is no indication that the client needs to avoid it.
Choice C rationale
Replacing cigarettes with smokeless tobacco products is not a healthy goal. Smokeless tobacco products also contain harmful chemicals and can lead to health problems.
Choice D rationale

Walking for 30 min 5 days a week is a beneficial goal for this client. Regular physical activity can help manage weight, lower blood pressure, and reduce the risk of heart disease. It can also help the client quit smoking by reducing cravings and withdrawal symptoms.

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A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge instructions for a patient who has been treated for acute pancreatitis. Which of the following statements is important to include in the instructions?

Correct Answer is A

Explanation

A nurse is setting health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should be included in the plan?

Correct Answer is D

Explanation

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