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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Nonfat milk is generally not a trigger for GERD101112131415. It is low in fat and thus less likely to relax the lower esophageal sphincter, which can lead to acid reflux1415.
Choice B rationale
Chocolate is known to trigger GERD symptoms1415. It contains caffeine and fat, which can relax the lower esophageal sphincter and cause acid reflux1415.
Choice C rationale
Oatmeal is generally not a trigger for GERD101112131415. It is a whole grain that is high in fiber, which can help control GERD symptoms1415.
Choice D rationale
Apples are generally not a trigger for GERD101112131415. They are non-citrus fruits and thus less likely to cause acid reflux1415.
Correct Answer is A
Explanation
Choice A rationale
Increasing daily protein intake is often recommended for clients with chronic pancreatitis. Protein is needed for healing and repairing tissues, and people with chronic pancreatitis may have increased protein needs.
Choice B rationale
Decreasing caloric intake when abdominal pain is present is not typically recommended for clients with chronic pancreatitis. Adequate nutrition, including sufficient calories, is important for managing this condition.
Choice C rationale
Increasing fat intake when experiencing loose stools is not typically recommended for clients with chronic pancreatitis. Fat can be difficult to digest for these clients and can contribute to loose stools.
Choice D rationale
Limiting alcohol intake to 2-3 drinks per week is not typically recommended for clients with chronic pancreatitis. Alcohol can exacerbate pancreatitis and should be avoided.
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