A nurse is providing discharge instructions to a client with a history of peptic ulcer disease. The client asks the nurse about warning signs of potential complications. Which of the following responses should the nurse provide?

"You should watch for mild bloating and gas after meals."

"Warning signs may include black, tarry stools or vomiting blood."

"Occasional heartburn is a common sign of ulcer healing."

"Feeling fatigued and sleepy after meals is typical with ulcers."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Mild bloating and gas after meals may be common gastrointestinal symptoms but are not specific warning signs of complications related to peptic ulcer disease.

Choice B reason:

This statement is correct. Black, tarry stools (melena) or vomiting blood (hematemesis) are potential signs of gastrointestinal bleeding, a serious complication of peptic ulcer disease. Clients should seek immediate medical attention if they experience these symptoms.

Choice C reason:

Occasional heartburn may occur during the course of ulcer healing but is not considered a warning sign of complications.

Choice D reason:

Feeling fatigued and sleepy after meals is not typically associated with peptic ulcer disease or its complications.

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Correct Answer is B

Explanation

Choice A reason:

Recovering fully within 1-2 weeks after surgery for a peptic ulcer perforation may be overly optimistic. The recovery time is typically longer and depends on the individual's health status and the extent of the surgery.

Choice B reason:

This statement is correct. The recovery time after surgery for a peptic ulcer perforation varies depending on factors such as the type of surgery performed, the extent of the perforation, and the client's overall health. It may take several weeks to months for the client to fully recover.

Choice C reason:

Resuming normal activities immediately after surgery for a peptic ulcer perforation is not advisable. Clients usually require a period of rest and limited activity to allow proper healing.

Choice D reason:

Recovering fully in 6 months may be an extended recovery period. While some clients may experience a longer recovery, it is not a standard time frame for everyone.

A. "I will avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief." B. "I will follow a low-fat diet to reduce stomach acid production." C. "I will continue taking my prescribed proton pump inhibitor (PPI) as directed." D. "I can drink alcohol in moderation while on my ulcer treatment."

Correct Answer is D

Explanation

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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A nurse is providing discharge instructions to a client with a history of peptic ulcer disease. The client asks the nurse about warning signs of potential complications. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has undergone surgery for a peptic ulcer perforation. The client asks the nurse about the expected recovery time. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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 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?

A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

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

A client is diagnosed with peptic ulcer disease and asks the nurse about the common risk factors for this condition. 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?