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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
This statement describes an esophagoscopy, not an endoscopy. An endoscopy examines the upper gastrointestinal tract, including the stomach and duodenum.
Choice B reason:
This statement describes a colonoscopy, not an endoscopy. An endoscopy does not involve the lower gastrointestinal tract.
Choice C reason:
This statement describes an ultrasound, not an endoscopy. An endoscopy is a direct visualization procedure.
Choice D reason:
This statement is correct. An endoscopy involves inserting a flexible tube (endoscope) with a camera on the end through the mouth to examine the stomach and duodenum. It is a commonly used procedure to assess and diagnose peptic ulcer disease.
Correct Answer is C
Explanation
Choice A reason:
Taking sucralfate with meals is not recommended, as it can reduce its effectiveness. Sucralfate should be taken on an empty stomach, at least 1 hour before meals, to allow it to form a protective barrier over the ulcerated areas.
Choice B reason:
Crushing sucralfate tablets is not advised, as it can interfere with the medication's ability to adhere to the ulcer site and provide protection.
Choice C reason:
This statement is correct. Taking antacids with sucralfate can reduce its effectiveness, as antacids can interfere with its therapeutic actions. Clients should avoid taking antacids together with sucralfate.
Choice D reason:
Sucralfate does not typically cause drowsiness, so taking it before bedtime is not necessary for this medication. It should be taken at regular intervals during the day as prescribed.
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