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 C

Explanation

Choice A reason:

A diet high in fiber and low in fat is generally considered healthy, but it is not specifically associated with an increased or decreased risk of peptic ulcer disease.

Choice B reason:

Smoking and alcohol consumption are indeed risk factors for peptic ulcer disease. They can contribute to the development and exacerbation of ulcers.

Choice C reason:

This statement is correct. The use of NSAIDs, such as aspirin and ibuprofen, and Helicobacter pylori infection are well-established risk factors for peptic ulcer disease.

Choice D reason:

While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are H. pylori infection and the use of NSAIDs.

A. "The HIDA scan will visualize the blood flow in your liver." B. "This scan will assess the function and patency of your bile ducts." C. "The HIDA scan will evaluate the motility of your small intestine." D. "This scan will provide detailed images of your pancreas."

Correct Answer is B

Explanation

Choice A reason:

Visualizing blood flow in the liver is not the purpose of a HIDA scan. This type of scan is primarily used to assess the biliary system.

Choice B reason:

This statement is correct. A HIDA scan is used to assess the function and patency of the bile ducts. It involves injecting a radioactive tracer that is taken up by the liver and excreted into the bile. The scan can visualize the flow of bile and detect any obstruction or abnormality in the biliary system.

Choice C reason:

Evaluating the motility of the small intestine is not the purpose of a HIDA scan. It is used specifically for assessing the biliary system.

Choice D reason:

Providing detailed images of the pancreas is not the primary purpose of a HIDA scan, although it can sometimes provide some information about the pancreas if the tracer reaches the duodenum and enters the common bile duct.

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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 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?

Correct Answer is C

Explanation

A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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