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:

Taking NSAIDs with alcohol can increase the risk of gastrointestinal irritation and ulcer development. Alcohol should be avoided while taking NSAIDs.

Choice B reason:

Taking NSAIDs on an empty stomach can increase the risk of irritation and ulcer formation. To minimize this risk, NSAIDs should be taken with food or milk.

Choice C reason:

This statement is correct. Using NSAID patches or creams can provide pain relief without affecting the gastrointestinal tract, reducing the risk of peptic ulcer development.

Choice D reason:

While a high-fiber diet is generally beneficial for digestive health, it does not specifically counteract the effects of NSAIDs on the stomach lining.

A. Right upper quadrant abdominal pain radiating to the right shoulder B. Left lower quadrant abdominal pain with rebound tenderness C. Midline epigastric pain aggravated by lying down D. Diffuse abdominal pain with a low-grade fever

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a hallmark symptom of cholecystitis. The pain is typically sudden, severe, and constant, and it is often triggered by a fatty meal.

Choice B reason:

Left lower quadrant abdominal pain with rebound tenderness is not characteristic of cholecystitis. It may indicate other conditions, such as diverticulitis or appendicitis.

Choice C reason:

Midline epigastric pain aggravated by lying down is more indicative of gastroesophageal reflux disease (GERD) rather than cholecystitis.

Choice D reason:

Diffuse abdominal pain with a low-grade fever may be seen in various conditions, but it does not specifically point to cholecystitis.

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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 prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic pain management. The nurse discusses the potential risk of peptic ulcer development with the client. Which of the following instructions should the nurse provide to minimize the risk?

Correct Answer is C

Explanation

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

Correct Answer is A

Explanation

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 client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

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 admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

A nurse is caring for a client with a peptic ulcer who is prescribed histamine-2 (H2) receptor blockers. Which of the following laboratory values should the nurse monitor closely while the client is taking H2 receptor blockers?

A client with peptic ulcer disease asks the nurse about the role of Helicobacter pylori in the development of the condition. Which of the following responses should the nurse provide?

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?