A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?
"Avoid smoking and limit alcohol intake to reduce stomach irritation."
"Consume a high-fat diet to promote healing of the ulcerated areas."
"Engage in strenuous exercise immediately after meals to aid digestion."
"Take nonsteroidal anti-inflammatory drugs (NSAIDs) regularly for pain relief."
The Correct Answer is A
Choice A reason:
This statement is correct. Smoking and excessive alcohol intake can irritate the stomach lining and increase the risk of peptic ulcer recurrence. Avoiding these substances is important for promoting healing and preventing further damage.
Choice B reason:
Consuming a high-fat diet is not recommended for peptic ulcer prevention. High-fat foods can stimulate acid production and worsen symptoms for clients with peptic ulcers.
Choice C reason:
Engaging in strenuous exercise immediately after meals is not advisable, as it can increase the risk of acid reflux and worsen symptoms for clients with peptic ulcers.
Choice D reason:
Regular use of NSAIDs can increase the risk of developing peptic ulcers and is not a preventive strategy for clients with a history of peptic ulcer disease.
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Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Family history and genetic factors are considered significant risk factors for peptic ulcer disease. A positive family history increases the likelihood of developing the condition.
Choice B reason:
Excessive consumption of fresh fruits and vegetables is not a risk factor for peptic ulcer disease. In fact, a diet rich in fruits and vegetables is generally associated with a lower risk of developing peptic ulcers.
Choice C reason:
Regular exercise and maintaining a healthy weight are not considered risk factors for peptic ulcer disease. These factors are essential for overall health but are not directly related to ulcer development.
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 Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Correct Answer is B
Explanation
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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