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?

Choice A reason:

While Helicobacter pylori is a type of bacteria, it is not typically transmitted through food and does not directly cause peptic ulcer disease.

Choice B reason:

This statement is incorrect. Helicobacter pylori infection is indeed associated with an increased risk of peptic ulcer disease.

Choice C reason:

This statement is correct. Helicobacter pylori infection can weaken the stomach lining by producing substances that can damage the mucous layer, leading to increased vulnerability to acid and contributing to ulcer formation.

Choice D reason:

Helicobacter pylori infection is not caused by excessive consumption of spicy foods. The infection is typically acquired through person-to-person transmission, such as through contaminated water or food, and is unrelated to diet choices.

Choice A reason:

Administering antacids one hour before meals would be less effective in providing pain relief during mealtime when stomach acid production is increased.

Choice B reason:

This statement is correct. Administering antacids with meals helps neutralize stomach acid during the digestion process and provides pain relief for clients with peptic ulcer disease.

Choice C reason:

Administering antacids two hours after meals may not effectively reduce pain during the mealtime when stomach acid production is at its peak.

Choice D reason:

Administering antacids at bedtime may help with overnight acid reduction, but it may not adequately address pain during meals when acid production is higher.