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."

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A reason:

Misoprostol is not an antibiotic. It is a synthetic prostaglandin used to protect the stomach lining and prevent peptic ulcers, particularly in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B reason:

Misoprostol should be taken with meals to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of adverse effects.

Choice C reason:

This statement is correct. Misoprostol is contraindicated during pregnancy and can cause uterine contractions and birth defects. Clients taking misoprostol should use effective contraception to prevent pregnancy.

Choice D reason:

Misoprostol is not used to reduce stomach acid production. Instead, it helps protect the stomach lining by increasing mucus production and promoting bicarbonate secretion.

A. One hour before meals B. With meals C. Two hours after meals D. At bedtime

Correct Answer is B

Explanation

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?

Correct Answer is C

Explanation

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?

Correct Answer is B

Explanation

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 prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis. Which of the following statements by the client indicates a need for further education?

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?

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?

A client is undergoing an abdominal computed tomography (CT) scan to evaluate suspected cholecystitis. The client expresses concern about potential radiation exposure. Which of the following responses should the nurse provide?

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

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?

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?