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 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.

A. "Have you experienced any changes in your bowel movements?" B. "Do you have a family history of heart disease?" C. "Have you noticed any swelling or edema in your legs?" D. "Do you frequently consume foods high in fiber?"

Correct Answer is A

Explanation

Choice A reason:

This question is relevant to assess for gastrointestinal symptoms, as changes in bowel movements may indicate issues with digestion or absorption.

Choice B reason:

Family history of heart disease is not directly related to peptic ulcer disease. However, it is essential for overall health assessment and risk factor identification.

Choice C reason:

Swelling or edema in the legs may be indicative of cardiovascular or circulatory issues, but it is not directly related to peptic ulcer disease.

Choice D reason:

The frequency of consuming high-fiber foods is not specifically related to peptic ulcer disease. However, diet history is essential for overall health assessment.

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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 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?

Correct Answer is B

Explanation

A client is experiencing epigastric pain, and the nurse suspects peptic ulcer disease. Which of the following questions should the nurse ask to further assess the client's symptoms?

Correct Answer is A

Explanation

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