A nurse is reviewing the medical records of a client who has been diagnosed with a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

Has a glass of wine with dinner each day

History of bulimia

Drinks green tea

History of NSAID use

Answer and Explanation

The Correct Answer is D

Rationale:
A. Moderate alcohol intake (e.g., a glass of wine daily) is not a primary risk factor, though excessive alcohol use may contribute to gastric irritation.
B. Bulimia can cause GI issues like esophagitis, but it is not a primary risk factor for peptic ulcers.
C. Green tea is not known to contribute to peptic ulcer development.
D. Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs) is a well-established risk factor for peptic ulcers, as they inhibit prostaglandin synthesis, reducing the protective lining of the stomach.

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Correct Answer is A

Explanation

Rationale:
A. During acute diverticulitis, a low-fiber diet is recommended to reduce bowel stimulation and allow the colon to rest. This helps minimize inflammation and discomfort.
B. Fluid restriction is not appropriate; maintaining adequate hydration is important unless contraindicated for another condition.
C. A high-fiber diet is recommended for prevention after recovery—not during an acute episode.
D. A low-sodium diet may be necessary for other health conditions (e.g., hypertension), but it is not a specific dietary requirement for diverticulitis.

A. Encourage deep breathing and coughing exercises to prevent atelectasis. B. Maintain the client on strict bed rest for the first 48 hours after surgery, C. Ensure that the client's indwelling catheter is patent and draining freely. D. Monitor for signs of infection, such as fever and redness at the surgical site.

Correct Answer is C

Explanation

Rationale:
A. Deep breathing and coughing exercises are important but ensuring catheter patency is more critical immediately post-prostatectomy to prevent urinary retention and bladder distention.
B. Strict bed rest is generally not required; early ambulation is encouraged to reduce complications.
C. Maintaining a patent indwelling catheter is essential after prostatectomy to prevent urinary obstruction, bladder distension, and potential damage to the surgical site.
D. Monitoring for infection is important but is a routine ongoing assessment rather than the immediate priority.

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A nurse is reviewing the medical records of a client who has been diagnosed with a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has diverticulitis. Which of the following menu guidance should the nurse include in the plan?

Correct Answer is A

Explanation

A client has just undergone a prostatectomy for benign prostatic hyperplasia (BPH). Which of the following nursing interventions is most important in the immediate post-operative period?

Correct Answer is C

Explanation

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