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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Lying in the prone position (on the stomach) helps prevent hip flexion contractures, which are a common complication after a below-the-knee amputation. This position stretches the hip flexors and maintains proper joint alignment.
B. While prone positioning may aid in lung expansion, this is not the primary reason for the recommendation in amputee care.
C. Pressure relief on the backside is not the main concern in this case.
D. Pain relief is not the purpose of prone positioning; in fact, it may be uncomfortable for some clients. The focus is on maintaining joint mobility and preventing contractures
Correct Answer is B
Explanation
Rationale:
A. Measuring abdominal girth is more relevant for conditions like ascites or bowel obstruction, not thrombocytopenia.
B. Thrombocytopenia (low platelet count) increases bleeding risk, so applying pressure to needlestick sites for an extended time (at least 10 minutes) is an appropriate and essential intervention.
C. Monitoring for white blood cells in urine is associated with infection, which is more relevant for neutropenia.
D. Rectal thermometers should be avoided in clients with thrombocytopenia due to risk of rectal trauma and bleeding.
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