After reinforcing teaching on peptic ulcer disease, the nurse evaluates the patient as understanding the education if the patient states which of the following is a primary cause of peptic ulcer disease?

"Eating spicy foods"

"A stressful life"

"Excessive caffeine intake"

"A bacterial infection"

Answer and Explanation

The Correct Answer is D

D. The primary cause of peptic ulcer disease is infection with Helicobacter pylori (H. pylori) bacteria. H. pylori infection is associated with the majority of peptic ulcers, particularly those in the stomach. This bacterium weakens the protective mucous lining of the stomach and duodenum, allowing stomach acid to damage the underlying tissue and form ulcers.

A. Spicy foods can exacerbate symptoms in some individuals with peptic ulcer disease but they are not a primary cause of the condition. Spicy foods can irritate the lining of the stomach or duodenum, potentially worsening symptoms, but they do not directly cause ulcers.
B. Stress was once thought to be a major factor in the development of peptic ulcers, but research has shown that while stress may aggravate symptoms, it is not a primary cause of peptic ulcer disease.
C. Excessive caffeine intake was also previously believed to be a major cause of peptic ulcer disease, but this is not entirely accurate. While caffeine can stimulate gastric acid secretion, leading to increased acidity in the stomach, it is not a primary cause of peptic ulcers.

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Correct Answer is C

Explanation

C. Pursed lip breathing is a technique that can help patients with acute dyspnea by improving ventilation, prolonging exhalation, and reducing the work of breathing. It helps to keep the airways open longer and makes it easier to get rid of excess carbon dioxide, which can provide quick relief from acute shortness of breath.
A. Teaching the patient about using accessory muscles for breathing can be beneficial in managing chronic respiratory issues, but it is not an immediate intervention.
B. Understanding the cause of dyspnea is important for treatment planning but it is not the first action to take when the patient is experiencing acute shortness of breath.
D. The Sims position, where the patient lies on their side with the lower arm behind the back and the upper leg flexed, is not typically used for relieving acute respiratory distress.

A. Chocolate B. oatmeal C. Apples D. Nonfat milk

Correct Answer is A

Explanation

A. Chocolate contains caffeine and cocoa, both of which can relax the lower esophageal sphincter (LES) and increase the risk of acid reflux. Additionally, chocolate is high in fat, which can further exacerbate symptoms of GERD. Therefore, chocolate is often recommended to be avoided by individuals with GERD.
B. Oatmeal is generally considered a bland and low-acid food that is unlikely to trigger symptoms of GERD. In fact, oatmeal is often recommended as part of a GERD-friendly diet due to its high fiber content, which can help absorb stomach acid and promote digestive health.
C. Apples are generally considered to be low in acid and high in fiber, making them a relatively safe fruit choice for individuals with GERD. However, some individuals may find that certain varieties of apples or apple products (such as apple juice) can exacerbate their GERD symptoms.
D. Nonfat milk is generally considered to be a low-fat and low-acid beverage that is unlikely to trigger symptoms of GERD. However, some individuals may find that consuming dairy products, including milk, can exacerbate their GERD symptoms.

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After reinforcing teaching on peptic ulcer disease, the nurse evaluates the patient as understanding the education if the patient states which of the following is a primary cause of peptic ulcer disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse enters a room of a patient who is acutely short of breath. Which action should the nurse take first?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

Correct Answer is A

Explanation

The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM. Which statement by the patient indicates a need for additional information?

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The patient with emphysema comes to the emergency department with difficulty breathing. What finding should the nurse anticipate during data collection? Select all that apply

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