The nurse is educating a client taking an H2 blocker about peptic ulcer disease. The client is asking the nurse what factors increase the risk of peptic ulcer disease and how to prevent them. What is the most appropriate response by the nurse?

Eat several small meals a day rather than three larger meals.

Attend screening clinics at least twice per year.

Exercise for at least 30 minutes, three times a week

Clients who smoke should attend smoking cessation classes

Wash area with a pediculicide

Answer and Explanation

The Correct Answer is D

A. Eating several small meals may help with certain gastrointestinal conditions (like GERD), but it is not directly linked to reducing the risk of peptic ulcer disease.
B. Routine screening clinics are not standard for peptic ulcer disease prevention; screening is generally focused on high-risk conditions such as cancers.
C. Regular exercise is beneficial for overall health but does not directly reduce the risk factors for peptic ulcer disease.
D. Smoking is a known risk factor for peptic ulcer disease because it increases gastric acid secretion, impairs mucosal defenses, and delays ulcer healing. Teaching clients who smoke to attend smoking cessation classes is the most appropriate prevention-focused intervention.

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Correct Answer is A

Explanation

A. Sudden onset of periocular pain and loss of central vision may indicate acute angle-closure glaucoma, retinal detachment, or central retinal artery occlusion, all of which are ophthalmic emergencies that can result in permanent vision loss if not treated immediately. This client requires priority assessment.

B. Gradual peripheral vision loss over a year suggests chronic conditions such as glaucoma, which require assessment but are not immediately vision-threatening.

C. Temporary reduced vision after sun exposure is likely photokeratitis and is usually self-limiting; urgent assessment is not required.

D. Transient reduced vision when moving from dark to bright light is a normal physiologic response (adaptation to light) and is not an emergency.

A. Promote the client's hope for recovery. B. Encourage the client to focus on use of other senses. C. Assess and promote the client's coping skills. D. Emphasize that lifestyle will be unchanged.

Correct Answer is C

Explanation

A. Macular degeneration is progressive and irreversible, so promoting hope for recovery may be unrealistic and could lead to frustration or false expectations.

B. While encouraging the use of other senses may help with adaptation, this does not directly address the client’s psychosocial needs.

C. Assessing and supporting the client’s coping skills is essential in helping them adjust to permanent vision loss, maintain independence, and prevent depression or anxiety. Psychosocial interventions are critical in chronic, irreversible conditions.

D. Blindness will change the client’s lifestyle, so emphasizing that nothing will change is misleading and could hinder realistic adjustment.

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The nurse is educating a client taking an H2 blocker about peptic ulcer disease. The client is asking the nurse what factors increase the risk of peptic ulcer disease and how to prevent them. What is the most appropriate response by the nurse?

Nursing Test Bank

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The emergency department nurse has several clients present to triage with eye complaints. Which client will the nurse assess first?

Correct Answer is A

Explanation

The nurse is caring for a client who is legally blind as a result of macular degeneration. When attempting to meet this client's psychosocial needs, what nursing action is most appropriate?

Correct Answer is C

Explanation

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