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?

"Have you experienced any changes in your bowel movements?"

"Do you have a family history of heart disease?"

"Have you noticed any swelling or edema in your legs?"

"Do you frequently consume foods high in fiber?"

Answer and Explanation

The Correct Answer is A

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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Correct Answer is B

Explanation

Choice A reason:

Administering antacids one hour before meals would be less effective in providing pain relief during mealtime when stomach acid production is increased.

Choice B reason:

This statement is correct. Administering antacids with meals helps neutralize stomach acid during the digestion process and provides pain relief for clients with peptic ulcer disease.

Choice C reason:

Administering antacids two hours after meals may not effectively reduce pain during the mealtime when stomach acid production is at its peak.

Choice D reason:

Administering antacids at bedtime may help with overnight acid reduction, but it may not adequately address pain during meals when acid production is higher.

A. Elevated serum amylase levels B. Increased serum creatinine levels C. Elevated white blood cell count D. Low serum bilirubin levels

Correct Answer is C

Explanation

Choice A reason:

Elevated serum amylase levels are more indicative of pancreatitis, not cholecystitis.

Choice B reason:

Increased serum creatinine levels are suggestive of kidney dysfunction and are not directly related to cholecystitis.

Choice C reason:

This statement is correct. Cholecystitis is associated with inflammation and infection, which can lead to an elevated white blood cell count (leukocytosis).

Choice D reason:

Low serum bilirubin levels are not consistent with cholecystitis, which can cause obstructive jaundice and elevated bilirubin levels due to bile duct obstruction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory results of a client with suspected cholecystitis. Which of the following findings is consistent with this condition?

Correct Answer is C

Explanation

A client with peptic ulcer disease asks the nurse about dietary recommendations to prevent ulcer recurrence. Which of the following statements should the nurse include in the client's education?

A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?

A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

A client with peptic ulcer disease asks the nurse about the role of Helicobacter pylori in the development of the condition. Which of the following responses should the nurse provide?

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?