A client is prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic pain management. The nurse discusses the potential risk of peptic ulcer development with the client. Which of the following instructions should the nurse provide to minimize the risk?
"Take the NSAIDs with a glass of alcohol to enhance their effectiveness."
"Avoid taking NSAIDs on an empty stomach to prevent irritation."
"Consider using NSAID patches or creams instead of oral formulations."
"Consume a high-fiber diet to counteract the effects of NSAIDs on the stomach."
The Correct Answer is C
Choice A reason:
Taking NSAIDs with alcohol can increase the risk of gastrointestinal irritation and ulcer development. Alcohol should be avoided while taking NSAIDs.
Choice B reason:
Taking NSAIDs on an empty stomach can increase the risk of irritation and ulcer formation. To minimize this risk, NSAIDs should be taken with food or milk.
Choice C reason:
This statement is correct. Using NSAID patches or creams can provide pain relief without affecting the gastrointestinal tract, reducing the risk of peptic ulcer development.
Choice D reason:
While a high-fiber diet is generally beneficial for digestive health, it does not specifically counteract the effects of NSAIDs on the stomach lining.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Avoiding all dairy products is not a preventive measure for H. pylori reinfection. Dairy consumption does not play a significant role in H. pylori colonization or infection.
Choice B reason:
This statement is correct. H. pylori is primarily transmitted through the oral-oral or fecal-oral route. Practicing strict hand hygiene, especially after using the restroom and before eating, can help reduce the risk of transmission and reinfection.
Choice C reason:
Including raw vegetables in the diet is not a specific preventive measure for H. pylori reinfection. A balanced diet that promotes overall gut health may be beneficial, but raw vegetables alone do not prevent H. pylori reinfection.
Choice D reason:
Taking over-the-counter antacids regularly is not a preventive strategy for H. pylori reinfection. Antacids do not target the bacterium and are not effective in eradicating H. pylori.
Correct Answer is C
Explanation
Choice A reason:
A diet high in fiber and low in fat is generally considered healthy, but it is not specifically associated with an increased or decreased risk of peptic ulcer disease.
Choice B reason:
Smoking and alcohol consumption are indeed risk factors for peptic ulcer disease. They can contribute to the development and exacerbation of ulcers.
Choice C reason:
This statement is correct. The use of NSAIDs, such as aspirin and ibuprofen, and Helicobacter pylori infection are well-established risk factors for peptic ulcer disease.
Choice D reason:
While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are H. pylori infection and the use of NSAIDs.
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