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?

"Limit your intake of fiber-rich foods to avoid gastrointestinal irritation."

"Avoid spicy and acidic foods that can increase stomach acid production."

"Increase your consumption of carbonated beverages to promote digestion."

"Include caffeine-containing beverages in your diet to stimulate gastric motility."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Limiting fiber-rich foods is not a recommended preventive strategy for peptic ulcer disease. In fact, fiber can aid digestion and promote bowel regularity, which may be beneficial for some clients with peptic ulcers.

Choice B reason:

This statement is correct. Spicy and acidic foods can irritate the stomach lining and increase stomach acid production, potentially worsening symptoms for clients with peptic ulcers.

Choice C reason:

Increasing consumption of carbonated beverages is not advised, as they can cause bloating and increased gas production, which may exacerbate symptoms for clients with peptic ulcers.

Choice D reason:

Caffeine-containing beverages should be limited or avoided, as caffeine can stimulate gastric acid secretion and may worsen symptoms for clients with peptic ulcers.

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Correct Answer is B

Explanation

Choice A reason:

Antibiotics do not directly heal the ulcer or reduce stomach acid production. They are prescribed specifically to treat Helicobacter pylori (H. pylori) infection, a common cause of peptic ulcers.

Choice B reason:

This statement is correct. Antibiotics are prescribed to treat H. pylori infection, which is a major cause of peptic ulcers. By eliminating the bacterial infection, the ulcer has a better chance of healing and preventing recurrence.

Choice C reason:

Antibiotics do not promote blood clotting or reduce the risk of bleeding from the ulcer. Other medications may be prescribed to manage bleeding if it occurs.

Choice D reason:

Antibiotics do not relax stomach muscles or alleviate abdominal pain. Pain relief is typically achieved through acid-reducing medications and other pain management strategies.

A. "I should take the PPI with my meals to enhance its effectiveness." B. "I will continue taking the PPI for the full duration as prescribed." C. "PPIs can increase the risk of osteoporosis, so I will increase my calcium intake." D. "I will avoid taking antacids with the PPI to prevent interference with its action."

Correct Answer is A

Explanation

Choice A reason:

This statement is incorrect and indicates a need for further education. PPIs should be taken on an empty stomach, at least 30 minutes before meals, to allow for optimal absorption and effectiveness.

Choice B reason:

This statement is correct. Clients should continue taking the PPI for the full duration as prescribed, even if they start to feel better, to prevent ulcer recurrence.

Choice C reason:

This statement is correct. PPIs can decrease calcium absorption and increase the risk of osteoporosis in some clients. Increasing calcium intake or taking calcium supplements may be necessary for clients on long-term PPI therapy.

Choice D reason:

This statement is correct. Antacids can interfere with the action of PPIs, and clients should avoid taking them together. If needed, antacids should be taken at least 1 hour before or after the PPI.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peptic ulcer disease is prescribed a combination therapy that includes antibiotics and acid-reducing medications. The client asks the nurse about the purpose of the antibiotics in the treatment. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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