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?

"Helicobacter pylori is a type of foodborne bacteria that directly causes peptic ulcer disease."

"Helicobacter pylori infection is not associated with an increased risk of peptic ulcer disease."

"Helicobacter pylori infection can weaken the stomach lining and increase the risk of ulcer formation."

"Helicobacter pylori infection is primarily caused by excessive consumption of spicy foods."

Answer and Explanation

The Correct Answer is C

Choice A reason:

While Helicobacter pylori is a type of bacteria, it is not typically transmitted through food and does not directly cause peptic ulcer disease.

Choice B reason:

This statement is incorrect. Helicobacter pylori infection is indeed associated with an increased risk of peptic ulcer disease.

Choice C reason:

This statement is correct. Helicobacter pylori infection can weaken the stomach lining by producing substances that can damage the mucous layer, leading to increased vulnerability to acid and contributing to ulcer formation.

Choice D reason:

Helicobacter pylori infection is not caused by excessive consumption of spicy foods. The infection is typically acquired through person-to-person transmission, such as through contaminated water or food, and is unrelated to diet choices.

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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.

A. "You should watch for mild bloating and gas after meals." B. "Warning signs may include black, tarry stools or vomiting blood." C. "Occasional heartburn is a common sign of ulcer healing." D. "Feeling fatigued and sleepy after meals is typical with ulcers."

Correct Answer is B

Explanation

Choice A reason:

Mild bloating and gas after meals may be common gastrointestinal symptoms but are not specific warning signs of complications related to peptic ulcer disease.

Choice B reason:

This statement is correct. Black, tarry stools (melena) or vomiting blood (hematemesis) are potential signs of gastrointestinal bleeding, a serious complication of peptic ulcer disease. Clients should seek immediate medical attention if they experience these symptoms.

Choice C reason:

Occasional heartburn may occur during the course of ulcer healing but is not considered a warning sign of complications.

Choice D reason:

Feeling fatigued and sleepy after meals is not typically associated with peptic ulcer disease or its complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) as part of the preventive treatment plan. Which of the following statements by the client indicates a need for further education about PPIs?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client with a history of peptic ulcer disease. The client asks the nurse about warning signs of potential complications. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. The client asks the nurse about any special preparations needed for the procedure. Which of the following responses should the nurse provide?

A client is undergoing an abdominal computed tomography (CT) scan to evaluate suspected cholecystitis. The client expresses concern about potential radiation exposure. Which of the following responses should the nurse provide?

A nurse is providing dietary instructions to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to promote ulcer healing?

A client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?

A nurse is conducting a health screening for peptic ulcer disease risk factors in a community setting. Which of the following questions should the nurse include in the assessment?

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

A nurse is caring for a client with peptic ulcer disease who is receiving intravenous proton pump inhibitors (PPIs) to reduce stomach acid production. Which of the following nursing actions is a priority when administering PPIs to this client?

A nurse is providing discharge instructions to a client diagnosed with peptic ulcer disease. Which of the following statements by the client indicates a need for further teaching?