A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Hypertension and increased heart rate

Abdominal distention and bloating

Melena (black, tarry stools)

Hyperactive bowel sounds

Answer and Explanation

The Correct Answer is C

Choice A reason:

Hypertension and increased heart rate are not early signs of gastrointestinal bleeding. In fact, hypotension and tachycardia are more common signs of significant blood loss.

Choice B reason:

Abdominal distention and bloating are not typical early signs of gastrointestinal bleeding. These symptoms may occur due to other gastrointestinal issues but are not specific to bleeding.

Choice C reason:

This statement is correct. Melena, or black, tarry stools, is a classic sign of upper gastrointestinal bleeding and indicates the presence of partially digested blood in the stool.

Choice D reason:

Hyperactive bowel sounds are not early signs of gastrointestinal bleeding. Bowel sounds may be hyperactive or hypoactive depending on the severity of the bleeding and associated factors.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Smoking and excessive alcohol intake can irritate the stomach lining and increase the risk of peptic ulcer recurrence. Avoiding these substances is important for promoting healing and preventing further damage.

Choice B reason:

Consuming a high-fat diet is not recommended for peptic ulcer prevention. High-fat foods can stimulate acid production and worsen symptoms for clients with peptic ulcers.

Choice C reason:

Engaging in strenuous exercise immediately after meals is not advisable, as it can increase the risk of acid reflux and worsen symptoms for clients with peptic ulcers.

Choice D reason:

Regular use of NSAIDs can increase the risk of developing peptic ulcers and is not a preventive strategy for clients with a history of peptic ulcer disease.

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 is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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