A client with peptic ulcer disease reports experiencing frequent abdominal pain, especially during mealtimes. Which of the following nursing interventions should the nurse implement to alleviate the client's pain?
Encourage the client to eat a large, well-balanced meal during mealtimes.
Administer prescribed antacids 30 minutes before the client's meals.
Instruct the client to lie flat immediately after eating to aid digestion.
Provide the client with spicy foods to stimulate gastric secretions.
The Correct Answer is B
Choice A reason:
Eating a large, well-balanced meal during mealtimes may exacerbate abdominal pain for the client with peptic ulcer disease. Instead, the client should be encouraged to eat smaller, more frequent meals to reduce stomach acid production.
Choice B reason:
This statement is correct. Administering prescribed antacids 30 minutes before meals can help reduce stomach acid levels during digestion and alleviate the client's pain.
Choice C reason:
Instructing the client to lie flat immediately after eating is not recommended, as it may increase the risk of reflux and worsen the client's symptoms.
Choice D reason:
Providing the client with spicy foods is not advisable, as they can irritate the stomach lining and worsen symptoms for the client with peptic ulcer disease.
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Related Questions
Correct Answer is C
Explanation
Choice A reason:
Taking NSAIDs with food can help reduce stomach irritation and the risk of developing peptic ulcers.
Choice B reason:
This statement is correct. Dark, tarry stools may indicate gastrointestinal bleeding, a potential complication of peptic ulcer disease. The client should promptly notify their healthcare provider if they experience this symptom.
Choice C reason:
This statement is incorrect and indicates a need for further education. While antacids can provide temporary relief from heartburn, they do not address the underlying issue of stomach irritation caused by NSAIDs. The client should avoid NSAIDs or discuss alternative pain management strategies with their healthcare provider.
Choice D reason:
Avoiding alcohol is advisable while on NSAIDs as alcohol can increase the risk of gastrointestinal bleeding and worsen peptic ulcer disease.
Correct Answer is C
Explanation
Choice A reason:
Fasting for 12 hours before an abdominal ultrasound is not necessary. Abdominal ultrasound does not require an empty stomach.
Choice B reason:
Drinking water is not typically restricted before an abdominal ultrasound. In fact, drinking water can improve image quality in some cases.
Choice C reason:
This statement is correct. There are no special preparations required for an abdominal ultrasound. The procedure is non-invasive and does not involve any special preparation or fasting.
Choice D reason:
Avoiding pain medications is not necessary before an abdominal ultrasound. The client can continue taking prescribed medications as usual.
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