A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?
“Avoid consuming undercooked foods.”
“Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer.”
“Avoid foods that have been fried.”
“Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer.”
The Correct Answer is C
Choice A Reason:
Avoiding undercooked foods is generally good advice for preventing foodborne illnesses, but it is not specifically related to reducing the risk of peptic ulcers. Peptic ulcers are primarily caused by Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice B Reason:
There is no established link between hormone replacement therapy and an increased risk of peptic ulcers. The primary risk factors for peptic ulcers include H. pylori infection, NSAID use, smoking, and excessive alcohol consumption.
Choice C Reason:
This is the correct answer. Fried foods can irritate the stomach lining and increase the production of stomach acid, which can exacerbate the symptoms of peptic ulcers and potentially contribute to their development. Avoiding fried foods can help reduce irritation and promote healing.
Choice D Reason:
There is no evidence to suggest that decongestants for seasonal allergies or colds are linked to the development of peptic ulcers. The main contributors to peptic ulcers are H. pylori infection and NSAID use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
A healthy stoma should be pink or red, not purple. A purple stoma could indicate compromised blood flow and requires immediate medical attention.
Choice B Reason:
A sigmoid colostomy typically produces formed stool because it is located in the lower part of the colon, where water absorption occurs.
Choice C Reason:
The stoma itself should not be painful after the procedure. Pain may indicate complications such as infection or improper stoma care.
Choice D Reason:
This is the correct answer. A sigmoid colostomy is usually located in the left lower abdomen, as this is where the sigmoid colon is situated.
Correct Answer is A
Explanation
Choice A Reason: WBC Count 22,000/mm³
A white blood cell (WBC) count of 22,000/mm³ is significantly higher than the normal range, which is typically between 4,000 and 11,000/mm³. An elevated WBC count, known as leukocytosis, often indicates the presence of an infection as the body produces more white blood cells to fight off pathogens. This elevated count can also be seen in other conditions such as inflammation, stress, or bone marrow disorders, but it is a strong indicator of infection.
Choice B Reason: Hgb 15 g/dL
Hemoglobin (Hgb) levels of 15 g/dL fall within the normal range for adults, which is generally 13.8 to 17.2 g/dL for males and 12.1 to 15.1 g/dL for females. Normal hemoglobin levels indicate that the blood’s oxygen-carrying capacity is adequate and do not specifically point to an infection.
Choice C Reason: Creatine kinase 75 units/L
Creatine kinase (CK) levels of 75 units/L are within the normal range, which is typically 24 to 204 U/L. CK is an enzyme found in the heart, brain, and skeletal muscle, and elevated levels can indicate muscle damage, myocardial infarction, or other conditions affecting these tissues. However, normal CK levels do not indicate the presence of an infection.
Choice D Reason: Platelet count 200,000/mm³
A platelet count of 200,000/mm³ is within the normal range, which is generally between 150,000 and 450,000 platelets per microliter of blood. Platelets are involved in blood clotting, and normal levels do not indicate an infection. Abnormal platelet counts can be associated with bleeding disorders or thrombosis, but a normal count does not suggest an infection.
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