A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?
"I feel so much better after eating."
"The pain is worse after I eat a meal high in fat."
"The pain radiates down to my lower back."
"My pain is relieved by having a bowel movement."
The Correct Answer is B
Peptic ulcer disease is characterized by open sores that develop on the lining of the stomach, small intestine, or esophagus. The symptoms and pain associated with peptic ulcer disease can
vary, but certain patterns are commonly observed: "The pain is worse after I eat a meal high in fat": This statement aligns with the typical symptom of peptic ulcer disease. The presence of fat in the stomach triggers the release of certain hormones and substances that stimulate gastric acid secretion. This increased acid production can exacerbate the pain experienced by individuals with peptic ulcers.
"I feel so much better after eating": Feeling relief after eating is not characteristic of peptic ulcer disease. In fact, individuals with peptic ulcers may experience pain or discomfort after eating especially those with gastric ulcers.
"The pain radiates down to my lower back": Lower back pain is not a common symptom associated specifically with peptic ulcer disease. Radiating pain to the back is more commonly associated with conditions like pancreatitis or kidney issues.
"My pain is relieved by having a bowel movement": Pain relief with bowel movements is not a typical symptom of peptic ulcer disease. It may be more indicative of conditions like irritable bowel syndrome or inflammatory bowel disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,C,D,E
Explanation
When removing personal protective equipment (PPE) after caring for a client in contact isolation, the nurse should follow the steps in the following order:
1. Remove gloves.
2. Remove protective eyewear.
3. Remove gown.
4. Remove mask.
5. Perform hand hygiene.
By following this sequence, the nurse ensures that the removal of PPE is done in a way that minimizes the risk of contamination. Removing gloves first helps prevent the spread of potential contaminants on the hands. Removing protective eyewear next avoids any potential contact with the face or eyes during the removal process. Removing the gown comes next, followed by the mask. Lastly, performing hand hygiene after removing all PPE helps ensure the hands are thoroughly cleaned.
Correct Answer is B
Explanation
Sucralfate is a medication commonly used in the treatment of peptic ulcer disease. It works by forming a protective barrier over the ulcer site, providing a physical barrier against gastric acid, and promoting the healing process. When teaching a client about sucralfate, it is important to provide instructions regarding its proper administration.
One of the key instructions is to take sucralfate 1 hour before meals. This timing allows the medication to form a protective coating in the stomach before food is ingested. Taking sucralfate on an empty stomach enhances its effectiveness in protecting the ulcer and promoting healing.
"Take the medication with an antacid" - Sucralfate should not be taken with an antacid. Antacids can interfere with the protective mechanism of sucralfate by neutralizing stomach acid, which is necessary for sucralfate to bind and form a protective coating. It is recommended to wait at least 30 minutes to 1 hour after taking sucralfate before taking an antacid.
"Take as needed for pain relief" - Sucralfate is not typically used for immediate pain relief in peptic ulcer disease. It is primarily used for its protective and healing properties. Pain relief is
usually addressed with other medications, such as antacids, acid-reducing medications, or pain medications as prescribed by a healthcare provider.
"Store the medication in the refrigerator" - Sucralfate does not require refrigeration. It should be stored at room temperature, away from excessive heat or moisture, as per the specific instructions provided by the manufacturer or healthcare provider.
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