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?

"Do you frequently consume spicy foods or citrus fruits?"

"Do you have a family history of lung diseases?"

"Have you been experiencing frequent headaches?"

"Do you engage in regular physical exercise?"

Answer and Explanation

The Correct Answer is A

Choice A reason:

Frequent consumption of spicy foods or citrus fruits can irritate the stomach lining and increase the risk of peptic ulcer development.

Choice B reason:

Family history of lung diseases is not directly related to the risk of peptic ulcer disease. However, family history of peptic ulcers or gastrointestinal conditions is relevant for risk assessment.

Choice C reason:

Experiencing frequent headaches is not a direct risk factor for peptic ulcer disease. However, the nurse should assess for other risk factors and medical history during the health screening.

Choice D reason:

Regular physical exercise is important for overall health, but it is not a direct risk factor for peptic ulcer disease. The nurse should focus on risk factors related to diet, medication use, and other medical conditions.

QUESTIONS

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Correct Answer is C

Explanation

Choice A reason:

Taking sucralfate with meals is not recommended, as it can reduce its effectiveness. Sucralfate should be taken on an empty stomach, at least 1 hour before meals, to allow it to form a protective barrier over the ulcerated areas.

Choice B reason:

Crushing sucralfate tablets is not advised, as it can interfere with the medication's ability to adhere to the ulcer site and provide protection.

Choice C reason:

This statement is correct. Taking antacids with sucralfate can reduce its effectiveness, as antacids can interfere with its therapeutic actions. Clients should avoid taking antacids together with sucralfate.

Choice D reason:

Sucralfate does not typically cause drowsiness, so taking it before bedtime is not necessary for this medication. It should be taken at regular intervals during the day as prescribed.

A. "I will avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief." B. "I will follow a low-fat diet to reduce stomach acid production." C. "I will continue taking my prescribed proton pump inhibitor (PPI) as directed." D. "I can drink alcohol in moderation while on my ulcer treatment."

Correct Answer is D

Explanation

Choice A reason:

Avoiding NSAIDs is essential for clients with peptic ulcer disease as they can worsen the condition and increase the risk of bleeding.

Choice B reason:

Following a low-fat diet does not directly impact stomach acid production, but it can help prevent irritation to the stomach lining by reducing the intake of potentially irritating foods.

Choice C reason:

This statement is correct. Proton pump inhibitors (PPIs) are commonly prescribed to reduce stomach acid production and promote ulcer healing. It is crucial for the client to continue taking PPIs as directed by their healthcare provider.

Choice D reason:

This statement is incorrect and indicates a need for further teaching. Alcohol can irritate the stomach lining and exacerbate peptic ulcer disease. Clients with peptic ulcers should avoid or minimize alcohol consumption.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of peptic ulcer disease is prescribed sucralfate as part of the preventive treatment plan. Which of the following instructions should the nurse provide to the client about taking sucralfate?

Correct Answer is C

Explanation

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?

Correct Answer is D

Explanation

A nurse is caring for a client who recently underwent Helicobacter pylori eradication therapy for peptic ulcer disease. Which of the following instructions should the nurse provide to the client to prevent H. pylori reinfection?

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 client with peptic ulcer disease asks the nurse about dietary recommendations to prevent ulcer recurrence. Which of the following statements should the nurse include in the client's education?

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 client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

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?

A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

A nurse is caring for a client who has undergone surgery for a peptic ulcer perforation. The client asks the nurse about the expected recovery time. Which of the following responses should the nurse provide?