A nurse is providing dietary instructions to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to promote ulcer healing?

Increasing intake of spicy foods to stimulate stomach acid production

Consuming frequent, small meals throughout the day

Drinking caffeinated beverages to improve digestion

Including high-fiber foods to stimulate bowel movements

Answer and Explanation

The Correct Answer is B

Choice A reason:

Increasing intake of spicy foods is not recommended for clients with peptic ulcer disease, as they can irritate the stomach lining and exacerbate symptoms.

Choice B reason:

This statement is correct. Consuming frequent, small meals throughout the day helps prevent prolonged periods of fasting, which can reduce stomach acid production and irritation to the stomach lining. It also aids in maintaining steady blood sugar levels.

Choice C reason:

Drinking caffeinated beverages can increase stomach acid production and may worsen symptoms in clients with peptic ulcer disease. It is best to avoid or limit caffeinated drinks.

Choice D reason:

High-fiber foods can be beneficial for overall digestive health, but they are not specifically recommended for promoting ulcer healing. In some cases, high-fiber foods may need to be avoided if they cause discomfort.

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Correct Answer is C

Explanation

Choice A reason:

Elevated white blood cell count may indicate inflammation or infection, but it is not directly related to jaundice and dark-colored urine, which are characteristic of increased bilirubin levels.

Choice B reason:

Impaired blood clotting is not directly related to jaundice and dark-colored urine. It may be a concern in liver disease but does not explain the specific manifestations mentioned in the question.

Choice C reason:

This statement is correct. Jaundice and dark-colored urine are indicative of increased bilirubin levels in the blood, which can occur in cholecystitis due to obstruction of the bile ducts.

Choice D reason:

Elevated serum amylase is more associated with pancreatitis rather than cholecystitis. It is not directly related to the clinical manifestations described.

A. "It is best to take the PPI with your meals to enhance its effectiveness." B. "You should take the PPI on an empty stomach, preferably 30 minutes before a meal." C. "You can take the PPI at any time of the day, as long as it is taken consistently." D. "Taking the PPI before bedtime is most effective for managing nighttime acid reflux."

Correct Answer is B

Explanation

Choice A reason:

Taking the PPI with meals is not the most effective timing for acid suppression. PPIs work best when taken on an empty stomach.

Choice B reason:

This statement is correct. PPIs are most effective when taken on an empty stomach, about 30 minutes before a meal. This allows the medication to be absorbed and inhibit acid secretion in the stomach before food intake.

Choice C reason:

While consistency in medication timing is important, taking the PPI at any time of the day may not optimize its effectiveness.

Choice D reason:

Taking the PPI before bedtime may not provide the best acid suppression throughout the day. Taking it on an empty stomach before a meal is a more appropriate approach.

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A nurse is providing dietary instructions to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to promote ulcer healing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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