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?

"I will avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief."

"I will follow a low-fat diet to reduce stomach acid production."

"I will continue taking my prescribed proton pump inhibitor (PPI) as directed."

"I can drink alcohol in moderation while on my ulcer treatment."

Answer and Explanation

The Correct Answer is D

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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Correct Answer is D

Explanation

Choice A reason:

Nausea and vomiting after meals are common symptoms in acute cholecystitis, but they do not indicate a severe complication. They are typical manifestations of gallbladder inflammation.

Choice B reason:

Mild right upper quadrant pain may be present in acute cholecystitis, but it does not suggest a severe complication.

Choice C reason:

Referred pain to the left shoulder (Kehr's sign) is a classic symptom of splenic rupture or other conditions involving the spleen, not directly related to cholecystitis.

Choice D reason:

This statement is correct. High fever and chills may indicate the presence of infection and sepsis, which can be severe complications of acute cholecystitis.

A. "You will need to fast for 12 hours before the ultrasound." B. "You should avoid drinking water before the ultrasound." C. "There are no special preparations required for this ultrasound." D. "You need to avoid all pain medications before the ultrasound."

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with acute cholecystitis. Which of the following symptoms should the nurse prioritize as a potential sign of a severe complication?

Correct Answer is D

Explanation

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. The client asks the nurse about any special preparations needed for the procedure. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

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 client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?

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?

A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

A client is diagnosed with peptic ulcer disease and asks the nurse about the common risk factors for this condition. Which of the following responses should the nurse provide?

A client is experiencing epigastric pain, and the nurse suspects peptic ulcer disease. Which of the following questions should the nurse ask to further assess the client's symptoms?

A client is undergoing an abdominal computed tomography (CT) scan to evaluate suspected cholecystitis. The client expresses concern about potential radiation exposure. Which of the following responses should the nurse provide?