A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?
“Monitor for any changes in the color of your urine such as maroon or red-colored urine.”.
“Monitor for any increase or unintentional weight gain.”.
“Monitor for the appearance of ecchymosis on the sides of your abdomen/pelvic areas.”.
“Monitor for any changes in the color of your stool such as dark or black-colored stool.”.
The Correct Answer is D
Choice A rationale
Monitoring for changes in the color of urine to maroon or red is not typically associated with peptic ulcers. This could be a sign of other conditions such as urinary tract infections, kidney stones, or certain medications.
Choice B rationale
Unintentional weight gain is not a common symptom of peptic ulcers. In fact, some people with peptic ulcers may experience weight loss due to discomfort while eating or a decrease in appetite.
Choice C rationale
The appearance of ecchymosis (bruising) on the sides of the abdomen or pelvic areas is not a typical symptom or concern with peptic ulcers. This could be a sign of trauma, certain medications, or other medical conditions.
Choice D rationale
One of the symptoms of a peptic ulcer can be changes in the color of the stool, particularly if it becomes dark or black. This can be a sign of bleeding in the gastrointestinal tract, which can occur with peptic ulcers. Therefore, patients should be advised to monitor for this symptom and seek medical attention if it occurs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Ceasing from smoking and consuming alcohol is crucial for patients who have been treated for acute pancreatitis. Both smoking and alcohol consumption can cause further damage to the pancreas and lead to recurrent episodes of pancreatitis.
Choice B rationale
While wearing tight-fitting clothing can be uncomfortable for some individuals, it does not have a direct impact on the recovery from acute pancreatitis.
Choice C rationale
Stopping exercise is not typically recommended for patients recovering from acute pancreatitis. Regular physical activity is generally beneficial for overall health, although a healthcare provider may recommend specific types or amounts of exercise based on the individual’s condition.
Choice D rationale
While practicing good dental hygiene is important for overall health, it does not specifically relate to the treatment or prevention of acute pancreatitis.
Correct Answer is C
Explanation
Choice A rationale
Free T4 levels are typically low in primary hypothyroidism, not elevated.
Choice B rationale
Serum T3 levels are also typically low in primary hypothyroidism.
Choice C rationale
In primary hypothyroidism, the thyroid gland is not producing enough thyroid hormone, leading to an elevated TSH level as the pituitary gland tries to stimulate more hormone production.
Choice D rationale
Serum calcium levels are not directly affected by primary hypothyroidism.
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