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?
"You should watch for mild bloating and gas after meals."
"Warning signs may include black, tarry stools or vomiting blood."
"Occasional heartburn is a common sign of ulcer healing."
"Feeling fatigued and sleepy after meals is typical with ulcers."
The Correct Answer is B
Choice A reason:
Mild bloating and gas after meals may be common gastrointestinal symptoms but are not specific warning signs of complications related to peptic ulcer disease.
Choice B reason:
This statement is correct. Black, tarry stools (melena) or vomiting blood (hematemesis) are potential signs of gastrointestinal bleeding, a serious complication of peptic ulcer disease. Clients should seek immediate medical attention if they experience these symptoms.
Choice C reason:
Occasional heartburn may occur during the course of ulcer healing but is not considered a warning sign of complications.
Choice D reason:
Feeling fatigued and sleepy after meals is not typically associated with peptic ulcer disease or its complications.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Antibiotics do not directly heal the ulcer or reduce stomach acid production. They are prescribed specifically to treat Helicobacter pylori (H. pylori) infection, a common cause of peptic ulcers.
Choice B reason:
This statement is correct. Antibiotics are prescribed to treat H. pylori infection, which is a major cause of peptic ulcers. By eliminating the bacterial infection, the ulcer has a better chance of healing and preventing recurrence.
Choice C reason:
Antibiotics do not promote blood clotting or reduce the risk of bleeding from the ulcer. Other medications may be prescribed to manage bleeding if it occurs.
Choice D reason:
Antibiotics do not relax stomach muscles or alleviate abdominal pain. Pain relief is typically achieved through acid-reducing medications and other pain management strategies.
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Family history and genetic factors are considered significant risk factors for peptic ulcer disease. A positive family history increases the likelihood of developing the condition.
Choice B reason:
Excessive consumption of fresh fruits and vegetables is not a risk factor for peptic ulcer disease. In fact, a diet rich in fruits and vegetables is generally associated with a lower risk of developing peptic ulcers.
Choice C reason:
Regular exercise and maintaining a healthy weight are not considered risk factors for peptic ulcer disease. These factors are essential for overall health but are not directly related to ulcer development.
Choice D reason:
While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
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