A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?
"Avoid smoking and limit alcohol intake to reduce stomach irritation."
"Consume a high-fat diet to promote healing of the ulcerated areas."
"Engage in strenuous exercise immediately after meals to aid digestion."
"Take nonsteroidal anti-inflammatory drugs (NSAIDs) regularly for pain relief."
The Correct Answer is A
Choice A reason:
This statement is correct. Smoking and excessive alcohol intake can irritate the stomach lining and increase the risk of peptic ulcer recurrence. Avoiding these substances is important for promoting healing and preventing further damage.
Choice B reason:
Consuming a high-fat diet is not recommended for peptic ulcer prevention. High-fat foods can stimulate acid production and worsen symptoms for clients with peptic ulcers.
Choice C reason:
Engaging in strenuous exercise immediately after meals is not advisable, as it can increase the risk of acid reflux and worsen symptoms for clients with peptic ulcers.
Choice D reason:
Regular use of NSAIDs can increase the risk of developing peptic ulcers and is not a preventive strategy for clients with a history of peptic ulcer disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Percussion of the left lower quadrant is not relevant to assess for Boas' sign, which involves the right upper quadrant.
Choice B reason:
Deep palpation of the epigastric region is not associated with Boas' sign. Boas' sign involves palpation of the right subscapular area.
Choice C reason:
This statement is correct. Boas' sign is elicited by palpating the right upper quadrant during inspiration. The client may experience referred pain to the right subscapular area, indicating irritation of the phrenic nerve by the inflamed gallbladder.
Choice D reason:
Auscultation of the left upper quadrant is not relevant to assessing for Boas' sign, which involves the right upper quadrant.
Correct Answer is B
Explanation
Choice A reason:
Increasing the intake of spicy foods can exacerbate symptoms in a client with peptic ulcer disease, as they can irritate the stomach lining and increase acid production.
Choice B reason:
This statement is correct. Consuming small, frequent meals throughout the day can help reduce stomach distention and pressure, minimizing the symptoms of peptic ulcer disease.
Choice C reason:
Avoiding fluids with meals is not a standard recommendation for peptic ulcer disease. Adequate hydration is important, and drinking fluids with meals should not significantly affect stomach distention.
Choice D reason:
Citrus fruits and juices are acidic and can aggravate the stomach lining in a client with peptic ulcer disease. It is best to avoid or limit their consumption.
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