A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?
History of bulimia
Consumes spicy foods 5 to 8 times weekly
History of ibuprofen use
Drinks green tea
The Correct Answer is C
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of developing peptic ulcers. It can cause irritation and damage to the lining of the stomach and small intestine, leading to the formation of ulcers.
The other options may not directly contribute to the development of peptic ulcers:
History of bulimia: While repeated vomiting can irritate the esophagus, it is less likely to directly cause peptic ulcers.
Consuming spicy foods 5 to 8 times weekly: Spicy foods can exacerbate the symptoms of existing peptic ulcers, but they are not considered a direct risk factor for their development.
Drinking green tea: Green tea is generally considered to have health benefits and is not known to be a risk factor for peptic ulcers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Sucralfate is a medication used to treat peptic ulcers by forming a protective coating on the stomach lining. It should be taken on an empty stomach, as food can interfere with its absorption and effectiveness. One hour before breakfast and the evening meal is the correct timing for administering sucralfate, allowing for an empty stomach before meals.
At the time the client takes a proton pump inhibitor: Proton pump inhibitors are a different class of medications used to reduce stomach acid production. It is recommended to administer sucralfate separately, as it works differently and has different administration requirements.
Thirty minutes after breakfast and the evening meal: Administering sucralfate after meals is not ideal, as it may not provide the desired therapeutic effect on an empty stomach.
The time the client takes an antacid: Antacids are also different from sucralfate, and they can interfere with its absorption. It is generally recommended to administer sucralfate separately from antacids.
Correct Answer is ["1"]
Explanation
The nurse typically auscultates the abdomen for bowel sounds before meals or at least 1-2 hours after meals. This timing allows for the assessment of both the presence and character of bowel sounds. It is important to note that bowel sounds can vary depending on factors such as the client's activity level, diet, and any underlying gastrointestinal conditions. Therefore, a comprehensive assessment of bowel sounds should be conducted at different times to obtain an accurate representation of the client's bowel function.
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