The nurse is reviewing the patient's record. Select to highlight the findings that demonstrate that the patient is improving.

1430: Nurses' Note: Urine output 50 mL/hr dark amber color. Continues to be lethargic.

1430: Vital Signs: Temp 100.4°F (37.8°C) HR 110 bpm: regular RR 24 breaths/min: rapid, deep SpO2 98% on room air BP 94/56 mm Hg

1430: Labs: Glucose 460 mg/dl

A. Lean proteins like baked turkey breast are generally well-tolerated by individuals with GERD. Turkey is low in fat, which reduces the likelihood of triggering reflux symptoms.
B. Spaghetti with red sauce can be problematic for individuals with GERD due to the acidity of the tomato sauce, which can exacerbate reflux symptoms. Tomato-based foods are often best avoided or consumed in moderation by those with GERD.
C. Corned beef brisket is high in fat, which can increase the risk of reflux symptoms. Fatty foods, especially those high in saturated fat like corned beef, are known triggers for GERD.
D. Citrus flavors, including lemon, can trigger reflux symptoms in some individuals. However, if the dish is prepared with a small amount of lemon pepper seasoning and does not cause symptoms for the individual, it may be acceptable.

D. The primary cause of peptic ulcer disease is infection with Helicobacter pylori (H. pylori) bacteria. H. pylori infection is associated with the majority of peptic ulcers, particularly those in the stomach. This bacterium weakens the protective mucous lining of the stomach and duodenum, allowing stomach acid to damage the underlying tissue and form ulcers.

A. Spicy foods can exacerbate symptoms in some individuals with peptic ulcer disease but they are not a primary cause of the condition. Spicy foods can irritate the lining of the stomach or duodenum, potentially worsening symptoms, but they do not directly cause ulcers.
B. Stress was once thought to be a major factor in the development of peptic ulcers, but research has shown that while stress may aggravate symptoms, it is not a primary cause of peptic ulcer disease.
C. Excessive caffeine intake was also previously believed to be a major cause of peptic ulcer disease, but this is not entirely accurate. While caffeine can stimulate gastric acid secretion, leading to increased acidity in the stomach, it is not a primary cause of peptic ulcers.