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Administer a laxative to promote bowel movement: Laxatives are contraindicated - they increase bowel motility and could precipitate perforation or worsen obstruction/peritonitis in an acute abdomen.

Offer the client pain medication: Analgesia is important but not the priority if the client shows signs of worsening/complication (increasing pain, distention, vomiting). Masking worsening signs without prompt evaluation could be harmful. Pain meds may be given after notifying the provider and as ordered.

Assist the client to ambulate in the hallway: Ambulation is inappropriate for a client with a potentially worsening acute abdominal process (risk of perforation, hemodynamic instability, or sudden deterioration). It could increase discomfort and risk.

Sleeping on a large wedge-style pillow: Sleeping upright or with head elevated reduces nighttime reflux by using gravity to keep gastric contents in the stomach - this is helpful, not a contributor.

Consuming low-fat meats: Low-fat meats decrease gastric emptying delay related to fatty meals and reduce reflux risk; they are generally not a contributing factor.

Eating dinner early in the evening: Eating earlier (allowing 2–3 hours before lying down) reduces reflux at night; this is protective rather than contributory.

"Monitor for any changes in the color of your urine such as maroon or red-colored urine.": Hematuria (red urine) is unrelated to upper GI bleeding from peptic ulcers; this is not the correct sign to monitor for GI bleeding.

"Monitor for the appearance of ecchymosis on the sides of your abdomen/pelvic areas.": Ecchymosis on the flanks (Grey Turner sign) can indicate severe retroperitoneal hemorrhage but is uncommon and not a routine discharge teaching point; also ecchymosis on sides of abdomen is nonspecific.

"Monitor for any increase or unintentional weight gain.": Weight gain is not a primary concern for peptic ulcer complications; unintentional weight loss would be more relevant.

Diabetes mellitus: Diabetes can be a consequence or comorbidity but is not a common antecedent risk factor that precipitates acute pancreatitis.

Shock: Shock is a possible complication of severe pancreatitis (from third-spacing, hemorrhage, sepsis), not a historical risk factor the nurse would anticipate in the client's prior history.

GERD: GERD is unrelated to the typical causes of acute pancreatitis.

Weight loss of 2 lb (0.91 kg) from baseline: Unintentional weight loss can indicate chronic illness or poor intake, but a 2-lb loss is relatively small and not an immediate sign of complication.

Dyspepsia: Dyspepsia (indigestion) is a common symptom of gastric ulcers and while important to manage, it is not an acute red flag requiring immediate notification.

Reports being thirsty: Thirst suggests dehydration or inadequate fluid intake; it is addressable and not a specific sign of a life-threatening ulcer complication.

Increased body hair: Cirrhosis more commonly causes hair loss or changes in secondary sexual characteristics (e.g., decreased body hair), not increased body hair.

Dark colored stools: Dark stools (melena) may indicate GI bleeding, which can occur, but it is not a typical chronic sign of advanced cirrhosis itself.

Weak pulse: Cirrhosis does not characteristically cause a weak peripheral pulse; vital sign changes depend on complications (bleeding, sepsis) rather than being a defining manifestation.

Use disposable plates and utensils: Hepatitis B is transmitted via blood and body fluids, not by casual household utensil sharing; routine use of disposable plates/utensils is unnecessary with standard precautions and proper cleaning.

Administer antibiotics: Hepatitis B is viral; antibiotics have no role unless there is a documented secondary bacterial infection.

Provide a high-fat diet: A high-fat diet is not recommended; clients are typically advised to eat small, well-balanced meals and avoid alcohol and foods that exacerbate nausea - high fat may worsen GI symptoms.

Elevated HbA1c: HbA1c reflects average blood glucose over months and is not affected acutely by GI bleeding.

Decreased chloride: Chloride changes are nonspecific and not an indicator that the GI tract is digesting blood.

Decreased bilirubin: Bilirubin is a liver function marker; a decrease would not indicate digestion/absorption of blood.

"Avoid consuming undercooked foods.": Undercooked foods increase risk of foodborne infections but are not a primary risk factor for peptic ulcer disease.

"Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer.": Oral decongestants (e.g., pseudoephedrine) are not linked to peptic ulcer development and are not a standard risk factor.

"Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer.": Hormone replacement therapy is not a recognized major risk factor for peptic ulcers and is not routinely implicated in ulcer formation.