A patient with a history of PUD is experiencing persistent epigastric pain unrelieved by antacids. What is the nurse's next step?

Correct Answer: B

Rationale: Persistent pain despite antacids may indicate a complication (e.g., perforation, bleeding), requiring physician evaluation.

Correct Answer: A

Rationale: Persistent symptoms suggest non-compliance with diet/lifestyle, warranting a review.

Correct Answer: C

Rationale: PPIs reduce acid production, aiding ulcer healing.

Correct Answer: B

Rationale: Acute gastritis typically presents with nausea, vomiting, and epigastric pain, often exacerbated by eating, due to irritation of the stomach lining. Black, tarry stools suggest upper GI bleeding, which may complicate gastritis but isn't a primary symptom. Severe weight loss and diarrhea are more indicative of chronic conditions like malignancy or malabsorption. Difficulty swallowing and cough relate more to esophageal issues like GERD.

Correct Answer: A

Rationale: After proton pump inhibitor and antibiotic therapy it is best to wait a month before repeat endoscopy for gastric biopsy and urease testing. The same is true of the urea breath test which is a convenient noninvasive alternative. A urease test at the time of haematemesis will usually be negative. Even after definite eradication of Helicobacter pylori, serology will remain positive for months. ELISA testing would confirm a true positive urease test.