The nurse determines that teaching for the patient with peptic ulcer disease has been effective when the patient makes which statement?

Correct Answer: C

Rationale: The correct answer is C because learning relaxation strategies to decrease stress can help manage peptic ulcer disease symptoms. Stress can exacerbate ulcer symptoms, so stress management is crucial. Choice A is incorrect as stopping medications abruptly can worsen the condition. Choice B is incorrect as treatment should be based on medical advice, not just pain presence. Choice D is incorrect as different antacids contain varying active ingredients and may not have the same effect.

Correct Answer: C

Rationale: The correct answer is C. Maintaining a high-fiber diet and using bulk laxatives helps to increase fecal volume, which can prevent constipation and reduce the risk of diverticulitis flare-ups. High-fiber foods promote healthy bowel movements and prevent the formation of small pockets in the colon (diverticula). Anticholinergic drugs (choice A) are not typically used for diverticulosis. Annual colonoscopies (choice B) are important for colon cancer screening but not specific to diverticulosis management. Excluding whole grain breads and cereals (choice D) is not recommended as fiber from these foods is beneficial for digestive health and can help prevent diverticular disease complications.

Correct Answer: D

Rationale: Step 1: HBV vaccine is given to provide active immunity to the individual against Hepatitis B virus. Step 2: HBIG is given for immediate, short-term passive immunity by providing pre-formed antibodies. Step 3: Using both HBV vaccine and HBIG together provides both immediate and long-term protection. Step 4: Interferon is not used for prophylaxis against HBV as it is used for treatment rather than prevention. Summary: Choice D is correct because it combines active and passive immunity for comprehensive protection. Choices A, B, and C are incorrect as they do not provide the necessary dual protection against HBV post-needle stick exposure.

Correct Answer: D

Rationale: The correct answer is D: Pancreatic abscess. A pancreatic abscess is a serious complication of acute pancreatitis that can lead to sepsis if not promptly drained surgically. Abscess formation occurs when infected necrotic tissue accumulates in the pancreas. Prompt surgical drainage is necessary to prevent the spread of infection and systemic complications. A: Tetany is not a complication of acute pancreatitis that requires surgical drainage to prevent sepsis. Tetany is associated with hypocalcemia, which can occur in pancreatitis but is managed medically. B: Pseudocyst is a common complication of pancreatitis but usually resolves spontaneously or can be managed conservatively unless it becomes infected or causes symptoms. C: Pleural effusion can occur in severe cases of pancreatitis but is managed medically through supportive care and may not always require surgical drainage unless it leads to complications like infection.

Correct Answer: B

Rationale: The correct answer is B because bile acid therapy is indeed used to dissolve small, cholesterol-based gallstones by helping to break down the cholesterol within the stones. This therapy is not the first-line treatment for all patients (A), as larger stones may require other interventions like surgery. It is also not effective only in patients with obstructed bile ducts (C) but can be used in various cases. Lastly, it is not contraindicated in patients with diabetes (D), as long as there are no specific contraindications related to the individual's health status.