The nurse is caring for a patient with a newly diagnosed duodenal ulcer. Which statement made by the patient indicates the need for further teaching?

Correct Answer: B

Rationale: The correct answer is B because taking antacids immediately after meals is not recommended for duodenal ulcers. Antacids should be taken 1-3 hours after meals or at bedtime for optimal effectiveness. Choice A is correct as caffeine can stimulate acid production. Choices C and D are also correct as smoking and stress can aggravate duodenal ulcers.

Correct Answer: A

Rationale: The correct answer is A: Administering blood products as prescribed. In a patient with shock due to hematemesis from a history of PUD, the priority is to address the acute blood loss to stabilize the patient's condition. Administering blood products helps restore blood volume and oxygen-carrying capacity, which are crucial in shock management. Monitoring urine output (B) is important but secondary to addressing the acute blood loss. Assessing pain level (C) is important but not the priority in a patient in shock. Preparing for emergency surgery (D) may be needed but is not the immediate priority in this situation.

Correct Answer: B

Rationale: Correct Answer: B - The medications work together to reduce acid and eliminate the infection. Rationale: 1. Antibiotics target and eliminate H. pylori infection, a leading cause of PUD. 2. Proton pump inhibitors reduce gastric acid production, aiding in ulcer healing. 3. Combining antibiotics and PPIs effectively treats both infection and acid production. 4. This comprehensive approach helps resolve the underlying causes of PUD efficiently. Incorrect Choices: A: Each medication targets a different cause of your ulcer. - Not accurate as antibiotics and PPIs target infection and acid production. C: One medication reduces acid, and the others help your stomach heal. - Oversimplifies the treatment process. D: The combination ensures that your symptoms will be controlled quickly. - Focuses on symptom management rather than addressing the root causes.

Correct Answer: A

Rationale: The correct answer is A because avoiding spicy foods and caffeinated beverages helps reduce irritation to the stomach lining in chronic gastritis. Spicy foods can exacerbate inflammation, while caffeine can increase stomach acid production. These dietary modifications are essential for managing symptoms. Option B is incorrect because alcohol can irritate the stomach lining and worsen gastritis. Option C is incorrect as increasing dairy intake may not be necessary and could potentially aggravate symptoms in some individuals. Option D is incorrect as eating small, frequent meals is actually recommended for managing chronic gastritis to prevent excessive stomach acid production.

Correct Answer: A

Rationale: The correct answer is A: Bromocriptine. Bromocriptine is a dopamine agonist used in Parkinson's disease treatment. Drug overdosage can lead to pronounced gastrointestinal side-effects due to its action on dopamine receptors in the gastrointestinal tract. Co-beneldopa (B) is a combination drug of levodopa and carbidopa, primarily affecting the central nervous system, not causing significant gastrointestinal issues. Amantadine (C) is an antiviral and anti-Parkinson agent with minimal gastrointestinal side effects. Selegeline (D) is a monoamine oxidase-B inhibitor, typically causing side effects like insomnia and dizziness rather than pronounced gastrointestinal issues.