An older patient with a peptic ulcer asks why lifestyle ...

[Tazate]

An older patient with a peptic ulcer asks why lifestyle alterations are needed. What should the nurse explain to the patient?
 
  1. Alcohol stimulates gastric acid secretion.
  2. Alcohol acts to suppress gastric immunity.
  3. Caffeine is associated with abdominal pain.
  4. Tobacco reduces the effectiveness of gastric ulcer medications.

Question 2

An older patient, beginning antibiotic therapy for a leg wound, has a history of Clostridium difficile. What should the nurse instruct the patient to do to reduce the risk of this occurring?
 
  1. Eat large amounts of fresh fruits and vegetables.
  2. Restrict the amount of meat and calcium products.
  3. Use acidophilus capsules while taking the antibiotic.
  4. Decrease the amount of fluid taken while on the medication.

[Mollythedog]

Answer to Question 1

1
Rationale: Alcohol stimulates gastric acid secretion which can contribute to the development of peptic ulcers.

Answer to Question 2

3
Rationale: Eating large amounts of fresh fruits and vegetables will not reduce the patient's risk for developing Clostridium difficile.
Rationale 2: Restricting the amount of meat and calcium products will not reduce the patient's risk for developing Clostridium difficile.
Rationale 3: Acidophilus capsules contain active cultures that can be used to treat a variety of gastrointestinal problems and as an adjunct to antibiotic therapy to prevent antibiotic-associated diarrhea caused by overgrowth of Clostridium difficile.
Rationale 4: Decreasing the amount of fluid taken while on the medication will not reduce the patient's risk for developing Clostridium difficile.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 5. Define appropriate nursing interventions directed toward assisting the older adult with gastrointestinal problems to develop self-care abilities.