The nurse is teaching the family of a client recently diagnosed ...

[tnt_battle]

The nurse is teaching the family of a client recently diagnosed with PUD. The nurse knows the family understands the teaching when they state that the risk factors for the development of PUD include:
 
  Standard Text: Select all that apply.
  1. infection with the bacterium Helicobacter pylori.
  2. daily use of aspirin.
  3. blood type AB.
  4. consumption of caffeine-free soda.
  5. smoking.

Question 2

What client has the greatest risk of having a peptic ulcer?
 
  1. A 24-year-old who complains of being stressed mentally
  2. A 52-year-old who smokes
  3. A 56-year-old who is taking prednisone and ibuprofen for chronic low-back pain
  4. A 48-year-old who is taking acetaminophen and aspirin to reduce fever

[kaillie]

Answer to Question 1

Correct Answer: 1,2,5
Rationale 1: Helicobacter pylori is a risk factor for the development of PUD.
Rationale 2: Daily use of aspirin is a risk factor for the development of PUD.
Rationale 3: Blood type AB is not a risk factor for the development of PUD. Blood type O is a risk factor as the antigen may be a target of H. pylori attachment.
Rationale 4: The consumption of caffeine-free soda is not a risk factor for the development of PUD. The consumption of caffeine is associated with the development of PUD.
Rationale 5: The use of tobacco products is a risk factor for the development of PUD.
Global Rationale: Helicobacter pylori, daily use of aspirin, smoking, and having blood type O increases risk for peptic ulcer. Blood type AB and consumption of caffeine-free soda is not implicated.

Cognitive Level: Applying

Answer to Question 2

Correct Answer: 3
Rationale 1: Psychological stress is one risk factor towards the development of a peptic ulcer, but this is not the best choice.
Rationale 2: Smoking puts a client at risk for a peptic ulcer, but this is not the best choice.
Rationale 3: This client has two risk factors for developing a peptic ulcer, making this the best choice.
Rationale 4: Taking aspirin, an NSAID, puts this client at risk for a peptic ulcer, but this is not the best choice. Acetaminophen is not associated with the development of peptic ulcers.
Global Rationale: All of these clients have some risk. Stress, smoking, and use of NSAIDs, corticosteroids, and platelet inhibitors increases risk. The client using two of these factors is at highest risk.

[tnt_battle]

TY

[kaillie]

You're welcome