What should the nurse plan to teach a patient about smoking and ...

[Diane]

What should the nurse plan to teach a patient about smoking and peptic ulcer disease? (Select all that apply.)
 
  a. Smoking increases acid secretion.
  b. Smoking is not a cause of ulcer formation.
  c. Smoking slows ulcer healing.
  d. Smoking is related to the reoccurrence of ulcers.
  e. Smoking decreases stomach mucus production.

Question 2

A patient prescribed a systemic antifungal drug reports a change in how food tastes. What is the nurse's best action?
 
  a. Document the report as the only action.
  b. Hold the dose and notify the prescriber immediately.
  c. Caution the patient to wear sunglasses and a hat when outside.
  d. Reassure the patient that this is a common side effect of the drug.

[bhavsar]

Answer to Question 1

A, C, D, E
When a patient has peptic ulcer disease, not smoking is highly recommended because smoking slows ulcer healing; is related to ulcer recurrence; increases acid secretion; reduces prostaglandin, mucus, and bicarbonate production; and decreases mucosal blood flow.

Answer to Question 2

D
Systemic antifungal drugs have many common side effects, including loss of taste or changes in how food tastes. Unless this problem interferes with the patient's nutritional status, it is of no consequence. The patient should be reassured that the taste changes are an expected side effect and that normal taste sensation will return after the drug has been stopped after several days or a week.

[Diane]

Excellent

[Joy Chen]

Gracias!