Medical Surgical Peptic ulcers #1

Question

A nurse is providing education to a client with a peptic ulcer. Which might the nurse include in the teaching? Select all that apply.

Answers

  1. Avoid caffeine and chocolate.
    • Rationale:

      This answer is correct because caffeine and chocolate increases acid production in the stomach. The stomach and intestines tissue can be damaged from too much stomach acid. This can lead to an ulcer in the lining of the stomach or intestines.

  2. Avoid smoking and drinking alcohol.
    • Rationale:

      This answer is correct because smoking increases the client’s risk of an H. pylori infection. Smoking is also harmful to the mucosa of the stomach. Ethanol damages the mucosa of the stomach, making it more susceptible to ulceration.

  3. Find ways to reduce stress.
    • Rationale:

      This answer is correct because stress increases the likelihood of health risk behaviors, such as smoking and drinking. It is debatable if stress increases stomach acid production which irritates the lining of the stomach and intestines. Stress does make the symptoms of peptic ulcers worse.

  4. Lie down after meals.
    • Rationale:

      This answer is not correct because lying down after meals will cause indigestion due to the rise of stomach acid. Lying down after meals is an intervention used for dumping syndrome.

  5. Do not take aspirin or NSAIDs.
    • Rationale:

      This answer is correct because aspirin and NSAIDs block the enzymes and prostaglandins in the stomach. These provide protection against stomach acid in the mucosa. Aspirin is also an antiplatelet, and can cause bleeding in the stomach which can irritate a peptic ulcer.

Overview

A peptic ulcer is an open sore in the lining of the stomach, small intestines, or esophagus. Due to the potential complications associated with a peptic ulcer, it is important to make lifestyle changes such as reducing stress, avoiding certain foods and medications, and modifying high risk habits such as smoking and alcohol consumption.

Explanation

Learning Outcomes

A peptic ulcer is an open sore in the lining of the stomach, small intestine, or esophagus. Due to the potential complications associated with a peptic ulcer, it is important to make lifestyle changes such as reducing stress, avoiding certain foods and medications, and modifying high risk habits such as smoking and alcohol consumption. Caffeine and chocolate increase acid production which can damage the stomach mucosa. Smoking and alcohol is also harmful to the stomach mucosa and smoking increases the risk of a Helicobacter pylori (H. pylori) infection. There is presently no concrete evidence that stress directly causes peptic ulcers, but the psychological effects of stress can lead to risky behaviors such as smoking and drinking alcohol. Aspirin and NSAIDs cause damage to the stomach lining by blocking the enzymes and prostaglandins the stomach needs to prevent such injuries.

Test Taking Tip

Know ways to provide symptom and disease management for illnesses to educate the client such as foods and medications they should avoid and lifestyle modifications.

Video Rationale