Medical Surgical Peptic ulcers #3

Question

The nurse is providing discharge planning for a client with a peptic ulcer. Which statement by the client indicates more discharge teaching is required?

Answers

  1. “I will eat larger meals less often to prevent symptoms.”
    • Rationale:

      This answer is correct because an empty stomach can exacerbate symptoms of peptic ulcers. Eating small meals more frequently, rather than big meals less often will prevent the stomach from becoming completely empty. Acidity level in the stomach does not rise as high with smaller, frequent meals due to less fluctuation in the acid level throughout the day.

  2. “I will avoid alcohol and caffeinated drinks.”
    • Rationale:

      This answer is not correct because avoiding alcohol and caffeine is an important intervention to prevent peptic ulcers. Caffeine increases acid production in the stomach and alcohol damages the stomach mucosa.

  3. “I will report bloody or black stools to my provider.”
    • Rationale:

      This answer is not correct since the biggest risk with peptic ulcer is bleeding. Bloody or black stools indicate bleeding in the intestines and should be reported immediately.

  4. “I will tell my provider if I experience severe stomach pain.”
    • Rationale:

      This answer is not correct because severe stomach pain is a sign of peptic ulcer perforation. If a client with a peptic ulcer experiences severe stomach pain, they need to go to the nearest emergency department.

Overview

A client with a peptic ulcer is at risk for perforation. Discharge planning includes reporting severe stomach pain, reporting bloody or black bowel movements, avoiding alcohol and caffeine, and eating small meals more often.

Explanation

Learning Outcomes

A peptic ulcer is an open sore in the lining of the stomach, small intestines, or esophagus. A client with a peptic ulcer is at risk for perforation. Discharge planning includes reporting severe stomach pain, reporting bloody or black bowel movements, avoiding alcohol and caffeine, and eating small meals more often. Acidity level in the stomach does not rise as high with smaller, frequent meals due to less fluctuation in the acid level throughout the day. For this reason, it is better to eat small meals more frequently, rather than big meals less often. Caffeine increases acid production in the stomach and alcohol damages the stomach mucosa. A client should limit or avoid caffeine and alcohol consumption. Bleeding or bloody stools, or severe stomach pain indicates a perforation with bleeding. This is a medical emergency and the client should seek care at the nearest emergency department.

Test Taking Tip

Discharge planning and teaching is an important part of nursing. Providing the client with the necessary knowledge to prevent further complications and examples of when to seek immediate care is an example of good nursing care.

Video Rationale