The nurse has provided education on factors that contribute to ulcer formation to her patient diagnosed with peptic ulcer disease (PUD). Which of the following statements by the patient in-dicates a need for further teaching?
a. "I guess I'll have to avoid coffee and cola from now on."
b. "I am surprised to learn that Helicobacter pylori infection can lead to ulcers."
c. "Instead of ibuprofen, I'll take acetaminophen for my arthritis."
d. "I'm going to ask my doctor to order a nicotine patch to help me quit smoking."
A
No convincing evidence shows that beverages containing caffeine (eg, coffee, tea, and cola) promote ulcer formation or interfere with recovery; this statement indicates a need for further teaching.
The most common cause of PUD is infection with H. pylori; no further teaching is necessary.
The second most common cause of PUD is the use of nonsteroidal anti-inflammatory drugs (NSAIDs). Ibuprofen is an NSAID, but acetaminophen is not; no further teaching is necessary.
Smoking delays ulcer healing and increases the risk of recurrence; no further teaching is neces-sary.
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