The nurse is interviewing a 79-year-old Hispanic client with complaints of recent weight loss, anorexia, and epigastric pain. The client reports recent use of "mints" for stomach upset

Question

Which of the following interventions are appropriate? Standard Text: Select all that apply. 1. Schedule the client for an endoscopy as ordered.
2. Educate the client regarding the importance of taking antacids after meals and at bedtime as suggested by the healthcare provider.
3. Educate the client regarding Helicobacter pylori infections.
4. Discuss the importance of using over-the-counter aspirin for mild pain relief.
5. Educate the client about the importance of avoiding all spicy foods as this is the most likely cause of the peptic ulcer.

Answer 1

1,2,3
Rationale 1: Schedule the client for an endoscopy as ordered. The client should be scheduled for an endoscopy as ordered by the healthcare provider. This is a common diagnostic test used for clients with suspected peptic ulcers.
Rationale 2: Educate the client regarding the importance of taking antacids after meals and at bedtime as suggested by the healthcare provider. The client should take antacids after meals and at bedtime.
Rationale 3: Educate the client regarding Helicobacter pylori infections. The client should be educated about the most common cause of peptic ulcers, which is an infection due to Helicobacter pylori (H. pylori). H. pylori is a bacteria that results in an infection that causes more than 90% of peptic ulcers. It infects almost two thirds of the world's population and is more prevalent in the elderly, African Americans, Hispanics, and those in lower socioeconomic groups.
Rationale 4: Discuss the importance of using over-the-counter aspirin for mild pain relief. The client should avoid aspirin products because they can make the symptoms worse.
Rationale 5: Educate the client about the importance of avoiding all spicy foods as this is the most likely cause of the peptic ulcer. The client can avoid spicy foods but not because this is the most common cause of peptic ulcers. The spicy foods may aggravate the client's condition. In the past, it was believed that ulcers were caused by stress or eating too much acidic food. Now it is known that this is not true.