Discharge teaching for the client with peptic ulcer disease (PUD) is being planned. The nurse includes the following in the educational information provided to the client: Select all that apply

Question

1. Good hand-washing practices will minimize the risk of transmission to family.
2. Implement strategies to discontinue the use of any tobacco product.
3. Check with health care provider before taking over-the-counter medications containing aspirin.
4. Follow a bland, low-fat, high-protein diet with six small meals daily.
5. Avoid ingestion of any form of alcoholic beverage.

Answer 1

1. Good hand-washing practices will minimize the risk of transmission to family.
2. Implement strategies to discontinue the use of any tobacco product.
3. Check with health care provider before taking over-the-counter medications containing aspirin.

Rationale: Good hand-washing practices will minimize the risk of transmission to family. Because H. pylori is found in saliva and feces, increasing the possibility of person-to-person transmission through oral-to-oral and fecal-to-oral routes, good hand hygiene should be encouraged. Implement strategies to discontinue the use of any tobacco product. The rate of healing is slowed and the recurrence rate of PUD is increased in patients who smoke or use tobacco products, so nicotine use should be discouraged. Check with health care provider before taking over-the-counter medications containing aspirin. The patient should be advised not to take NSAIDs or aspirin (or products containing aspirin—e.g., Excedrin, Alka-Seltzer) without first discussing the situation with the healthcare provider. Follow a bland, low-fat, high-protein diet with six small meals daily. There are no specific dietary modifications that an individual with PUD should follow because no food is considered ulcerogenic. Avoid ingestion of any form of alcoholic beverage. Small amounts of alcohol do not cause harm, but large amounts should be avoided.