The client asks the office nurse if his smoking can cause the development of peptic ulcer disease. The nurse's best response is:
a. "Smoking does not affect peptic ulcer disease (PUD)."
b. "Smoking increases the secretion of stomach acid, as well as decreasing the acid-neutralizing capacity within the first part of the small intestines."
c. "Smoking contributes to the development of duodenal ulcers, because smokers do not eat as much or as frequently as nonsmokers."
d. "Smoking contributes to the development of duodenal ulcers, because swallowed nicotine can dissolve the intestinal lining."
ANS: B
Feedback
A Incorrect: Smoking does affect PUD.
B Correct: This is a factual answer and addresses the client's question.
C Incorrect: This is not a factual rationale.
D Incorrect: This is not a factual rationale.
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