Following a history of gastric pain and an endoscopy, a client has been diagnosed with a duodenal peptic ulcer. Which of the following teaching points should his caregiver provide?

Question

A)
"While your diet most certainly contributed to this problem, the good news is that changing your diet can help solve it."
B)
"Ulcers like yours do not penetrate all layers of the stomach or duodenum, so you don't have to worry about losing too much blood."
C)
"Your family history, your smoking history, and NSAID use may all have contributed to this problem."
D)
"While there aren't really any effective medications for these ulcers, changes in lifestyle can keep them well controlled."

Answer 1

Ans:
C

Feedback:

Family history, NSAID use, and smoking have all been identified as contributing factors in the development of peptic ulcers. Diet therapy has not been shown to be effective, and duodenal peptic ulcers are more common than the gastric variant. Perforation occurs when an ulcer erodes through all layers of the stomach or duodenum wall. When perforation occurs in older adults, their mortality is significantly increased. Effective medication regimens are available with antacids, H2-receptor antagonists or proton pump inhibitors being the most common medications used.