The nurse is teaching a client with a peptic ulcer on appropriate lifestyle alterations. The family voices questions as to why some of the recommendations have been made. Which explanation should be offered by the nurse?
A) "Alcohol acts to suppress gastric immunity and should be avoided."
B) "Caffeine intake is often associated with an increase in abdominal pain."
C) "Cigarette smoking doubles the risk of developing peptic ulcer disease and should be avoided."
D) "Alcohol stimulates gastric acid secretion, which can cause further irritation."
Answer: C
Alcohol stimulates gastric acid secretion. This excess acid will promote gastric irritation. Cigarette smoking is a significant risk factor, doubling the risk of PUD. Cigarette smoking inhibits the secretion of bicarbonate by the pancreas and may cause more rapid transit of gastric acid into the duodenum. Caffeine is not usually associated with abdominal pain, but it does increase the risk of peptic ulcer disease.
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