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Which assessment data would indicate to the nurse that pharmacologic treatment with antibiotics and antacids has been effective for the patient diagnosed with peptic ulcer disease (PUD) secondary to H. pylori?

 

A.

Absence of burning epigastric pain after eating.

B.

Two episodes of coffee-ground emesis.

C.

A decrease in the patient’s alcohol intake.

D.

Normalization of the patient’s hemoglobin levels.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

The absence of burning epigastric pain after eating indicates that the treatment for peptic ulcer disease (PUD) secondary to H. pylori has been effective. This suggests that the ulcer has healed and the inflammation has subsided.

 

Choice B rationale

 

Coffee-ground emesis indicates the presence of blood in the vomit, which suggests ongoing bleeding and is not a sign of effective treatment for PUD.

 

Choice C rationale

 

A decrease in alcohol intake is beneficial for overall health but does not directly indicate the effectiveness of treatment for PUD secondary to H. pylori.

 

Choice D rationale

 

Normalization of hemoglobin levels is important but does not specifically indicate the effectiveness of treatment for PUD secondary to H. pylori. The primary indicator would be the resolution of symptoms such as burning epigastric pain.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

A temperature of 38°C (100.4°F) and a stiff neck are classic signs of meningitis, indicating inflammation of the meninges.

Choice B rationale

Myocardial infarction typically presents with chest pain, not a stiff neck.

Choice C rationale

Appendicitis presents with abdominal pain, not a stiff neck.

Choice D rationale

Pneumonia presents with respiratory symptoms, not a stiff neck.

Correct Answer is C

Explanation

Choice A rationale

Hyperkalemia can cause weakness and fatigue, but it is not directly related to acute coronary syndrome (ACS). ACS is primarily associated with chest pain and other cardiac symptoms.

Choice B rationale

Experiencing chest pain when climbing a flight of stairs may indicate stable angina, which is a form of chronic coronary artery disease. However, it does not meet the criteria for ACS, which involves more severe and persistent symptoms.

Choice C rationale

Persistent and severe chest pain when at rest is a hallmark symptom of acute coronary syndrome (ACS). This condition requires immediate medical attention as it can lead to myocardial infarction (heart attack) or other serious complications.

Choice D rationale

Paroxysmal nocturnal dyspnea (PND) is a symptom of heart failure, not acute coronary syndrome (ACS). While heart failure can coexist with ACS, PND alone does not indicate ACS4.

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