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Chapter 9: Problem 4

A client is complaining of epigastric pain after eating. The physician suspects peptic ulcer disease (PUD) and orders a urea breath test for \(H\). pylori. Which would the nurse recommend to be included in the teaching plan for test preparation? A. Clear liquids the day before the test B. Nothing by mouth the night before the test C. High-fat meal two hours before the test D. Asking the client to bring a sputum sample with her for analysis

Short Answer

Expert verified
Answer: None of the given options are suitable for test preparation for a urea breath test for H. pylori. The optimal preparation involves avoiding certain medications, such as antibiotics and proton pump inhibitors, for at least two weeks before the test, and not eating or drinking anything (except water) for 1 hour before the test.

Step by step solution

01

Evaluate Option A

A. Clear liquids the day before the test In this option, the client is recommended to consume clear liquids the day before the test. While it is important to be well-hydrated, this option does not specifically prepare the client for the urea breath test.
02

Evaluate Option B

B. Nothing by mouth the night before the test In this option, the client is recommended to have nothing by mouth the night before the test. Fasting is not required for a urea breath test, as it may cause misinterpretation of the test results. Therefore, this option is not suitable for test preparation.
03

Evaluate Option C

C. High-fat meal two hours before the test In this option, the client is recommended to have a high-fat meal two hours before the test. This option is also not appropriate for test preparation, as a high-fat meal can influence the results of the test and could produce false positives or negatives.
04

Evaluate Option D

D. Asking the client to bring a sputum sample with her for analysis In this option, the client is asked to bring a sputum sample for analysis. A sputum sample is not required for a urea breath test, as the test is designed to detect H. pylori in the stomach by analyzing the client's breath after consuming a specific substance containing urea. Therefore, this option is not suitable for test preparation.
05

Select the Appropriate Option for Test Preparation

Based on the analysis of each option, none of the given options are suitable for test preparation for a urea breath test for H. pylori. The optimal preparation for this test involves avoiding certain medications, such as antibiotics and proton pump inhibitors, for at least two weeks before the test, and not eating or drinking anything (except water) for 1 hour before the test. The nurse should provide this information to the client instead of recommending any of the given options.

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