A nurse is caring for a client in an outpatient clinic The findings of dropdown and dropdown in the client's electronic medical record are risk factors for a gastrointestinal condition.

Rationale for correct choices: Family history: A family history of peptic ulcers increases the client’s risk for developing gastrointestinal ulcer disease due to possible shared genetic susceptibility and environmental influences. This is a well-established risk factor for peptic ulcer disease. Home medications: Frequent use of ibuprofen (an NSAID) is a major risk factor for gastrointestinal irritation and peptic ulcer formation because NSAIDs inhibit prostaglandin synthesis, reducing the protective gastric mucosal barrier and increasing acid-related injury. Rationale for incorrect choices: Social history: The client denies alcohol or illicit drug use, so this does not contribute to gastrointestinal ulcer risk in this case. BMI: A BMI of 24 is within the normal range and is not a risk factor for peptic ulcer disease or other GI ulcer conditions in this scenario.