The nurse has reviewed the Nurses' Notes and Diagnostic Results from 9 weeks ago. The nurse is providing discharge teaching to the client and their support person. For each potential client instruction, click to specify if the client instruction is expected or unexpected for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Rationale Begin antibiotic therapy for 10 to 14 days (Expected): The client has a confirmed H. pylori infection. Standard treatment is triple or quadruple therapy including antibiotics for 10–14 days to eradicate the bacteria and promote ulcer healing. Start taking a proton pump inhibitor (Expected): PPIs reduce gastric acid secretion, allowing ulcer healing and symptom relief. They are standard therapy for duodenal ulcers. Resume taking ibuprofen (Unexpected): NSAIDs like ibuprofen inhibit prostaglandins, worsening gastric mucosal injury and increasing ulcer risk. The client should avoid NSAIDs. Eat a snack before bedtime (Expected): Small snacks can help buffer gastric acid and reduce nocturnal acid irritation in duodenal ulcer disease. Avoid drinking caffeinated beverages (Expected): Caffeine increases gastric acid secretion and can worsen ulcer symptoms and delay healing.