Final answer:
The patient's statement that switching to nicotine patches will heal stomach ulcers is incorrect. It is important to fully quit sources of nicotine for healing, not just switch the form. Treatment for peptic ulcers commonly involves antibiotics, lifestyle changes, and avoiding irritants such as NSAIDs.
Step-by-step explanation:
The statement by the patient that indicates more teaching is indicated is "C. 'If I switch to nicotine patches, my stomach will start to heal.'" This implies a misconception that simply switching from smoking to nicotine patches will directly heal the stomach ulcers. While nicotine patches may aid in smoking cessation, they still deliver nicotine, which can interfere with the healing of peptic ulcers. The correct understanding should be a comprehensive approach to ulcer treatment, which often includes eliminating factors such as smoking altogether and medications such as antibiotics and acid reducers.
The primary cause of peptic ulcers is the infection with Helicobacter pylori (H. pylori), and it is important to know that stress and certain lifestyle choices like smoking may contribute to ulcers but are not primary causes. Untreated, peptic ulcers can lead to serious complications, including perforation of the stomach or duodenum wall, necessitating medical intervention potentially including emergency surgery.
Non-steroidal anti-inflammatory drugs (NSAIDs) are also known to contribute to the development of ulcers by weakening the protective mucus lining of the stomach. Therefore, part of the treatment plan can involve avoiding NSAIDs to prevent further harm to the lining.