The nurse is caring for a client with a gastric ulcer. Which menu choice by the client indicates an understanding of the nurse’s dietary teaching?

  1. yogurt with fresh berries
  2. dry wheat toast with water
  3. coffee with cream and a bagel
  4. a grilled cheese sandwich with milk
Number 2 is correct.
Rationale: Dry wheat toast with water is the best menu option for this client. Clients with gastric ulcers should avoid foods that contain caffeine since they trigger the release of gastrin. Although milk and dairy products may initially have a soothing effect because they coat the stomach, they also trigger the release of gastric acid and should be avoided. Dietary management of gastric ulcers is controversial, but the client should avoid foods that may trigger symptoms.