A long-term care nurse is assisting a well-nourished, 80-year-old resident with the diagnosis of esophageal cancer on methods to deal with dysphagia. What nursing intervention will best help to improve the resident's condition?

Assist patient to a semi-Fowler position.

Encourage the resident to eat meals in the main dining area.

Insert a nasogastric tube for feedings.

Instruct the patient to tilt his or her head slightly forward.

Answer and Explanation

The Correct Answer is D

A. Assist patient to a semi-Fowler position: While elevating the head may aid in swallowing, tilting the head forward is a more effective method to direct food into the esophagus and reduce aspiration risk.

B. Encourage the resident to eat meals in the main dining area: While social interaction is beneficial, it does not directly improve dysphagia.

C. Insert a nasogastric tube for feedings: This is reserved for severe cases where oral intake is not possible.

D. Instruct the patient to tilt his or her head slightly forward: This technique (chin-tuck position) improves swallowing by aligning the airway and esophagus, reducing the risk of aspiration.

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Correct Answer is D

Explanation

A. Mexiletine: Mexiletine is a class 1B antiarrhythmic used to treat ventricular arrhythmias, not gastric ulcers.

B. Desmopressin: Desmopressin is a synthetic vasopressin analogue used for conditions like diabetes insipidus, bleeding disorders, and nocturnal enuresis. It is not used to treat Helicobacter pylori infections.

C. Filgrastim: Filgrastim is used to stimulate white blood cell production and is not used in the treatment of H. pylori infections or gastric ulcers.

D. Clarithromycin: Clarithromycin is a commonly prescribed antibiotic as part of a combination therapy to treat H. pylori infections, which are a common cause of gastric ulcers.

A. 2 hours after the H2 antagonist B. Within an hour after the H2 antagonist C. With the H2 antagonist D. 30 minutes prior to the H2 antagonist

Correct Answer is A

Explanation

A. 2 hours after the H2 antagonist: Antacids should be administered at least 1 to 2 hours after H2 antagonists to avoid reducing the effectiveness of the H2 antagonist. H2 antagonists work by reducing stomach acid, and antacids neutralize it, so taking them too close together may reduce the effectiveness of both.

B. Within an hour after the H2 antagonist: This is incorrect because taking an antacid too soon after an H2 antagonist can interfere with the drug's action.

C. With the H2 antagonist: This is incorrect because administering antacids with an H2 antagonist could reduce the effectiveness of both medications.

D. 30 minutes prior to the H2 antagonist: This is incorrect because antacids should not be given before the H2 antagonist, as it may decrease the medication's effectiveness.

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A long-term care nurse is assisting a well-nourished, 80-year-old resident with the diagnosis of esophageal cancer on methods to deal with dysphagia. What nursing intervention will best help to improve the resident's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client who has a gastric ulcer caused by Helicobacter pylori. The nurse should anticipate that in addition to cimetidine and sucralfate, the provider will prescribe which of the following?

Correct Answer is D

Explanation

The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?

Correct Answer is A

Explanation

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Which condition is treated by saliva substitutes?

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