A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation. What should the nurse include in this instruction?

Lie on the right side after meals.

Eat only small meals.

Keep the bed flat.

Drink three glasses of fluid with each meal.

Answer and Explanation

The Correct Answer is B

A. Lie on the right side after meals: This position is not effective in reducing regurgitation. Lying on the left side or maintaining an upright position after eating is generally better for avoiding reflux.

B. Eat only small meals: Smaller meals reduce the risk of overfilling the stomach, which helps minimize regurgitation and pressure on the esophageal stent.

C. Keep the bed flat: Keeping the bed flat increases the risk of regurgitation by allowing stomach contents to flow backward into the esophagus.

D. Drink three glasses of fluid with each meal: Excessive fluid during meals may increase stomach volume and the risk of regurgitation.

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Correct Answer is D

Explanation

A. Lubricates the intestinal wall and softens stool: This describes the action of lubricant laxatives, such as mineral oil, not stimulant laxatives.

B. Draws water into the bowel to facilitate the passage of feces: This describes osmotic laxatives, such as polyethylene glycol or lactulose.

C. Increases bulk and stimulates peristalsis: This describes bulk-forming laxatives, like psyllium, which absorb water and increase stool size.

D. Irritates the intestine directly, promoting peristalsis and evacuation: This is the correct mechanism for stimulant laxatives, such as bisacodyl and senna. They stimulate the nerve endings in the intestinal lining, leading to increased bowel movement activity.

A. Mexiletine B. Desmopressin C. Filgrastim D. Clarithromycin

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.

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A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation. What should the nurse include in this instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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