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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decrease the potential for thrombus formation: Metoclopramide is not used to prevent thrombus formation; this is typically managed with anticoagulants or other interventions.
B. Prevent postoperative nausea and vomiting: Metoclopramide is a prokinetic agent that helps in increasing gastric motility and is commonly used to prevent or treat nausea and vomiting after surgery.
C. Prolong the effects of anesthesia: Metoclopramide does not affect the duration of anesthesia. It is primarily used for nausea and vomiting.
D. Decrease postoperative pain: Metoclopramide does not have analgesic properties and is not used for pain management postoperatively.
Correct Answer is D
Explanation
A. Serotonin antagonists: Serotonin antagonists are effective for nausea caused by chemotherapy or other medical treatments but are not the first line of treatment for motion sickness.
B. Corticosteroids: Corticosteroids are used for inflammation and immune response modulation but are not effective in preventing motion sickness.
C. Phenothiazines: While phenothiazines (e.g., promethazine) are used to treat nausea and vomiting, they are less commonly used for motion sickness prevention compared to anticholinergics.
D. Anticholinergics: Anticholinergic medications like scopolamine are the most effective for preventing motion sickness. They work by blocking the action of acetylcholine, a neurotransmitter involved in nausea and vomiting.
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