A nurse is providing nutritional education to a client who is obese. The nurse should include in the information which of the following gastrointestinal disorders is commonly associated with obesity.

Crohn's disease.

Peptic ulcer disease.

Gastroesophageal reflux disease.

Celiac disease.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Crohn's disease is not commonly associated with obesity. Crohn's disease is a chronic inflammatory bowel disease that can lead to weight loss due to malabsorption and other gastrointestinal symptoms.
Choice B rationale:
Peptic ulcer disease is not directly linked to obesity. Peptic ulcers are primarily caused by Helicobacter pylori infection or the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice C rationale:
Gastroesophageal reflux disease (GERD) is commonly associated with obesity. Excess weight, especially around the abdominal area, can contribute to increased pressure on the stomach and lower esophageal sphincter, leading to the backflow of stomach acid into the esophagus and causing symptoms of GERD such as heartburn and regurgitation.
Choice D rationale:
Celiac disease is not typically associated with obesity. Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. Individuals with celiac disease often experience weight loss and malabsorption due to intestinal damage.

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Correct Answer is D

Explanation

Choice A rationale:
Alternating breasts during feedings is not primarily done for comfort, but rather to ensure that the baby receives both foremilk and hindmilk from each breast. Foremilk is more watery and quenches thirst, while hindmilk is richer in fats and nutrients. This choice does not accurately reflect the purpose of alternating breasts.
Choice B rationale:
Newborns often need to nurse more frequently than every 4 hours, especially during the early weeks when their stomach capacity is small. Feeding every 2 to 3 hours is generally recommended to ensure they receive enough nourishment and to stimulate milk supply.
Choice C rationale:
Supplementing feedings with water is unnecessary and can even be harmful to a breastfeeding baby. Breast milk provides all the necessary hydration for the baby, and introducing water before the recommended age can lead to decreased milk intake and potential electrolyte imbalances.
Choice D rationale:
(Correct Choice) This statement indicates an understanding of breastfeeding dynamics. The baby receives the majority of the milk's volume within the first 10 minutes of breastfeeding. However, it's important to note that nursing beyond the initial 10 minutes allows the baby to access the richer hindmilk, which is important for their growth and satiety.

A. Verapamil. B. Prednisone. C. Omeprazole. D. Zolmitriptan.

Correct Answer is B

Explanation

Choice A rationale:
Verapamil is a calcium channel blocker commonly used to treat high blood pressure and angina. It doesn't significantly impact wound healing or increase the risk of wound dehiscence.
Choice B rationale:
Prednisone is a corticosteroid that suppresses the immune system and has anti-inflammatory effects. While it can be crucial for managing postoperative inflammation, its immunosuppressive nature can hinder the normal wound-healing process, increasing the risk of wound dehiscence.
Choice C rationale:
Omeprazole is a proton pump inhibitor that reduces stomach acid production. While it can influence the gastric environment, it doesn't directly impact wound healing or the risk of wound dehiscence.
Choice D rationale:
Zolmitriptan is a medication used to treat migraines. It doesn't interfere with wound healing or increase the risk of wound dehiscence.

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A nurse is providing nutritional education to a client who is obese. The nurse should include in the information which of the following gastrointestinal disorders is commonly associated with obesity.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about breastfeeding to a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize which of the following medications places the client at risk for wound dehiscence.

Correct Answer is B

Explanation

A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

A nurse is reviewing the medical record of a client who has AIDS and is malnourished. The client has been receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a therapeutic response to the TPN?

A nurse in the emergency department is assessing a young adult client who was administered a hypotonic IV fluid bolus for rehydration after collapsing at an athletic event. Which of the following findings indicates the client is experiencing water intoxication?

A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?

A nurse is providing teaching about a gluten-free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet?

A nurse is caring for a client who has dysphagia and requires a level 1 dysphagia diet. Which of the following foods should the nurse choose for this client?

A nurse is educating the parent of a school-age child about the importance of maintaining water intake to prevent dehydration. Which of the following food choices should the nurse recommend as containing the greatest percentage of water?

A nurse is providing teaching to a client who has a prescription for a low-saturated fat diet. Which of the following statements by the client indicates an understanding of the teaching?