A nurse is reinforcing home safety information with an older adult client.
Which of the following statements indicates that the client needs further instruction?

“I should have my son change the batteries in my smoke detectors each year.”.

“I should use my walker carefully when going upstairs.”.

“I should leave a night light on when I go to bed at night.”.

“I should have grab bars installed in my bathroom.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale
It is a good practice to change the batteries in smoke detectors annually to ensure they are working properly. This statement does not indicate a need for further instruction.
Choice B rationale
Using a walker when going upstairs can be dangerous due to the risk of falls. It is recommended that individuals use handrails or assistance when navigating stairs, not a walker. This statement indicates that the client needs further instruction.
Choice C rationale
Leaving a night light on can help prevent falls by providing visibility during the night. This statement does not indicate a need for further instruction.
Choice D rationale

Installing grab bars in the bathroom, especially near the toilet and in the shower, can provide support and prevent falls. This statement does not indicate a need for further instruction.

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Correct Answer is A

Explanation

Choice A rationale
Painful swallowing, also known as dysphagia, is a common symptom of Gastroesophageal Reflux Disease (GERD)345. GERD is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach.
Choice B rationale
Absence of saliva is not typically associated with GERD. In fact, increased salivation may occur as the body’s response to neutralize stomach acid.
Choice C rationale
A sweet taste in the mouth is not a common symptom of GERD. The regurgitation of stomach acid into the throat or mouth can leave a sour or bitter taste.
Choice D rationale
A metallic taste in the mouth is not a typical symptom of GERD. As mentioned, the regurgitation of stomach acid can cause a sour or bitter taste.

A. Administering appropriate antibiotic therapy. B. Educating the patient on maintaining a high-fiber diet. C. Administering over-the-counter antacids. D. Assisting the patient with proper hand hygiene

Correct Answer is A

Explanation

Choice A rationale

Administering appropriate antibiotic therapy is a common nursing intervention to manage H. pylori infection. The recommended treatment for H. pylori typically involves using a triple-

drug therapy regimen, including a proton pump inhibitor or PPI like omeprazole, and two antibiotics, which include clarithromycin plus either metronidazole or amoxicillin. This treatment helps eradicate the bacterial infection through different mechanisms of action.

Choice B rationale

While maintaining a high-fiber diet is generally beneficial for overall health, it is not specifically related to the management of H. pylori infection. The primary treatment for H. pylori is antibiotic therapy, not dietary changes.

Choice C rationale

Over-the-counter antacids can help to neutralize stomach acid and provide temporary relief from symptoms, but they do not treat the underlying H. pylori infection. Therefore, while they may be used as part of symptom management, they are not a primary treatment strategy.

Choice D rationale

Assisting the patient with proper hand hygiene is always important in healthcare settings to prevent the spread of infections. However, it is not specifically related to the management of H. pylori infection. The bacteria are typically contracted during childhood, and the exact modes of transmission are not fully understood.

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A nurse is reinforcing home safety information with an older adult client. Which of the following statements indicates that the client needs further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a patient that has GERD. Which of the following is an expected finding?

Correct Answer is A

Explanation

The nurse is taking care of a patient with H. pylori. What is a common nursing intervention to manage H. pylori infection?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A nurse is reinforcing home safety information with an older adult client.
Which of the following statements indicates that the client needs further instruction?