A nurse provides education to a patient after a hemorrhoidectomy. Which statement by the patient demonstrates the need for further instruction?

"Imagery may help control pain."

"Sitz baths are ordered to soothe the area.

"Fluids are restricted."

"Bleeding should be reported."

Answer and Explanation

The Correct Answer is C

A. "Imagery may help control pain.": This is an appropriate pain management strategy.

B. "Sitz baths are ordered to soothe the area.": Sitz baths are commonly recommended for pain relief and hygiene after hemorrhoidectomy.

C. "Fluids are restricted.": Adequate hydration is essential to prevent constipation, which can strain the surgical site.

D. "Bleeding should be reported.": Postoperative bleeding, beyond minor spotting, is a concerning symptom and should be reported promptly.

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Correct Answer is B

Explanation

A. Herpes zoster: This virus causes shingles, not PUD.

B. H. pylori: This bacterium is the leading cause of PUD, contributing to ulcer formation by damaging the stomach lining and increasing acid production.

C. Candida albicans: This is a fungal infection that causes oral thrush or systemic infections, not PUD.

D. Escherichia coli: This bacterium is associated with gastrointestinal infections and urinary tract infections but not typically PUD.

A. Decrease the client's fluid intake. B. Increase the client's sodium intake. C. Decrease the client's carbohydrate intake. D. Increase the client's saturated fat intake.

Correct Answer is A

Explanation

A. Decrease the client's fluid intake: In cirrhosis with ascites, the liver's ability to regulate fluid balance is impaired. Decreasing fluid intake helps prevent further accumulation of fluid in the abdomen (ascites).

B. Increase the client's sodium intake: Sodium intake should be restricted in patients with cirrhosis and ascites to reduce fluid retention and prevent worsening edema and ascites.

C. Decrease the client's carbohydrate intake: Carbohydrate intake is generally not restricted in cirrhosis unless there are concerns about hyperglycemia. It's important to maintain an adequate diet for the patient.

D. Increase the client's saturated fat intake: Increasing saturated fats is not appropriate in cirrhosis, as it can worsen liver damage and contribute to further complications. A balanced, low-fat diet is recommended instead.

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A nurse provides education to a patient after a hemorrhoidectomy. Which statement by the patient demonstrates the need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which organism or disorder is responsible for many cases of PUD?

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

Correct Answer is A

Explanation

A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

The nurse is assessing a patient's mouth and notes white, milk curd-appearing plaques attached to the oral mucosa. Which condition is present?

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?

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