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."
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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Related Questions
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.
Correct Answer is B
Explanation
A. Sprinkle on warm food: Pancreatic enzyme replacement therapy should not be sprinkled on warm food, as heat can destroy the enzymes and reduce their effectiveness.
B. Take before meals: Pancrease (lipase, protease, amylase) is typically taken before meals or snacks to help with the digestion of food. It should be taken with food to assist in breaking down fats, proteins, and carbohydrates.
C. Take 1 hour after eating: Enzymes are most effective when taken before or during meals, not after.
D. Mix with juice: Mixing the medication with juice is not recommended because juices (especially acidic ones like orange juice) may alter the effectiveness of the enzymes.
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