A patient in the intensive care unit has a nasogastric tube and is also receiving a proton pump inhibitor (PPI). The nurse recognizes that the purpose of the PPI is which effect?

Prevent stress ulcers

Reduce bacteria levels in the stomach

Reduce gastric gas formation (flatulence)

Promote gastric motility

Answer and Explanation

The Correct Answer is A

A. Proton pump inhibitors (PPIs) decrease gastric acid secretion, which helps prevent stress ulcers—common in critically ill patients, especially those with NG tubes or mechanical ventilation.
B. PPIs do not have antibacterial properties and may actually increase bacterial overgrowth by reducing stomach acidity.
C. PPIs are not indicated for reducing gas or flatulence.
D. PPIs do not enhance gastric motility; prokinetic agents are used for that purpose.

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Correct Answer is B

Explanation

A. Nonfat milk is generally safe for clients with GERD and does not typically trigger reflux.

B. Chocolate should be avoided as it relaxes the lower esophageal sphincter, increasing the risk of acid reflux.

C. Apples are non-citrus fruits and are typically well tolerated in GERD.

D. Oatmeal is a low-acid, high-fiber food that is often recommended for people with GERD.

A. "Avoid alcohol ingestion." B. "Be sure and balance rest with activity." C. "Avoid caffeinated beverages." D. "Avoid green, leafy vegetables." E. "Eat small meals and high-calorie snacks."

Correct Answer is ["A","B","C","E"]

Explanation

A. Avoiding alcohol is critical, as it is a major cause of pancreatitis and can trigger acute flare-ups.

B. Balancing rest and activity helps maintain overall health and reduce stress on the body.

C. Caffeinated beverages may stimulate pancreatic secretion and are best avoided.

D. Green leafy vegetables are healthy and not contraindicated in pancreatitis; this statement is incorrect.

E. Small, frequent meals with high-calorie, nutrient-dense snacks help meet nutritional needs without overstimulating the pancreas.

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A patient in the intensive care unit has a nasogastric tube and is also receiving a proton pump inhibitor (PPI). The nurse recognizes that the purpose of the PPI is which effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid

Correct Answer is B

Explanation

The nurse is preparing a client who has chronic pancreatitis about how to prevent exacerbations of the disease. Which health teaching will the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

The nurse is aware that a definitive diagnosis of cirrhosis is made based on the results of which diagnostic or laboratory test?

After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assesses the client's understanding. Which statement by the client indicates a need for further teaching?

The nurse is assessing a client with hepatitis C. The client asks the nurse how it was possible to have this disease. What questions might the nurse ask to help the client determine how the disease was contracted? (Select all that apply.)

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