A patient, newly diagnosed with a peptic ulcer, needs more education when he states:

"should avoid the use of alcohol."

"Good thing I can eat raw foods. I love to go to the salad bar."

"Right now I'm not feeling sick, but if I do feel nauseous. I can take an antiemetic."

"It's okay for me to take aspirin if I get a headache.

Answer and Explanation

The Correct Answer is D

A. "I should avoid the use of alcohol." This statement is correct as alcohol can irritate and worsen peptic ulcers.
B. "Good thing I can eat raw foods. I love to go to the salad bar." While spicy or acidic foods might irritate the stomach, raw foods themselves aren't necessarily harmful for peptic ulcers. A healthcare professional can provide a more specific dietary plan.
C. "Right now I'm not feeling sick, but if I do feel nauseous, I can take an antiemetic." This is generally acceptable advice; antiemetics can be used to manage nausea associated with peptic ulcers.
D. "It's okay for me to take aspirin if I get a headache." This is incorrect and indicates a need for further education. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can aggravate ulcers and should be avoided.

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Correct Answer is ["E"]

Explanation

A. Hyperthyroidism: Decongestants can stimulate the sympathetic nervous system, potentially increasing heart rate and blood pressure, which may worsen symptoms in individuals with hyperthyroidism.
B. Heart disease: Decongestants can cause vasoconstriction, increasing the workload on the heart and exacerbating conditions like coronary artery disease and heart failure.
C. Hypertension: Decongestants can raise blood pressure due to vasoconstriction, posing a risk for patients with pre-existing hypertension.
D. Diabetes: Some decongestants can influence blood glucose levels and interfere with diabetes management. They can also increase blood pressure, which is a concern for diabetic patients with hypertension.
E. Allergic rhinitis: Decongestants are commonly used to alleviate nasal congestion associated with allergic rhinitis. They are not contraindicated for this condition and, in fact, are a typical treatment option.

A. Headache B. Hyperglycemia C. Constipation D. Prolonged QT interval E. Diarrhea

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

Explanation

A. Headache. Headache is a common adverse effect of ondansetron.
B. Hyperglycemia: Hyperglycemia is not typically associated with ondansetron.
C. Constipation. Constipation is a known side effect of ondansetron.
D. Prolonged QT interval: Ondansetron can cause prolongation of the QT interval, which can lead to serious cardiac arrhythmias.
E. Diarrhea: This is correct. Diarrhea can also occur as an adverse effect of ondansetron.

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A patient, newly diagnosed with a peptic ulcer, needs more education when he states:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Decongestants should be used with caution in patients with which diagnoses? (Select All that Apply.)

Correct Answer is ["E"]

Explanation

A nurse is preparing to administer ondansetron (Zofran) to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select All that Apply)

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

Explanation

The nurse understands that it is important that the teaching plan for a patient on omeprazole (Prilosec) should include which of the following?

A nurse is caring for a client who has been taking oxymetazoline (Afrin) nasal spray for the past 10 days for allergic rhinitis. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication?

Which client is at the greatest risk for developing an acid-base imbalance or electrolyte disorder?

Gas exchange occurs in which of the following structures?

A patient, newly diagnosed with a peptic ulcer, needs more education when he states:

Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?

The nurse is caring for a client with asthma. The client asks the nurse what structures make up the upper respiratory tract. Which response by the nurse is the most appropriate?

The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?