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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The amount of blood pumped by the heart through the circulatory system in 1 minute. This statement describes cardiac output, which is unrelated to digestion. It refers to the volume of blood the heart pumps per minute.
B. Neutralization by use of bicarbonate from pancreatic and biliary secretions. This statement accurately reflects a component of digestion. Bicarbonate from the pancreas and biliary secretions neutralizes stomach acid in the small intestine, creating an optimal pH for digestive enzymes.
C. Smooth muscle movement of the GI tract by way of contractions. This statement describes peristalsis, the wave-like contractions that move food through the digestive tract. While peristalsis is essential for digestion, it does not explain the process of breaking down food into absorbable molecules.
D. It is the process when food is broken down into molecules that can be absorbed. This statement accurately defines digestion. It describes the process by which food is broken down into smaller molecules that can be absorbed into the bloodstream and used by the body.
Correct Answer is A
Explanation
A. Laxatives are contraindicated in clients who have a small bowel obstruction: This is the correct answer. Laxatives like senna are contraindicated in the presence of a bowel obstruction as they can increase peristalsis and pressure in the bowel, leading to complications such as perforation.
B. An osmotic laxative, such as magnesium citrate, should be substituted in this client: This is incorrect. Osmotic laxatives are also contraindicated in bowel obstruction because they can draw water into the bowel and worsen the obstruction or cause severe complications.
C. The prescribed medication should be administered via NG route rather than the oral route for this client: This is incorrect. Administering any form of laxative via the NG route does not address the contraindication in bowel obstruction and is not a safe practice in this context.
D. Bulk-forming laxatives such as psyllium should be substituted for this client: This is incorrect. Bulk-forming laxatives are also contraindicated in bowel obstruction due to the risk of worsening the obstruction and causing complications.
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