A postoperative bariatric surgery client is complaining of nausea. Which intervention should the nurse facilitate?
Call the doctor for more antiemetic medication
Give the patient small sips of tepid water
Help the patient lay supine
Show the patient how to use the patient-controlled analgesia
The Correct Answer is B
Choice A reason: Calling the doctor for more antiemetic medication is not the best intervention for the nurse to facilitate. Antiemetics are drugs that prevent or reduce nausea and vomiting, but they may have side effects such as drowsiness, dry mouth, or constipation. The nurse should first try non-pharmacological measures to relieve the patient's nausea, such as giving small sips of water, providing a cool and quiet environment, or using aromatherapy.
Choice B reason: Giving the patient small sips of tepid water is the best intervention for the nurse to facilitate. Water can help hydrate the patient and dilute any stomach acid that may cause irritation. Tepid water is water that is slightly warm, which can be more soothing than cold or hot water. Small sips can prevent the patient from swallowing too much air, which can worsen nausea and vomiting.
Choice C reason: Helping the patient lay supine is not a good intervention for the nurse to facilitate. Supine means lying flat on the back, which can increase the risk of aspiration, or inhaling food or fluids into the lungs. Aspiration can cause pneumonia, a serious lung infection. The nurse should help the patient lay on their side, with their head elevated, to prevent aspiration and reduce pressure on the stomach.
Choice D reason: Showing the patient how to use the patient-controlled analgesia is not a relevant intervention for the nurse to facilitate. Patient-controlled analgesia is a system that allows the patient to self-administer pain medication through an IV pump. It has nothing to do with nausea and vomiting, and may even cause them as side effects. The nurse should monitor the patient's pain level and adjust the analgesia settings as needed, but not as a way to treat nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Constipation is not a priority finding for a client with peptic ulcer disease. It may be a side effect of some medications or a result of decreased fluid intake, but it does not indicate a serious complication.
Choice B reason: Dyspepsia is a common symptom of peptic ulcer disease, but it is not a priority finding. It refers to indigestion or discomfort in the upper abdomen, which may be relieved by antacids or other medications.
Choice C reason: Hematemesis is a priority finding for a client with peptic ulcer disease. It indicates bleeding from the ulcer, which can lead to shock and anemia. The nurse should monitor the client's vital signs, hemoglobin level, and blood loss, and notify the provider immediately.
Choice D reason: Epigastric discomfort is another common symptom of peptic ulcer disease, but it is not a priority finding. It refers to pain or burning in the upper abdomen, which may be worsened by food intake or stress. The nurse should provide comfort measures and educate the client on dietary and lifestyle modifications.
Correct Answer is A
Explanation
Choice A reason: Fried chicken is a food that the nurse should tell the client to avoid eating. Fried chicken is high in fat, which can trigger or worsen the symptoms of GERD. Fat can relax the lower esophageal sphincter, which is the muscle that prevents the stomach acid from flowing back into the esophagus. Fat can also delay the stomach emptying, which can increase the pressure and acid production in the stomach.
Choice B reason: Nonfat milk is not a food that the nurse should tell the client to avoid eating. Nonfat milk is low in fat, which can help prevent or reduce the symptoms of GERD. Nonfat milk can also provide calcium and protein, which are essential nutrients for the client's health.
Choice C reason: Bananas are not a food that the nurse should tell the client to avoid eating. Bananas are low in acid, which can help neutralize the stomach acid and soothe the esophagus. Bananas are also rich in fiber, which can promote digestion and prevent constipation.
Choice D reason: Oatmeal is not a food that the nurse should tell the client to avoid eating. Oatmeal is a whole grain that is low in fat and high in fiber, which can help prevent or reduce the symptoms of GERD. Oatmeal can also absorb the excess acid in the stomach and prevent it from refluxing into the esophagus.
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