A preoperative nurse is caring for a client who is being prepped for emergency surgery related to a small bowel obstruction. The client is anxious and doesn’t understand what the surgeon means by “adhesions” causing the blockage. Which of the following statements is the best response from the nurse?

The most important thing is that now you are here, and it is going to get taken care of.

This means that scar tissue formed from the healing of a past abdominal surgery is now constricting the opening in your intestine.

I will be happy to go and get you some reading materials about this procedure to explain it further.

It’s okay. It happens all the time and I’ve seen a lot of clients with this issue.

Answer and Explanation

The Correct Answer is B

Choice A Reason: The most important thing is that now you are here, and it is going to get taken care of

While this statement is reassuring, it does not provide the client with the specific information they are seeking about adhesions. Clients often feel more at ease when they understand the cause of their condition. Providing clear and accurate information helps reduce anxiety and empowers the client to be more involved in their care.

Choice B Reason: This means that scar tissue formed from the healing of a past abdominal surgery is now constricting the opening in your intestine

This statement is the best response because it directly addresses the client’s question about adhesions. Adhesions are bands of scar tissue that can form after abdominal surgery, causing organs or tissues to stick together. These adhesions can constrict the intestines, leading to a blockage. Providing this explanation helps the client understand the cause of their condition and the reason for the surgery.

Choice C Reason: I will be happy to go and get you some reading materials about this procedure to explain it further

Offering reading materials can be helpful, but it does not immediately address the client’s anxiety or their specific question about adhesions. While additional information can be beneficial, the nurse should first provide a clear and direct explanation to help the client understand their condition.

Choice D Reason: It’s okay. It happens all the time and I’ve seen a lot of clients with this issue

This statement may come across as dismissive and does not provide the client with the information they need. While it is important to reassure the client, it is equally important to provide specific information about their condition. Understanding the cause of their symptoms can help reduce anxiety and improve the client’s overall experience.

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Correct Answer is C

Explanation

Choice A Reason:

Avoiding undercooked foods is generally good advice for preventing foodborne illnesses, but it is not specifically related to reducing the risk of peptic ulcers. Peptic ulcers are primarily caused by Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B Reason:

There is no established link between hormone replacement therapy and an increased risk of peptic ulcers. The primary risk factors for peptic ulcers include H. pylori infection, NSAID use, smoking, and excessive alcohol consumption.

Choice C Reason:

This is the correct answer. Fried foods can irritate the stomach lining and increase the production of stomach acid, which can exacerbate the symptoms of peptic ulcers and potentially contribute to their development. Avoiding fried foods can help reduce irritation and promote healing.

Choice D Reason:

There is no evidence to suggest that decongestants for seasonal allergies or colds are linked to the development of peptic ulcers. The main contributors to peptic ulcers are H. pylori infection and NSAID use.

A. Droplet B. Indirect contact C. Vector D. Airborne

Correct Answer is B

Explanation

Choice A Reason:

Droplet transmission involves the spread of pathogens through respiratory droplets expelled when an infected person coughs or sneezes. Staphylococcus aureus is not typically spread this way.

Choice B Reason:

This is the correct answer. Indirect contact transmission occurs when a person touches a contaminated object or surface, such as a towel, and then touches their own body, allowing the bacteria to enter through breaks in the skin or mucous membranes.

Choice C Reason:

Vector transmission involves the spread of pathogens through insects or animals, such as mosquitoes or ticks. Staphylococcus aureus is not transmitted by vectors.

Choice D Reason:

Airborne transmission involves the spread of pathogens through the air over long distances, typically via tiny droplets that remain suspended in the air. Staphylococcus aureus is not commonly spread through airborne transmission.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

Correct Answer is C

Explanation

A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?

Correct Answer is B

Explanation

A nurse is teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?

A nurse is caring for a hospitalized client at risk for complications of immobility. Which of the following interventions should the nurse include to prevent complications?

A nurse is caring for a client who has a cerebral aneurysm. In the event of a ruptured cerebral aneurysm, which of the following manifestations would be present in the client? (Select All that Apply)

A nurse is caring for a client who has a new diagnosis of liver disease. Which of the following manifestations should the nurse expect?

A nurse is providing education to a client who needs a cholecystectomy due to a build-up of calculi or gallstones. Which of the following is the best response from the nurse to explain what caused this problem?

A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who is newly diagnosed with Parkinson’s disease. The client states, “I have no idea why I got this.” Which of the following is the most important question the nurse should ask this client while performing the assessment?

An older adult client returned to the nursing home after a lower limb amputation. The client is scheduled for a prosthesis fitting and states, “I am too old to learn how to manage this.” Which of the following responses from the nurse is appropriate?