An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)

I will walk 30 minutes a day 3 times a week on the gym treadmill.

I will take a stool softener in the morning.

I will give myself enemas twice a day.

I will increase my intake of fluids throughout the day.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

Walking 30 minutes a day, three times a week, promotes cardiovascular health, helps maintain a healthy weight, and can improve bowel function. Regular physical activity is recommended to prevent constipation, which can be particularly beneficial for someone recovering from a hemorrhoidectomy. This activity also improves overall well-being.

Choice B rationale

Taking a stool softener in the morning helps prevent constipation by ensuring that bowel movements are easy to pass. This is crucial for someone who has undergone a hemorrhoidectomy to avoid straining during defecation, which can exacerbate pain or cause complications in the healing process.

Choice C rationale

Giving oneself enemas twice a day is not recommended after a hemorrhoidectomy. Frequent enemas can irritate the rectal area, disrupt natural bowel habits, and potentially cause injury or infection. It contradicts the standard postoperative care advice aimed at promoting gentle bowel movements.

Choice D rationale

Increasing fluid intake throughout the day is beneficial for preventing constipation. Adequate hydration helps soften stools and makes them easier to pass. This practice is particularly important after a hemorrhoidectomy to avoid straining and to promote healing and comfort.

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

Explanation

Choice A rationale

Avoid aspirin products. Aspirin can exacerbate gastrointestinal bleeding and irritation in patients with duodenal ulcers.

Choice B rationale

Choose regular coffee instead of herbal tea. Caffeine, found in regular coffee, can increase stomach acid production and should generally be avoided by those with ulcers.

Choice C rationale

Eat a diet rich in dairy products. Dairy products can increase stomach acid production and may worsen ulcer symptoms.

Choice D rationale

Start a smoking cessation program. Smoking can impair healing and increase stomach acid production, making it important to quit smoking for ulcer management.

Choice E rationale

Avoid ibuprofen for pain. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the stomach lining and exacerbate ulcers.

A. Other weight loss methods, such as diet and exercise, should be attempted before beginning treatment with weight loss drugs. B. Drugs used for weight loss are very safe with few side effects. C. Weight loss drugs should be used for at least a year, even if weight loss does not immediately occur. D. In general, drugs currently approved for weight loss either affect nutrient absorption or appetite. E. You can expect to lose at least forty pounds using weight loss drugs.

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

Explanation

Choice A rationale

Other weight loss methods, such as diet and exercise, should be attempted before beginning treatment with weight loss drugs. Pharmacotherapy is typically considered when lifestyle modifications alone are insufficient.

Choice B rationale

Drugs used for weight loss are very safe with few side effects. This is incorrect; weight loss drugs can have significant side effects, and their safety profile needs to be carefully evaluated.

Choice C rationale

Weight loss drugs should be used for at least a year, even if weight loss does not immediately occur. This is incorrect; if weight loss does not occur within a specific timeframe, the treatment plan should be re-evaluated.

Choice D rationale

In general, drugs currently approved for weight loss either affect nutrient absorption or appetite. This is correct, as most weight loss medications work by either reducing appetite or decreasing nutrient absorption.

Choice E rationale

You can expect to lose at least forty pounds using weight loss drugs. This is incorrect; weight loss drugs typically result in moderate weight loss, and individual results can vary. .

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An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning a teaching session for a patient with a duodenal ulcer. Which instructions are MOST important to include in the teaching? (SELECT ALL THAT APPLY)

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

Explanation

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)

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

Explanation

The nurse is planning a teaching session for a patient with a duodenal ulcer. Which instructions are MOST important to include in the teaching? (SELECT ALL THAT APPLY)

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)

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