Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.

"I will eat fish for dinner at least twice per week."

“I will eat small, frequent meals."

“I will notify my provider if my urine is dark."

“I should expect my bowel movements to be pale in color."

“I will limit my morning coffee to no more than two cups."

Answer and Explanation

Correct Answer : A,B,C

Rationale:

A. “I will eat fish for dinner at least twice per week.” Fish is a good source of lean protein and omega-3 fatty acids, which are heart-healthy and easier on the pancreas compared to fatty meats. This aligns with dietary recommendations for pancreatitis recovery.

B. “I will eat small, frequent meals.” Eating small, frequent meals reduces pancreatic stimulation and helps manage pain and nausea. It also supports better nutrient absorption and glucose control in clients with pancreatitis and hyperglycemia.

C. “I will notify my provider if my urine is dark.” Dark urine may indicate worsening liver dysfunction or bile obstruction, especially with elevated bilirubin levels. Prompt reporting can lead to early intervention.

D. “I should expect my bowel movements to be pale in color.” Pale stools may signal bile duct obstruction or malabsorption and are not a normal or expected finding. This should be reported rather than expected.

E. “I will limit my morning coffee to no more than two cups.” Caffeine can exacerbate gastrointestinal symptoms and may increase pancreatic irritation; it is usually recommended to limit or avoid coffee during pancreatitis recovery.

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Correct Answer is B

Explanation

Rationale:

A. Chlordiazepoxide: Chlordiazepoxide is a benzodiazepine used primarily to manage alcohol withdrawal symptoms. It has no direct role in smoking cessation and is not commonly prescribed for nicotine dependence.

B. Bupropion: Bupropion is an atypical antidepressant approved for smoking cessation. It reduces nicotine cravings and withdrawal symptoms by acting on the brain’s norepinephrine and dopamine pathways, making it an effective choice for clients trying to quit.

C. Naltrexone: Naltrexone is an opioid antagonist used to treat opioid and alcohol dependence. It does not target nicotine addiction and is not indicated for smoking cessation therapy.

D. Clonidine: Clonidine is occasionally used off-label to manage withdrawal symptoms, including those from nicotine. However, it is not a first-line medication for smoking cessation and is less commonly prescribed for this purpose.

A. Limit your fluid intake to 500 milliliters per day. B. Plan to urinate every 3 hours while you are awake. C. Decrease your intake of cranberry juice." D. Take your diuretic medication with your evening meal.

Correct Answer is B

Explanation

Rationale:

A. Limit your fluid intake to 500 milliliters per day: Restricting fluids to this extent can lead to dehydration and concentrated urine, which may irritate the bladder and worsen incontinence symptoms. Maintaining adequate hydration is essential during bladder retraining.

B. Plan to urinate every 3 hours while you are awake: Scheduled voiding every 2 to 3 hours helps train the bladder to hold urine for longer intervals and reduces urgency episodes. This is a core component of effective bladder retraining for urge incontinence.

C. Decrease your intake of cranberry juice: Cranberry juice may help prevent urinary tract infections, though its benefit in incontinence management is limited. There is no need to avoid it unless advised for another reason, as it is not a known bladder irritant.

D. Take your diuretic medication with your evening meal: Taking diuretics late in the day increases nighttime urine production, leading to nocturia and disturbed sleep. Diuretics should be taken in the morning to align with daytime urinary patterns and reduce bladder strain at night.

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Exhibits The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.