Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow- up action by the nurse?
Review with the client the need to avoid foods that are rich in milk and cream.
Reinforce the teaching by asking the client to make a list of snack foods high in dairy content.
Remind the client that it is also important to switch to decaffeinated coffee and tea.
Suggest that the client also plan to eat frequent small meals to reduce discomfort.
The Correct Answer is A
A. Consuming dairy products, especially those rich in milk and cream, can stimulate gastric acid secretion and exacerbate symptoms of a duodenal ulcer. Therefore, it is essential for the nurse to review with the client the importance of avoiding foods that can aggravate the ulcer and worsen symptoms.
B. While reinforcing teaching about dietary modifications is important, encouraging the client to make a list of snack foods high in dairy content would not address the issue of avoiding dairy products to protect the duodenal ulcer.
C. While switching to decaffeinated coffee and tea can be beneficial for individuals with duodenal ulcers, it does not directly address the client's misconception about using dairy products to coat and protect the ulcer.
D. Eating frequent small meals can help reduce discomfort associated with duodenal ulcers by minimizing gastric acid secretion and preventing large fluctuations in stomach volume.
However, this option does not address the client's misconception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A hydrocolloidal gel dressing can be beneficial as it maintains moisture and supports autolytic debridement. This type of dressing also helps in protecting the wound from external contaminants and can be left in place for several days, depending on the level of exudate.
B. Replacing the gauze with a transparent dressing, which is typically used for minimal to moderate exudating wounds, could dry out the wound or those that are not designed for significant granulation tissue
C. Leaving the dressing off is not advisable as it exposes the wound to potential infection and delays healing.
D. Increasing the frequency of dressing changes is not specified as a standard treatment and could potentially disrupt the healing process.
Correct Answer is D
Explanation
D. Sputum culture is the gold standard diagnostic test for confirming the diagnosis of tuberculosis. It involves culturing the bacteria from sputum samples to identify the presence of Mycobacterium tuberculosis, the causative organism of TB.
A. The Hemoccult test is used to detect occult (hidden) blood in stool samples, not sputum.
B. Chest x-ray or CT imaging is commonly used in the diagnosis of tuberculosis. However, imaging findings alone are not sufficient to confirm the diagnosis of TB.
C. The PPD skin test is a screening test for tuberculosis infection. A positive PPD test indicates exposure to TB bacteria but does not distinguish between latent TB infection and active TB disease.
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