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 Preventing esophageal reflux is essential in managing symptoms associated with a direct hiatal hernia. Nursing interventions may include promoting proper positioning (elevating the head of the bed), encouraging smaller, more frequent meals, avoiding trigger foods, and administering medications as prescribed to reduce acid reflux.
B Promoting intestinal peristalsis may be beneficial in certain gastrointestinal conditions, such as constipation but it is not directly related to the management of a direct hiatal hernia.
C Promoting effective swallowing is important for overall swallowing function and preventing aspiration in some cases, it may not directly address the symptoms or complications associated with a direct hiatal hernia.
D Maintaining intact oral mucosa is important for oral health and preventing complications such as oral mucositis, but it is not directly related to the management of a direct hiatal hernia.
Correct Answer is B
Explanation
C. In open-angle glaucoma, the goal of treatment is to achieve and maintain normal intraocular pressure (IOP) to prevent further damage to the optic nerve and preserve vision. Eye drops are typically prescribed as a long-term therapy to control IOP and prevent progression of the disease.
A. While reducing intraocular pressure (IOP) is indeed a primary goal of glaucoma treatment, the use of eye drops for glaucoma is typically long-term to maintain normal eye pressure, not just until the excess pressure is reduced.
B. Eye drops are prescribed for long-term use to maintain normal IOP and prevent further damage to the optic nerve.
C. Open-angle glaucoma is typically painless, and swelling is not a common symptom.
D. Glaucoma is not primarily associated with pain and swelling; rather, it is characterized by increased intraocular pressure and damage to the optic nerve, which can lead to vision loss if left untreated.
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