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)

Avoid aspirin products.

Choose regular coffee instead of herbal tea.

Eat a diet rich in dairy products.

Start a smoking cessation program.

Avoid ibuprofen for pain.

Answer and Explanation

Correct Answer : A,D,E

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.

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Correct Answer is D

Explanation

Choice A rationale

This statement is confrontational and does not provide clear boundaries or expectations for acceptable behavior.

Choice B rationale

Asking about medications does not address the inappropriate behavior and may further escalate the situation.

Choice C rationale

This response is defensive and may provoke further aggression from the client.

Choice D rationale

This statement acknowledges the client's feelings while clearly setting a boundary for unacceptable behavior, promoting a safe environment.

A. Urine specific gravity 1.035. B. Pain colicky in nature. C. Serum sodium 132 mEq/L. D. Frank blood in the N/G suction container.

Correct Answer is D

Explanation

Choice A rationale

Urine specific gravity of 1.035 indicates dehydration, which is concerning but not the most critical issue in a client with a bowel obstruction.

Choice B rationale

Colicky pain is typical of bowel obstruction as the intestines try to move contents past the obstruction, and while concerning, it is expected.

Choice C rationale

Serum sodium of 132 mEq/L indicates mild hyponatremia, which is concerning but not immediately life-threatening in the context of bowel obstruction.

Choice D rationale

Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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