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 A

Explanation

Choice A rationale

Crohn's disease is a chronic inflammatory condition that can affect any part of the gastrointestinal tract from mouth to anus. Surgery cannot cure the disease because inflammation and symptoms can recur in other parts of the digestive system, even after the diseased portion is removed.

Choice B rationale

While colonoscopic procedures can help manage and monitor Crohn's disease, they do not cure it. The disease's chronic nature means that continuous treatment and monitoring are necessary.

Choice C rationale

Surgery can help manage severe cases of Crohn's disease and remove affected portions, but it does not cure the disease. There are risks and complications associated with surgery, and the disease can recur in other areas of the gastrointestinal tract.

Choice D rationale

This statement is inaccurate because it suggests a potential cure through surgery, which is misleading. The chronic and recurrent nature of Crohn's disease means that even after surgical intervention, ongoing management and treatment are required.

A. "You need to learn how to talk to people.We are trying to help you.”. B. "What medications do you take for your mental health problems?" C. "Do you know how long I've been doing this? You do not intimidate me.”. D. "I understand that you are angry, but this behavior will not be tolerated.”.

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.

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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

A client is admitted with the first exacerbation of Crohn's disease. The client wants to know why they can't "just take out the diseased portion of bowel and get rid of this disease.”. The nurse's response to this should be:

Correct Answer is A

Explanation

During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or ask for the nurse to make about the client's behavior?

Correct Answer is D

Explanation

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