The nurse is teaching a client with gastritis about self-management. Which statement made by the client should the nurse recognize as needing additional education?
Report black stools to healthcare provider.
Consume caffeine in moderation.
Drink plenty of water with meals.
Avoid taking ibuprofen for headaches.
The Correct Answer is B
Rationale:
A. Reporting black, tarry stools is an essential self-management skill that indicates the client understands the risks of gastric hemorrhage. Gastritis involves inflammation of the stomach lining, which can progress to erosions and gastrointestinal bleeding. Recognizing melena as a sign of upper GI bleeding allows for prompt medical intervention. This statement shows correct understanding and does not require additional education.
B. The statement regarding consuming caffeine in moderation requires additional education because caffeine is a potent stimulant of parietal cells. Caffeine increases gastric acid secretion and can irritate the already inflamed gastric mucosa, exacerbating symptoms of gastritis. Clients with this condition are typically advised to eliminate caffeine entirely rather than simply moderating their intake. Complete avoidance is necessary to facilitate mucosal healing and prevent symptomatic flare-ups.
C. Drinking plenty of water with meals is generally acceptable for clients with gastritis as it does not directly irritate the stomach lining. Unlike other conditions where fluid restriction at mealtimes is required, hydration helps maintain physiological balance without increasing acid production. This behavior does not pose a risk to the client’s recovery or management of stomach inflammation. This statement reflects safe behavior and does not necessitate further teaching from the nursing staff.
D. Avoiding ibuprofen is a correct and vital strategy for managing gastritis because non-steroidal anti-inflammatory drugs (NSAIDs) inhibit prostaglandin synthesis. Prostaglandins are necessary for maintaining the protective mucus barrier of the stomach; thus, NSAIDs directly contribute to gastric erosion and ulceration. The client’s intention to avoid these medications shows a clear understanding of how to prevent further mucosal damage. This statement indicates successful learning and requires no further intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Testing the urine for the presence of haematuria is important for diagnosing a urinary tract infection (UTI) or kidney stones, but it is not the most immediate intervention. Haematuria indicates blood in the urine, but assessing the client's vital signs is more urgent to determine if there is an acute issue that requires immediate attention.
Choice B reason: Measuring her temperature and heart rate is the most critical first step. These vital signs can provide immediate information about the client's overall condition and help identify potential systemic infection (fever) or hemodynamic instability (tachycardia). This information is essential for prioritizing further interventions and determining the urgency of the situation.
Choice C reason: Evaluating the urine for a strong Odor can help identify the presence of a UTI, but it is not as immediately critical as assessing the client's vital signs. Changes in urine Odor can support a diagnosis, but they do not provide the urgent information needed to assess the client's immediate health status.
Choice D reason: Palpating the right flank for tenderness is important for assessing kidney involvement, such as in cases of pyelonephritis (kidney infection). However, this physical examination should follow the assessment of vital signs to ensure the client is stable and not in immediate danger.
Correct Answer is B
Explanation
Choice A reason: Alopecia, or hair loss, is a common symptom of systemic lupus erythematosus but does not require immediate follow-up. It is not life-threatening and can be managed as part of the overall treatment plan.
Choice B reason: Haematuria, or blood in the urine, requires immediate follow-up because it can indicate serious renal involvement or a possible flare-up of lupus nephritis. Kidney complications in lupus can lead to severe outcomes if not addressed promptly.
Choice C reason: Fatigue is a common symptom of lupus and while it can significantly impact the client's quality of life, it does not usually require urgent intervention. It is managed through ongoing treatment and lifestyle adjustments.
Choice D reason: Joint pain is another common symptom of lupus. Although it can be debilitating, it is not an emergency and can be managed through standard treatments for lupus.
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