The nurse provides instructions to a client about measures to treat irritable bowel syndrome (IBS). Which statement by the client indicates a need for further teaching?

“I need to limit my intake of dietary fiber.”

“I need to drink plenty, at least 8 to 10 cups daily.”

“I need to eat regular meals and chew my food well.”

“I will take the prescribed medications because they will regulate my bowel patterns.”

Answer and Explanation

The Correct Answer is A

Choice A reason: Limiting dietary fiber is incorrect for IBS, as soluble fiber helps regulate bowel movements. This indicates a need for further teaching, making it the correct statement, as it contradicts the nurse’s instructions to include fiber for IBS symptom management.

Choice B reason: Drinking 8 to 10 cups of fluid daily supports hydration and bowel function in IBS, showing understanding. This is incorrect, as it aligns with the nurse’s teaching, unlike the fiber limitation statement requiring further client education.

Choice C reason: Eating regular meals and chewing well stabilizes digestion in IBS, reflecting correct understanding. This is incorrect, as it aligns with the nurse’s instructions, unlike the fiber limitation statement that indicates a need for further teaching.

Choice D reason: Taking prescribed medications to regulate bowel patterns is appropriate for IBS management, showing understanding. This is incorrect, as it aligns with the nurse’s teaching, unlike the incorrect fiber limitation statement needing further client instruction.

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Correct Answer is B

Explanation

Choice A reason: Normal ABG values (pH 7.40, CO2 39) don’t reflect COPD’s chronic hypercapnia and compensated acidosis. pH 7.32 with elevated CO2 is typical, making this incorrect, as it doesn’t match the nurse’s expected findings in a client with chronic obstructive pulmonary disease.

Choice B reason: In COPD, chronic CO2 retention (57 mEq/L) causes respiratory acidosis (pH 7.32) with compensatory HCO3 increase (26 mEq/L). Low PaO2 (85 mm Hg) reflects hypoxemia. This aligns with COPD pathophysiology, making it the correct ABG finding the nurse anticipates in this client.

Choice C reason: Alkalotic pH (7.47) and low CO2 (30 mEq/L) suggest hyperventilation, not COPD’s CO2 retention. Acidosis with high CO2 is expected, making this incorrect, as it contradicts the typical ABG profile in the nurse’s assessment of a COPD client.

Choice D reason: Low CO2 (22 mEq/L) and acidosis (pH 7.30) suggest metabolic acidosis, not COPD’s respiratory acidosis with hypercapnia. Elevated CO2 is typical, making this incorrect, as it doesn’t reflect the nurse’s expected ABG findings in chronic obstructive pulmonary disease.

A. Monitoring the temperature. B. Monitoring complaints of heartburn. C. Giving warm gargles for a sore throat. D. Assessing for the return of the gag reflex.

Correct Answer is D

Explanation

Choice A reason: Monitoring temperature detects infection but is less urgent than ensuring airway safety post-endoscopy. Gag reflex assessment prevents aspiration, making this incorrect, as it’s secondary to the nurse’s priority of confirming safe swallowing after the procedure.

Choice B reason: Heartburn monitoring is relevant for ulcers but not the immediate post-endoscopy priority. Gag reflex return is critical, making this incorrect, as it’s less urgent than the nurse’s focus on airway protection after esophagogastroduodenoscopy in the client.

Choice C reason: Warm gargles soothe a sore throat but don’t address the risk of aspiration post-endoscopy. Assessing gag reflex is vital, making this incorrect, as it’s not the highest priority compared to the nurse’s focus on ensuring airway safety.

Choice D reason: Assessing the return of the gag reflex post-esophagogastroduodenoscopy is the highest priority to prevent aspiration due to sedation. This aligns with post-procedure safety, making it the correct item for the nurse to prioritize in the client’s care plan.

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The nurse provides instructions to a client about measures to treat irritable bowel syndrome (IBS). Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for a client with chronic obstructive pulmonary disease (COPD) anticipates which arterial blood gas (ABG) findings?

Correct Answer is B

Explanation

A client suspected of having a duodenal ulcer has undergone esophagogastroduodenoscopy. The nurse would place the highest priority on which item as part of the client’s care plan?

Correct Answer is D

Explanation

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