The nurse teaches a client newly diagnosed with a peptic ulcer about the prescribed medications famotidine and bismuth subsalicylate. Which statement made by the client indicates that the teaching was effective?

"I'm so glad I will be able to drink orange juice while I'm taking these medications."

"While I'm taking these medications, my bowel movements could be black."

"I'll include more calcium and vitamin D in my diet to prevent osteoporosis."

"I have a medicine at home to take when I start having loose stools."

Answer and Explanation

The Correct Answer is B

B. Bismuth subsalicylate, one of the medications prescribed for peptic ulcers, can cause blackening of the stools. This discoloration is harmless and temporary but is an important side effect to be aware of.
A. Citrus juices, including orange juice, can exacerbate symptoms of peptic ulcers due to their acidic nature. Therefore, it would not be appropriate for the client to consume orange juice while taking famotidine and bismuth subsalicylate.
C. Osteoporosis is not a known side effect or concern associated with these medications.
D. Constipation and not diarrhea, is a potential side effect of bismuth subsalicylate.

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Correct Answer is ["A","B","C"]

Explanation

A. Proper use of prescribed oxygen in the home: This is a crucial aspect of care for a client with emphysema. Oxygen therapy may be prescribed to help manage symptoms and improve oxygenation. Proper use of prescribed oxygen equipment at home, including understanding flow rates, wearing oxygen as prescribed, and ensuring adequate oxygen saturation, is essential for the client's safety and well-being.
B. Smoking cessation is paramount for individuals diagnosed with emphysema. Smoking is the primary cause of emphysema, and continuing to smoke can exacerbate symptoms, accelerate disease progression, and decrease the effectiveness of treatment.
C. Regular exercise is beneficial for individuals with emphysema as it can help improve cardiovascular health, strengthen respiratory muscles, enhance endurance, and improve overall quality of life. However, exercise should be tailored to the individual's abilities and limitations.
D. High carbohydrate, low protein diet is not appropriate for individuals with emphysema. In fact, a high carbohydrate, low protein diet may contribute to weight gain and exacerbate respiratory symptoms.
E. While individuals with emphysema may need to take precautions to avoid exposure to respiratory infections, such as practicing good hand hygiene and avoiding close contact with individuals who are sick, there is no need to avoid playing with grandchildren altogether.

A. Chocolate B. Tomato soup C. Hot and spicy pork rinds D. Green beans E. Oranges

Correct Answer is ["A","B","C","E"]

Explanation

A. Chocolate can relax the lower esophageal sphincter (LES), allowing stomach acid to reflux into the esophagus and exacerbate symptoms. Therefore, it is advisable for clients with GERD to avoid chocolate.
B. Tomato-based products are acidic and can aggravate GERD symptoms. Tomatoes are naturally acidic, which can contribute to increased acidity in the stomach and exacerbate reflux symptoms.
C. Spicy and high-fat foods, such as hot and spicy pork rinds, can trigger GERD symptoms by increasing stomach acid production and relaxing the LES. Spicy foods can irritate the esophagus and exacerbate symptoms such as heartburn and reflux.
E. Oranges and other citrus fruits are acidic and can irritate the esophagus, exacerbating GERD symptoms. The acidity in oranges can increase stomach acid production and contribute to reflux.
D. Green beans are generally considered safe for individuals with GERD. They are low in fat and acidity, making them less likely to trigger reflux symptoms.

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The nurse teaches a client newly diagnosed with a peptic ulcer about the prescribed medications famotidine and bismuth subsalicylate. Which statement made by the client indicates that the teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client recently diagnosed with emphysema. What health maintenance Information would the nurse teach the client? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C"]

Explanation

A client with a new diagnosis of GERD is preparing for discharge from the hospital. Which foods will the nurse teach this client to avoid? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","E"]

Explanation

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