The nurse teaches the client with gastroesophageal reflux disease (GERD) about ways to minimize symptoms. Which of the following statements made by the client indicates that more teaching is needed?

"I will be sure to drink tea instead of coffee.”.

"I will try to eat smaller meals more frequently.”.

"I will not eat 3 hours before bedtime.”.

"I will sleep with the head of the bed elevated.”. .

Answer and Explanation

The Correct Answer is A

Choice A rationale

Drinking tea instead of coffee might still exacerbate GERD symptoms because tea contains caffeine and other compounds that can relax the lower esophageal sphincter, leading to acid reflux. Both caffeinated and decaffeinated teas can be problematic, although typically not as much as coffee.

Choice B rationale

Eating smaller meals more frequently can help manage GERD symptoms. Large meals can increase abdominal pressure, causing stomach contents to reflux into the esophagus. Frequent small meals reduce this pressure and help prevent reflux.

Choice C rationale

Not eating 3 hours before bedtime is advised to minimize GERD symptoms. Lying down soon after eating can cause stomach contents to back up into the esophagus. Waiting several hours after eating allows food to move out of the stomach.

Choice D rationale

Sleeping with the head of the bed elevated can reduce GERD symptoms by preventing stomach acid from flowing back into the esophagus. Gravity helps keep stomach contents down when the upper body is elevated.

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

Explanation

Choice A rationale

Withholding food and fluids is essential to prevent complications should surgery be needed.

Choice B rationale

Administering prophylactic IV antibiotics helps prevent infection, which is critical in cases of appendicitis.

Choice C rationale

Applying heat to the abdomen can increase circulation and the risk of rupture in appendicitis.

Choice D rationale

Administering an enema can increase the risk of perforation in appendicitis.

Choice E rationale

Ambulation can exacerbate pain and the risk of rupture in a client with suspected appendicitis.

A. Active bowel sounds. B. Leukocytosis. C. Pain report of "0" on a 0-10 scale. D. Undistended abdomen.

Correct Answer is B

Explanation

Choice A rationale

Active bowel sounds are indicative of normal or increased gastrointestinal motility, which is not expected in severe peritonitis. Peritonitis typically leads to decreased or absent bowel sounds due to inflammation and paralysis of the intestines.

Choice B rationale

Leukocytosis, an elevated white blood cell count, is a common finding in severe peritonitis. It indicates an immune response to infection or inflammation within the abdominal cavity.

Choice C rationale

A pain report of "0" on a 0-10 scale is highly unlikely in severe peritonitis. This condition causes significant abdominal pain due to widespread inflammation of the peritoneum.

Choice D rationale

An undistended abdomen is not expected in severe peritonitis. The condition often results in abdominal distension due to fluid accumulation, inflammation, and decreased bowel motility.

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The nurse teaches the client with gastroesophageal reflux disease (GERD) about ways to minimize symptoms. Which of the following statements made by the client indicates that more teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with suspected appendicitis. Nursing interventions for this client would include: (SELECT ALL THAT APPLY)

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

Explanation

The nurse is performing an assessment on a client who has been diagnosed with severe peritonitis. Which finding would the nurse expect?

Correct Answer is B

Explanation

The nurse is caring for a client who is 4 hours post-op after an open cholecystectomy. The nurse would expect the client's bowel sounds to be:

The client, hospitalized with an exacerbation of ulcerative colitis, is prescribed mesalamine rectally via enema. The client states that an enema is disgusting and wants to know why the medication can't be given orally. The nurse's best response would be:

The nurse begins a 1000 mL bag of DS 0.45 Saline plus 20 meq of KCl at 125 mL per hour at 1400. The IV is stopped due to signs of infiltration at 1930. How many milliliters will have infused during that time period? Round to the nearest whole number. Do not use trailing zeros.

The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

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Which of the following actions by the nurse would be a violation of the patient's right to privacy?