Which of the following responses should the nurse offer to a patient who asks why he's having a vagotomy to treat his ulcer?
To repair a perforation in the stomach.
To remove the ulcerated tissue which allows healing.
To reduce the ability of the stomach to produce acid.
To prevent the stomach from sliding into the chest.
The Correct Answer is C
A. A vagotomy is not performed to repair a perforation. A perforation typically requires different surgical interventions, such as suturing or possibly resection. This response does not accurately reflect the purpose of a vagotomy.
B. While this sounds like a logical reason for treating an ulcer, vagotomy itself does not involve removing ulcerated tissue. It is a procedure that involves cutting the vagus nerve to reduce acid secretion in the stomach, rather than directly excising tissue. Thus, this response is incorrect.
C. A vagotomy is performed to cut the vagus nerve, which decreases the stimulation of acid production in the stomach. This reduction in acid helps promote healing of the ulcer and prevents future ulcer formation. It directly addresses the underlying problem of excessive acid production associated with peptic ulcers.
D. This response refers to a different surgical procedure, such as a fundoplication, which is done to prevent hiatal hernias where the stomach slides into the chest. Vagotomy does not serve this purpose and is unrelated to preventing such anatomical issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Metronidazole is an antibiotic used to treat certain bacterial and parasitic infections, including those caused by organisms like Giardia and some anaerobic bacteria. While it may be appropriate if a specific diagnosis indicates its use, it is not the first action without further evaluation.
B. Loperamide is an antidiarrheal medication that slows intestinal movement and can help alleviate diarrhea. However, using loperamide in cases of suspected infectious diarrhea (especially if due to a bacterial or parasitic cause) can worsen the condition by keeping pathogens in the system longer. It is generally not the first choice in such scenarios.
C. A complete blood count (CBC) can provide information about the patient's overall health and help identify signs of infection (like elevated white blood cell counts). However, this diagnostic test is not an immediate intervention to manage the patient's current symptoms.
D. Collecting a stool sample is crucial to identify the causative organism responsible for the diarrhea, especially given the recent consumption of undercooked meat. This step is important for guiding appropriate treatment, as it will help determine whether an infectious agent is present and what specific treatment may be required.
Correct Answer is ["B","C","D"]
Explanation
A. While a lower sodium diet is generally beneficial for overall health, it is not specifically linked to managing GERD symptoms. This choice may be included in broader health advice but isn't a primary recommendation for GERD.
B. Staying upright helps prevent the backflow of stomach contents into the esophagus, reducing the risk of reflux. This advice helps the digestive process and minimizes symptoms.
C. This is highly recommended for individuals with GERD. Elevating the head of the bed can help prevent nighttime reflux by using gravity to keep stomach contents from rising into the esophagus during sleep. This practice is effective in managing symptoms.
D. A high-fiber diet can be beneficial for overall digestive health and may help with GERD symptoms. Low-fat diets are also recommended since high-fat foods can exacerbate reflux by relaxing the lower esophageal sphincter. This is a good recommendation to include in the teaching plan.
E. This recommendation is not always necessary. While some individuals may find that large meals trigger their GERD symptoms, avoiding snacks isn't universally required. In fact, small, healthy snacks may be tolerated well and can prevent hunger-related reflux symptoms.
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