Nokea
A client recently diagnosed with peptic ulcer disease is being discharged. While the nurse provides discharge teaching, which of the following over-the-counter medications should the client be instructed to avoid?
- A. Calcium
- B. Magnesium
- C. Sodium
- D. Aspirin
Correct Answer: D
Rationale: Aspirin can irritate the gastric mucosa and increase the risk of bleeding in peptic ulcer disease. Calcium, magnesium, and sodium (in typical OTC forms) do not typically exacerbate ulcers.
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The nurse plans a staff developmental conference on total parenteral nutrition (TPN). It would be appropriate for the nurse to identify which indications for using TPN?
- A. Appendicitis
- B. Gastroesophageal reflux disease (GERD)
- C. Diverticulosis
- D. Pancreatitis
Correct Answer: D
Rationale: TPN is indicated for pancreatitis when oral intake is not possible due to severe inflammation. Appendicitis, GERD, and diverticulosis typically do not require TPN, as oral or enteral nutrition is often feasible.
The nurse is teaching a client about prescribed metronidazole. Which of the following statements by the client indicates effective teaching?
- A. I should not drink alcohol while I’m taking metronidazole.
- B. It is okay for me to be in the sun while I’m taking this medicine.
- C. I should take the medicine until my stomach stops hurting, then stop.
- D. I should take the medicine on an empty stomach.
Correct Answer: A
Rationale: Metronidazole can cause a disulfiram-like reaction with alcohol, so avoiding alcohol is correct. Sun exposure is not a major concern, stopping early risks incomplete treatment, and metronidazole can be taken with food.
The nurse is performing teaching for a client scheduled for gastric bypass surgery. Which client statement requires follow-up by the nurse?
- A. Once I am home, I can advance my diet as tolerated.
- B. I will have to take a multivitamin after this surgery.
- C. I will be encouraged to perform leg exercises while I am in bed.
- D. My weight may increase if I do not change my eating habits.
Correct Answer: A
Rationale: Advancing the diet as tolerated (A) is incorrect; gastric bypass patients follow a strict, staged diet progression to prevent complications. Other statements (B, C, D) are accurate.
The nurse is developing a plan of care for a client who had bariatric surgery. Which of the following should the nurse include?
- A. Applying pneumatic compression devices
- B. Inserting an indwelling urinary catheter
- C. Placing the client on strict bed rest
- D. Measuring the abdominal girth
Correct Answer: A
Rationale: Pneumatic compression devices (A) prevent thromboembolism, a key risk post-bariatric surgery due to immobility and obesity. Catheters (B), bed rest (C), and girth measurement (D) are not routinely required.
A nurse is caring for a client diagnosed with a duodenal ulcer. Which medication facilitates healing by forming a protective lining over the client's ulcer?
- A. Famotidine
- B. Omeprazole
- C. Sucralfate
- D. Cimetidine
Correct Answer: C
Rationale: Sucralfate (C) forms a protective barrier over the ulcer, promoting healing by shielding it from stomach acid. Famotidine (A) and cimetidine (D) are H2 blockers, and omeprazole (B) is a proton pump inhibitor, which reduce acid but do not form a physical barrier.