Nokea
The nurse is caring for the client to manage and decrease the sensation of nausea. Which nonpharmacological intervention should the nurse recommend?
- A. Sipping tea made from gingerroot
- B. Changing positions more rapidly
- C. Decreasing intake of solid food
- D. Playing stimulating classical music
Correct Answer: A
Rationale: A. Ginger has demonstrated antiemetic properties as well as analgesic and sedative effects on GI motility. B. Avoidance of sudden changes in position and decreasing activity are recommended to control nausea. C. All food should be stopped when nausea is present to prevent stomach stretching and stimulation of the afferent nerve fibers. D. A quiet, calm environment, rather than one that is stimulating, is recommended to decrease nausea.
You may also like to solve these questions
Which information should the nurse teach the client post-barium enema procedure?
- A. The client should not eat or drink anything for four (4) hours.
- B. The client should remain on bedrest until the sedative wears off.
- C. The client should take a mild laxative to help expel the barium.
- D. The client will have normal elimination color and pattern.
Correct Answer: C
Rationale: A mild laxative helps expel barium, preventing constipation or impaction post-barium enema. NPO, bedrest, and normal stool color are incorrect.
Which signs and symptoms should the nurse report to the health-care provider for the client recovering from an open cholecystectomy?
- A. Clay-colored stools.
- B. Yellow-tinted sclera.
- C. Amber-colored urine.
- D. WGold-colored urine.
- E. Wound approximated.
- F. Abdominal pain.
Correct Answer: A,B,E
Rationale: Clay-colored stools and yellow-tinted sclera indicate possible bile duct obstruction or jaundice, while abdominal pain suggests complications like infection or bile leak, all requiring HCP notification. Amber urine and approximated wounds are less urgent.
The nurse is caring for the client diagnosed with ascites secondary to hepatic cirrhosis. Which information should the nurse report to the health-care provider?
- A. A decrease in the client's daily weight of one (1) pound.
- B. An increase in urine output after administration of a diuretic.
- C. An increase in abdominal girth of two (2) inches.
- D. A decrease in the serum direct bilirubin to 0.6 mg/dL.
Correct Answer: C
Rationale: An increase in abdominal girth (2 inches) suggests worsening ascites, requiring HCP notification. Weight loss, increased urine output, and normal bilirubin are expected or less urgent.
Which problems should the nurse include in the plan of care for the client diagnosed with peptic ulcer disease to observe for physiological complications?
- A. Alteration in bowel elimination patterns.
- B. Knowledge deficit in the causes of ulcers.
- C. Inability to cope with changing family roles.
- D. Potential for alteration in gastric emptying.
Correct Answer: A
Rationale: Peptic ulcer disease can lead to complications like bleeding or perforation, which alter bowel elimination patterns (e.g., melena or hematochezia). Knowledge deficits and coping issues are psychosocial, and gastric emptying is less commonly affected.
The nurse is caring for a client who uses cathartics frequently. Which statement made by the client indicates an understanding of the discharge teaching?
- A. In the future I will eat a banana every time I take the medication.
- B. I don't have to have a bowel movement every day.
- C. I should limit the fluids I drink with my meals.
- D. If I feel sluggish, I will eat a lot of cheese and dairy products.
Correct Answer: B
Rationale: Understanding that daily bowel movements are not necessary reflects proper teaching to reduce cathartic overuse. Bananas, fluid limits, and dairy are incorrect.