Nokea
Which of the following expected outcomes would be most appropriate for a client with peptic ulcer disease? The client will:
- A. verbalize absence of epigastric pain.
- B. accept the need to inject himself with vitamin B12 for the rest of his life.
- C. understand the need to increase his exercise activity.
- D. eliminate stress from his life.
Correct Answer: A
Rationale: The correct answer is A: verbalize absence of epigastric pain. This outcome is most appropriate as it directly relates to the client's condition of peptic ulcer disease. Verbalizing the absence of epigastric pain indicates that the client's ulcer is healing and symptoms are improving. It is a measurable and specific goal that reflects the client's progress in managing the disease.
Choice B is incorrect as vitamin B12 injections are not typically necessary for peptic ulcer disease. Choice C is incorrect as exercise may not directly impact the ulcer and may even exacerbate symptoms. Choice D is incorrect as eliminating stress completely is unrealistic and may not directly impact the ulcer.
You may also like to solve these questions
A nurse is reviewing the results of serum laboratory studies drawn on a client who is suspected of having hepatitis. The nurse interprets that an elevation in which of the following studies is the most specific indicator of the disease?
- A. Erythrocyte sedimentation rate
- B. Serum bilirubin
- C. Hemoglobin
- D. Blood urea nitrogen
Correct Answer: C
Rationale: The correct answer is C: Hemoglobin. In hepatitis, there is destruction of red blood cells, leading to decreased hemoglobin levels. This is a specific indicator of the disease. The other choices are incorrect because A (ESR) is a nonspecific marker of inflammation, B (serum bilirubin) is elevated in liver dysfunction but not specific to hepatitis, and D (BUN) is a measure of kidney function, not related to hepatitis. Hemoglobin, being directly affected by the disease process in hepatitis, is the most specific indicator among the options provided.
A client had an abdominal perineal resection with a colostomy 4 days ago and is ready for discharge. Which of the following would be an appropriate expected outcome at this point?
- A. The client maintains a high-fiber diet.
- B. The client discusses concerns about his sexual functioning.
- C. The client maintains bedrest.
- D. The client limits fluid intake to 1000 ml/day.
Correct Answer: B
Rationale: The correct answer is B because discussing concerns about sexual functioning is an appropriate expected outcome at this point. After an abdominal perineal resection with a colostomy, it is important for the client to address any concerns related to sexual functioning as it can impact their quality of life.
A: The client maintaining a high-fiber diet is not the most appropriate expected outcome at this point as it may be too soon after surgery to focus solely on dietary adjustments.
C: The client maintaining bedrest is not appropriate as early mobilization is usually encouraged after surgery to prevent complications.
D: Limiting fluid intake to 1000 ml/day is not recommended as adequate hydration is crucial for recovery post-surgery.
The nurse provides medication instructions to a client with peptic ulcer disease. Which statement, if made by the client, indicates best understanding of the medication therapy?
- A. The cimetidine (Tagamet) will cause me to produce less stomach acid.
- B. Sucralfate (Carafate) will change the fluid in my stomach.
- C. Antacids will coat my stomach.
- D. Omeprazole (Prilosec) will coat the ulcer and help it heal.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Cimetidine (Tagamet) is an H2 receptor antagonist that decreases stomach acid production.
2. Peptic ulcer disease is often caused by excessive stomach acid.
3. By decreasing stomach acid, cimetidine helps to heal the ulcer and prevent further damage.
4. Understanding this mechanism of action demonstrates the client's comprehension of the medication therapy.
Summary:
B: Sucralfate does not change stomach fluid; it forms a protective barrier over the ulcer.
C: Antacids neutralize stomach acid but do not coat the stomach.
D: Omeprazole reduces stomach acid production, not coats the ulcer.
After gastric resection surgery, which of the following signs and symptoms would alert the nurse to the development of a leaking anastomosis?
- A. Pain, fever, and abdominal rigidity.
- B. Diarrhea with fat in the stool.
- C. Palpitations, pallor, and diaphoresis after eating.
- D. Feelings of fullness and nausea after eating.
Correct Answer: A
Rationale: Rationale for choice A: Pain, fever, and abdominal rigidity are classic signs of a leaking anastomosis after gastric resection surgery. Pain indicates inflammation, fever suggests infection, and abdominal rigidity points to peritonitis. These symptoms are indicative of a surgical complication that requires immediate attention to prevent further complications like sepsis.
Summary of other choices:
B: Diarrhea with fat in the stool is more indicative of malabsorption issues, such as pancreatic insufficiency, rather than a leaking anastomosis.
C: Palpitations, pallor, and diaphoresis after eating are more suggestive of cardiovascular issues or anxiety rather than a leaking anastomosis.
D: Feelings of fullness and nausea after eating are common postoperative symptoms and do not specifically indicate a leaking anastomosis.
The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client stated to eat which of the following foods to make the stool less watery?
- A. Pasta
- B. Boiled rice
- C. Bran
- D. Low-fat cheese
Correct Answer: C
Rationale: Rationale:
C: Bran is a high-fiber food known to add bulk to stool, thus making it less watery in individuals with ileostomy.
A: Pasta and B: Boiled rice are low-fiber foods that may not help thicken stool.
D: Low-fat cheese is not specifically known to thicken stool.
In summary, choosing high-fiber foods like bran can help thicken stool, while low-fiber foods like pasta, boiled rice, and low-fat cheese may not have the same effect.