A client was admitted in the hospital with peptic ulcer disease tells the nurse about having black tarry stools. Which of the following is the most appropriate nursing action?
Instruct the client to increase fluid intake.
Notify the health care provider.
Advise the client to take iron rich foods.
Document the findings.
The Correct Answer is B
Choice A Reason: Instructing the client to increase fluid intake is not the most appropriate nursing action, as it does not address the cause or severity of the bleeding.
Choice B Reason: Notifying the health care provider is the most appropriate nursing action, as it indicates that the client may have a bleeding ulcer that requires immediate evaluation and treatment.
Choice C Reason: Advising the client to take iron rich foods is not the most appropriate nursing action, as it does not prevent or correct anemia or bleeding.
Choice D Reason: Documenting the findings is not the most appropriate nursing action, as it does not initiate any intervention or outcome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is: C. Provide the client with an antiemetic 2 hours prior to the chemotherapy.
Choice A reason:
Instructing the client to restrict food intake prior to treatment is not the best approach. While it might reduce nausea temporarily, it can lead to weakness and nutritional deficiencies. Chemotherapy patients need adequate nutrition to maintain their strength and immune function.
Choice B reason:
Encouraging the client to drink a carbonated beverage 1 hour before meals can sometimes help with mild nausea, but it is not as effective as antiemetic medications. Carbonated beverages may provide temporary relief but do not address the underlying cause of chemotherapy-induced nausea.
Choice C reason:
Providing the client with an antiemetic 2 hours prior to chemotherapy is the most effective action. Antiemetics are specifically designed to prevent nausea and vomiting associated with chemotherapy. Administering them before treatment helps to manage symptoms proactively, improving the client's comfort and ability to tolerate chemotherapy.
Choice D reason:
Advising the client to lie down after meals is not recommended as it can worsen nausea and increase the risk of gastroesophageal reflux. It is generally better for clients to remain upright for a period after eating to aid digestion and reduce nausea.
Correct Answer is A
Explanation
Choice A Reason: Managing diarrhea is the priority goal for the client's care, as it helps to prevent dehydration, electrolyte imbalance, malnutrition, and infection.
Choice B Reason: Promoting rest and comfort is an important goal for the client's care, but it is not the priority, as it does not address the underlying cause of the exacerbation.
Choice C Reason: Increasing self-esteem is a long-term goal for the client's care, but it is not the priority, as it does not affect the physical condition of the client.
Choice D Reason: Promoting self-care and independence is a long-term goal for the client's care, but it is not the priority, as it does not affect the acute symptoms of the exacerbation.
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