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A nurse is performing an abdominal assessment of an older adult patient. When collecting and analyzing data, the nurse should be cognizant of what age-related change in gastrointestinal structure and function?

Increased gastric motility

Increased gag reflex

Decreased mucus secretion

Decreased gastric pH

Answer and Explanation

The Correct Answer is C

Choice A reason:

In older adults, gastric motility tends to decrease rather than increase.

Choice B reason:

The gag reflex may diminish with age, making older adults more prone to swallowing difficulties.

Choice C reason:

This statement is correct. With aging, there is a decrease in mucus secretion in the gastrointestinal tract, which can lead to dryness and potential discomfort.

Choice D reason:

Gastric pH tends to increase with age, which can affect the digestion and absorption of certain nutrients.

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Correct Answer is B

Explanation

Choice A reason:

While lansoprazole can be taken with or without food, it is generally recommended to take it before a meal for optimal effectiveness in reducing stomach acid.

Choice B reason:

This is the correct answer. Taking lansoprazole 30 minutes before breakfast allows it to be most effective in reducing stomach acid production.

Choice C reason:

Taking lansoprazole after lunch may not provide the same level of effectiveness in reducing stomach acid as taking it before a meal.

Choice D reason:

Taking lansoprazole with a bedtime snack may not be as effective in reducing stomach acid as taking it before a meal. Additionally, it is generally recommended to take it in the morning.

A. Diarrhea B. Dyspepsia C. Epigastric discomfort D. Hematemesis

Correct Answer is D

Explanation

Choice A reason:

While diarrhea can be a symptom of peptic ulcer disease, it is not typically considered a priority over more severe symptoms.

Choice B reason:

Dyspepsia (indigestion) is a common symptom of peptic ulcer disease, but it is not the priority over more concerning symptoms.

Choice C reason:

Epigastric discomfort is a symptom of peptic ulcer disease, but it is not the priority over more severe symptoms like hematemesis.

Choice D reason:

Hematemesis (vomiting blood) is a serious and potentially life-threatening symptom of peptic ulcer disease. It is the top priority for assessment and intervention.

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A nurse is performing an abdominal assessment of an older adult patient. When collecting and analyzing data, the nurse should be cognizant of what age-related change in gastrointestinal structure and function?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

Correct Answer is B

Explanation

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Correct Answer is D

Explanation

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