A nurse is providing teaching to a client who has gastritis. Which of the following instructions should the nurse include in the teaching?
"Season foods with salt and pepper.”
"Eat small frequent meals daily."
"Use ibuprofen as needed for discomfort."
"Take a vitamin E supplement daily.”
The Correct Answer is B
A. "Season foods with salt and pepper.": Spicy and seasoned foods can irritate the gastric mucosa, potentially worsening gastritis symptoms, so this advice is not appropriate.
B. "Eat small frequent meals daily.": Smaller, more frequent meals help reduce gastric acid secretion and minimize irritation of the stomach lining, which can alleviate symptoms of gastritis and promote healing.
C. "Use ibuprofen as needed for discomfort.": Nonsteroidal anti-inflammatory drugs like ibuprofen can exacerbate gastritis by irritating the stomach lining and increasing the risk of bleeding, so they should be avoided.
D. "Take a Vitamin E supplement daily.": There is no clear evidence supporting the use of vitamin E supplements for gastritis management, and supplementation is not a standard recommendation in this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sit next to the client when speaking to them: Sitting in front of the client is more effective, as it allows the client to see the nurse’s facial expressions and lip movements, which can aid comprehension.
B. Lower the tone of voice at the end of each sentence: Lowering tone may make speech harder to hear. Many people with hearing loss have difficulty hearing low-pitched sounds, so lowering the tone can reduce clarity.
C. Emphasize vowel sounds when speaking: Vowel sounds are softer and less distinct than consonants. Emphasizing consonants and speaking clearly at a moderate pace is more effective than focusing on vowels.
D. Decrease background noise when talking with the client: Reducing background noise enhances the client's ability to hear and understand by minimizing auditory distractions, making this the most helpful communication strategy.
Correct Answer is A
Explanation
A. Footboard: A footboard helps maintain the foot in dorsiflexion and prevents it from pointing downward, which is essential in avoiding plantar flexion contractures in clients with limited mobility due to spinal cord injury.
B. Sheepskin heel pad: While this device helps reduce pressure and prevent skin breakdown on the heels, it does not provide structural support to keep the foot in the correct position and therefore does not prevent contractures.
C. Trochanter roll: A trochanter roll is placed alongside the outer thigh to prevent external rotation of the hip, not to support the foot or ankle. It is unrelated to plantar flexion prevention.
D. Abduction pillow: This is used to maintain proper hip alignment, especially after hip surgery. It does not provide support or positioning for the feet and is not effective for preventing foot contractures.
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