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 C
Explanation
A. “Avoid high-fiber foods while taking this medication.”: Fentanyl can cause constipation, so a diet high in fiber is actually recommended to promote bowel regularity. Avoiding fiber would worsen one of the drug’s common side effects.
B. “Remove the patch for 8 hours every day to reduce the risk of tolerance.": Fentanyl patches are designed for continuous, 72-hour use. Removing the patch disrupts pain control and may lead to withdrawal symptoms or inadequate analgesia.
C. “Avoid hot tubs while wearing the patch.”: Heat exposure, including hot tubs or heating pads, can increase fentanyl absorption, potentially leading to overdose. Clients should be advised to avoid external heat sources near the patch.
D. “Apply the patch to your forearm.”: The patch should be applied to a flat, non-irritated area of the upper torso or upper arm. The forearm is not typically recommended due to its mobility and potential for detachment or reduced absorption.
Correct Answer is D
Explanation
A. Abdominal aortic aneurysm: While this condition is serious, it does not directly affect the safety of applying localized heat therapy to a distal site like the foot, unless systemic complications are present.
B. Osteoarthritis: Heat therapy is often beneficial in osteoarthritis, as it helps reduce joint stiffness and improve circulation to the affected area, making it a common and safe intervention.
C. Phlebitis: Warm compresses are sometimes used in phlebitis to reduce inflammation and promote comfort, provided there are no signs of infection or severe vascular compromise.
D. Peripheral neuropathy: Clients with peripheral neuropathy have impaired sensation and may not feel excessive heat, increasing the risk of burns or tissue injury. This makes heat therapy unsafe for these individuals.
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