A nurse is reinforcing teaching about lleostomy care with a client. The nurse should recognize which of the following statements by the client Indicates a need for further teaching?

"I will use caution when eating high fiber foods."

"I will empty my pouch when it becomes one third full."

"I will be certain to take enteric-coated medications."

"I will change my entire pouch system at least weekly."

Answer and Explanation

The Correct Answer is C

A. "I will use caution when eating high fiber foods." Clients with an ileostomy should be cautious with high-fiber foods as they can cause blockages.

B. "I will empty my pouch when it becomes one third full."
This statement is correct. Regularly emptying the pouch prevents it from becoming too heavy and ensures comfort for the client.

C. "I will be certain to take enteric-coated medications."This statement indicates a need for further teaching. Enteric-coated medications are designed to dissolve in the intestine, but with an ileostomy, the medication may pass through the digestive system too quickly to be absorbed effectively. Clients should be advised to consult their healthcare provider about medication forms, as liquid or non-enteric-coated medications may be more appropriate.

D. "I will change my entire pouch system at least weekly."
This statement is correct. Changing the pouch system regularly helps maintain hygiene and prevents skin irritation.

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Correct Answer is ["2.5"]

Explanation

The stock concentration of famotidine oral solution is 40mg/5ml

The ordered dose is 20mg \).

To find out how many milliliters (mL) of the solution to administer, we can set up a proportion.

40mg/5ml = 20mg/ dose to administer

Cross-multiplying, we get:

40mg * Dose to Administer (mL) = 20mg*5ml

Dose to Administer (mL) = 20mg * 5 mL/ 40mg

Simplifying:

Dose to Administer (mL) = 100/40 ml

Dose to Administer (mL) = 2.5mL

So, the nurse should administer 2.5 mL of the famotidine oral solution per dose.

A. "Do you take any recreational drugs?" B. "Did you have a blood transfusion recently? C. "Have you eaten any shellfish lately?" D. "Have you traveled to a third world country in the past two months?"

Correct Answer is D

Explanation

A. "Do you take any recreational drugs?"

This question is related to the risk of hepatitis transmission through the sharing of needles or other drug paraphernalia. Hepatitis B and C can be transmitted through contaminated needles used for injecting drugs.
B. "Did you have a blood transfusion recently?"

This question addresses the risk of hepatitis transmission through blood transfusions. While this used to be a significant risk, modern blood screening procedures have greatly reduced this risk. However, it's still a relevant question to understand the client's medical history.
C. "Have you eaten any shellfish lately?"

This question is related to the risk of hepatitis A transmission. Hepatitis A is often transmitted through contaminated food or water. Shellfish from contaminated waters can be a source of hepatitis A infection.
D. "Have you traveled to a third world country in the past two months?"

This question is crucial because hepatitis A is often more prevalent in developing countries and can be contracted through contaminated food, water, or poor sanitation. Travel history can help identify possible exposure sources.

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A nurse is reinforcing teaching about lleostomy care with a client. The nurse should recognize which of the following statements by the client Indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2.5"]

Explanation

A nurse is caring for a client who has hepatitis A. The client asks the nurse how he might have contracted the virus. Before responding, which of the following questions should the nurse first ask the client?

Correct Answer is D

Explanation

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