A patient has been scheduled for a urea breath test in one month's time. What nursing diagnosis most likely prompted this diagnostic test?

Imbalanced Nutrition: Less Than Body Requirements Related to Enzyme Deficiency

Impaired Dentition Related to Gingivitis

Diarrhea Related to Clostridium Difficile Infection

Risk For Impaired Skin Integrity Related to Peptic Ulcers

Answer and Explanation

The Correct Answer is A

Choice A reason:

The urea breath test is typically used to diagnose Helicobacter pylori (H. pylori) infection in the stomach. H. pylori can lead to gastritis and ulcers, which can interfere with nutrient absorption and contribute to imbalanced nutrition.

Choice B reason:

Impaired dentition related to gingivitis is not directly related to the need for a urea breath test. This diagnosis pertains to dental health, not gastric health.

Choice C reason:

Diarrhea related to Clostridium difficile infection is not directly related to the need for a urea

breath test. This diagnosis pertains to a bacterial infection in the colon, not H. pylori infection in the stomach.

Choice D reason:

Risk for impaired skin integrity related to peptic ulcers is also not directly related to the need for a urea breath test. This diagnosis pertains to potential skin breakdown due to ulcers, not the

assessment of H. pylori infection.

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Correct Answer is A

Explanation

Choice A reason:

Drinking beverages after a meal, rather than with it, can help minimize reflux symptoms in individuals with hiatal hernias.

Choice B reason:

Dry foods are not specifically contraindicated for individuals with hiatal hernias, and this statement does not directly address reflux symptoms.

Choice C reason:

Eating smaller, more frequent meals is a helpful dietary modification for individuals with hiatal hernias to reduce the likelihood of reflux.

Choice D reason:

While antacids can provide relief for acid reflux symptoms, this statement doesn't address the timing of meals and beverages, which is more relevant to hiatal hernia management.

A. Keep the patient in a low Fowler's position when at rest. B. Connect the tube to continuous wall suction when not in use. C. Confirm placement of the tube prior to each medication administration. D. Have the patient sip cool water to stimulate saliva production.

Correct Answer is C

Explanation

Choice A reason:

Keeping the patient in a low Fowler's position may not directly address the management of the NG tube and dysphagia.

Choice B reason:

Connecting the tube to continuous wall suction when not in use is not a standard intervention for NG tube feeding.

Choice C reason:

This statement is correct. Confirming placement of the tube prior to each medication

administration is crucial to ensure safe and effective delivery of medications and nutrition.

Choice D reason:

Having the patient sip cool water, while a general recommendation for some patients, does not specifically address the care of the NG tube.

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A patient has been scheduled for a urea breath test in one month's time. What nursing diagnosis most likely prompted this diagnostic test?

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Naxlex Comprehensive Predictor Exams

A patient seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?

Correct Answer is A

Explanation

A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?

Correct Answer is C

Explanation

A nurse is caring for an older adult who has been experiencing severe Clostridium difficile- related diarrhea. When reviewing the patient's most recent laboratory tests, the nurse should prioritize which of the following?

During a health education session, a participant has asked about the hepatitis E virus. What prevention measure should the nurse recommend for preventing infection with this virus?

A patient has been diagnosed with acute pancreatitis. The nurse is addressing the diagnosis of Acute Pain Related to Pancreatitis. What pharmacologic intervention is most likely to be ordered for this patient?

Give Ceclor 45mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75mL stock medication is labeled Ceclor 125mg/mL. How many mLs would the nurse administer per dose? Units in mL. (Please record your exact answer)

A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease?

A nurse is providing care for a patient who is postoperative day 2 following gastric surgery. The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

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A nurse is providing care for a patient who is postoperative day 2 following gastric surgery. The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.