A patient with liver disease and esophageal varices is admitted for an episode of hematemesis. Which patient teaching should the nurse provide prior to discharge?
Limit consumption of green, leafy vegetables.
Perform passive range of motion exercises.
Avoid lifting heavy objects.
Take midodrine as prescribed.
The Correct Answer is C
Choice A reason: Limiting green, leafy vegetables is not typically necessary for patients with liver disease and esophageal varices unless they are on anticoagulant therapy.
Choice B reason: While passive range of motion exercises are beneficial for maintaining joint mobility, they are not directly related to the prevention of hematemesis.
Choice C reason: This is the correct choice. Lifting heavy objects can increase abdominal pressure and the risk of bleeding from esophageal varices.
Choice D reason: Midodrine is a medication used to treat low blood pressure, not specifically for esophageal varices or hematemesis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Lifting and clearing drainage from the chest tube is not necessary unless there is a blockage, which is not indicated by the water level changes.
Choice B reason: Inspecting the tube insertion site for leaking is important but not related to the observation of water level changes in the water-seal chamber.
Choice C reason: This is the correct choice. The water level rising during inspiration and falling during expiration is a normal finding that indicates the chest tube is functioning properly.
Choice D reason: Auscultating lungs for unequal breath sounds is part of the assessment but does not address the observed water level changes in the water-seal chamber.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. A urinary tract infection is a common cause of urinary incontinence in children and should be evaluated first.
Choice B reason: While emotional trauma can cause changes in behavior, including incontinence, it is not the first complication to be evaluated in this scenario.
Choice C reason: Sexual abuse can result in behavioral changes, but there is no immediate indication of this being the cause without further assessment.
Choice D reason: A structural defect of the urinary tract could cause incontinence, but it is less likely to be the cause of a sudden onset of symptoms compared to a urinary tract infection.
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