Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow- up action by the nurse?

Review with the client the need to avoid foods that are rich in milk and cream.

Reinforce the teaching by asking the client to make a list of snack foods high in dairy content.

Remind the client that it is also important to switch to decaffeinated coffee and tea.

Suggest that the client also plan to eat frequent small meals to reduce discomfort.

Answer and Explanation

The Correct Answer is A

A. Consuming dairy products, especially those rich in milk and cream, can stimulate gastric acid secretion and exacerbate symptoms of a duodenal ulcer. Therefore, it is essential for the nurse to review with the client the importance of avoiding foods that can aggravate the ulcer and worsen symptoms.

B. While reinforcing teaching about dietary modifications is important, encouraging the client to make a list of snack foods high in dairy content would not address the issue of avoiding dairy products to protect the duodenal ulcer.

C. While switching to decaffeinated coffee and tea can be beneficial for individuals with duodenal ulcers, it does not directly address the client's misconception about using dairy products to coat and protect the ulcer.

D. Eating frequent small meals can help reduce discomfort associated with duodenal ulcers by minimizing gastric acid secretion and preventing large fluctuations in stomach volume.

However, this option does not address the client's misconception.

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Correct Answer is D

Explanation

D. Bismuth subsalicylate, a component of the regimen, has salicylate in its composition, which can lead to an increased risk of bleeding when taken with aspirin, a known blood thinner.

A. Loperamide is an antidiarrheal medication commonly used to treat diarrhea. It is not directly related to the treatment of Helicobacter pylori (H. pylori) infection.

B. Ipratropium is a bronchodilator medication used to treat conditions such as chronic obstructive pulmonary disease (COPD) and asthma. It is not directly related to the treatment of H. pylori infection.

C. Famotidine is a histamine-2 (H2) receptor antagonist commonly used to reduce stomach acid production. It is not directly related to the treatment of H. pylori infection.

A. Destruction of helper T-cells and CD4 cells. B. Increase in B-lymphocytes and IgM. C. Deficiency of cytotoxic T-cells. D. Proliferation of suppressor T-cells.

Correct Answer is A

Explanation

A. As HIV replicates within helper T-cells, it damages and destroys them, leading to a progressive decline in the number of CD4 cells in the body. This loss of helper T-cells weakens the immune system's ability to mount an effective response against infections

B. HIV infection does not typically lead to an increase in B-lymphocytes (B cells) or IgM antibodies.

C. While HIV infection can eventually lead to a deficiency in cytotoxic T-cells (CD8-positive T cells), particularly in advanced stages of the disease, the primary target of HIV is helper T-cells (CD4-positive T cells).

D. HIV infection does not result in the proliferation of suppressor T-cells (regulatory T cells).

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Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow- up action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The healthcare provider prescribes bismuth subsalicylate, metronidazole, tetracycline, and pantoprazole for a client with a Helicobacter pylori (H. pylori) infection. Prior to administering the H. pylori treatment regimen, the nurse should review the electronic medical record for which medication?

Correct Answer is D

Explanation

The nurse is preparing a teaching plan for a group of clients who were found to be HIV positive within the last year. Members of the group express an interest in learning about the pathology of AIDS. The nurse should explain that HIV acts in which way to suppress the immune system?

Correct Answer is A

Explanation

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