The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a duodenal ulcer? The client states that:

pain is relieved by belching.

eating food relieves pain.

pain is aggravated by eating.

pain occurs on the right side of the abdomen.

Answer and Explanation

The Correct Answer is B

B. Eating food relieves pain is typical of a duodenal ulcer. In the duodenum, food intake stimulates the release of pancreatic juices which comprises of bicarbonate. Bicarbonate neutralizes acid relieving pain.
A. Belching can help release gas from the stomach, which may provide temporary relief from pain caused by excess gastric acid irritating the ulcer.
C. Pain is aggravated by eating is typical of gastric ulcer. Food intake stimulates the secretion of gastric acid which irritates gastric ulcer aggravating pain.
D. Pain associated with duodenal ulcers typically occurs in the upper central or upper right quadrant of the abdomen.

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Correct Answer is C

Explanation

C. Protein is essential for tissue repair and maintenance, especially after surgery. Adequate protein intake can also help preserve muscle mass and promote satiety, which can be beneficial for weight management. However, it's important to choose lean protein sources and monitor portion sizes to avoid overconsumption.
A. After gastric banding (Lap-band) surgery, it is generally recommended to avoid high-fat foods. High-fat foods can contribute to weight gain and may increase the risk of complications such as dumping syndrome, which occurs when food moves too quickly from the stomach to the small intestine.
B. Adequate fiber intake is important for promoting bowel regularity and preventing constipation, which can be a concern after gastric banding surgery. However, it's essential to choose low-calorie, high-fiber foods to avoid overeating and to support weight loss goals.
D. After gastric banding surgery, it's generally recommended to avoid drinking fluids with meals. Consuming fluids during meals can cause the stomach pouch to fill too quickly, leading to discomfort and potentially stretching the pouch over time. It's typically advised to wait at least 30 minutes to 1 hour after meals before drinking fluids.

A. assist clients who are unable to eat but have active GI function. B. give short term nutrition after a surgical procedure. C. provide all of the client's nutritional needs in a hypertonic solution. D. prevent complications after a laparotomy for a bowel obstruction.

Correct Answer is C

Explanation

C. TPN does provide all of the client's nutritional needs, including carbohydrates, proteins, fats, vitamins, minerals, and electrolytes, in a hypertonic solution. The hypertonicity of the solution is necessary to prevent fluid overload and ensure compatibility with the vasculature. The hypertonic solution allows for higher nutrient concentrations to be delivered without exceeding vascular capacity.
A. TPN is indicated for clients who are unable to tolerate enteral nutrition (feeding through the gastrointestinal tract) or have impaired absorption, digestion, or utilization of nutrients despite having active GI function.
B. TPN may be used temporarily after a surgical procedure if the client is unable to tolerate oral or enteral feeding or if enteral nutrition is contraindicated due to the surgical site or condition. However, TPN is not limited to short-term use after surgery and may be required for an extended period in clients with chronic conditions or prolonged inability to tolerate enteral nutrition.
D. TPN may be used in some cases after a laparotomy for a bowel obstruction, particularly if enteral nutrition is contraindicated or if the client is unable to tolerate oral intake. However, TPN is not primarily used to prevent complications after surgery but rather to provide nutritional support when enteral feeding is not feasible or sufficient.

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The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a duodenal ulcer? The client states that:

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