The nurse is teaching a client with gastritis about self-management. Which statement made by the client should the nurse recognize as needing additional education?

Report black stools to healthcare provider.

Consume caffeine in moderation.

Drink plenty of water with meals.

Avoid taking ibuprofen for headaches.

Answer and Explanation

The Correct Answer is C

Choice A reason: Reporting black stools to the healthcare provider is important because black stools can indicate gastrointestinal bleeding, which is a serious complication of gastritis. This statement reflects proper understanding and does not need additional education.

Choice B reason: Consuming caffeine in moderation is advisable because excessive caffeine can irritate the stomach lining and exacerbate gastritis symptoms. This statement is correct and shows proper understanding.

Choice C reason: Drinking plenty of water with meals might seem beneficial, but it can actually dilute stomach acid and interfere with digestion, potentially worsening gastritis symptoms. Instead, it is recommended to drink water between meals to stay hydrated without impacting digestion.

Choice D reason: Avoiding ibuprofen for headaches is important because nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can irritate the stomach lining and worsen gastritis. This statement reflects proper understanding and does not need additional education.

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Correct Answer is C

Explanation

Choice A reason: Effectively managing pain, discomfort, and diarrhea is important for the client’s quality of life, but it does not address the long-term goal of preventing disease progression and complications.

Choice B reason: Ensuring careful fluid and electrolyte balance is critical, especially during acute exacerbations, but it is more of an immediate concern rather than a long-term goal.

Choice C reason: Reducing the number and severity of acute exacerbations is the most important long-term goal for clients with chronic ulcerative colitis. This goal focuses on maintaining remission, preventing complications, and improving overall prognosis by minimizing flare-ups.

Choice D reason: Maintaining a diet that is high in fibber content can be beneficial for overall health but may not always be suitable for clients with ulcerative colitis, especially during flare-ups. It is not the most critical long-term goal for managing the condition.

A. Amber urine. B. yellow sclera. C. Flatulence. D. Belching.

Correct Answer is B

Explanation

Choice A reason: Amber urine is not unusual and can be related to dehydration. Although it should be monitored, it is not the most urgent finding in this scenario.

Choice B reason: Yellow sclera is a sign of jaundice, which occurs when there is a significant buildup of bilirubin in the blood. This is a critical indicator of a blocked bile duct and requires immediate medical attention to prevent severe complications.

Choice C reason: Flatulence is common with gastrointestinal disturbances but is not an urgent finding compared to jaundice.

Choice D reason: Belching is also common in digestive disorders and not as concerning as the presence of jaundice, which indicates a potentially serious problem with bile drainage.

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The nurse is teaching a client with gastritis about self-management. Which statement made by the client should the nurse recognize as needing additional education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In planning care for a client with chronic ulcerative colitis, which long-term goal is most important for the nurse to include?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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