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: Using a feminine hygiene spray can irritate the urethra and worsen the symptoms of cystitis. It is generally recommended to avoid products that contain chemicals and fragrances, as they can disrupt the natural balance of bacteria and lead to further infections.

Choice B reason: Limiting cranberry juice intake is not a typical recommendation for clients with cystitis. In fact, cranberry juice is often suggested as it contains compounds that can help prevent bacteria from adhering to the bladder wall, potentially reducing the risk of urinary tract infections.

Choice C reason: Wearing cotton underwear is recommended because it is breathable and helps keep the genital area dry. This can reduce the risk of bacterial growth and infection, making it an important measure in managing and preventing cystitis.

Choice D reason: Taking daily tub baths can increase the risk of introducing bacteria into the urinary tract, especially if the water is not clean. It is generally advised to take showers instead of tub baths to minimize the risk of urinary tract infections.

A. Minimize intake of spicy foods. B. Begin a smoking cessation program. C. Avoid wearing tight-fitting clothes. D. Remain upright following meals.

Correct Answer is D

Explanation

Choice A reason: Minimizing the intake of spicy foods can help reduce GERD symptoms, but it is not the most critical instruction for preventing reflux immediately after eating.

Choice B reason: Beginning a smoking cessation program is important for overall health and can help reduce GERD symptoms over time, but it is not the immediate priority for preventing reflux.

Choice C reason: Avoiding tight-fitting clothes can help reduce pressure on the abdomen and lessen reflux symptoms, but it is not the most urgent instruction to emphasize at discharge.

Choice D reason: Remaining upright following meals is crucial for preventing reflux. Lying down immediately after eating can cause stomach contents to flow back into the oesophagus, exacerbating GERD symptoms. This instruction is key to managing the condition effectively.

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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

The nurse is planning discharge teaching for a client who has cystitis. Which information should the nurse include in the teaching plan?

Correct Answer is C

Explanation

The nurse reviews discharge instructions with a client who has gastroesophageal reflux disease (GERD). Which instruction is most important for the nurse to emphasize?

Correct Answer is D

Explanation

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