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 A

Explanation

Choice A reason: Drawing air in through the nose and exhaling slowly through pursed lips is a technique known as pursed-lip breathing. This method helps improve gas exchange by keeping the airways open longer during exhalation, which aids in the removal of trapped air and reduces dyspneal.

Choice B reason: Increasing the breathing rate for a full 30 seconds is not recommended for clients with emphysema. Rapid breathing can lead to hyperventilation and increased work of breathing, which can exacerbate dyspneal.

Choice C reason: Raising hands above the head to expand the diaphragm might help in some situations, but it is not as effective as pursed-lip breathing for improving gas exchange and reducing dyspneal in clients with emphysema.

Choice D reason: Laying down on each side with knees bent and breathing from the abdomen is a relaxation technique that can help some clients, but it does not specifically address the need for improved gas exchange during episodes of dyspneal.

A. Lung sounds. B. Turgor. C. Weight. D. Blood pressure. H. Here's the edited text with the instructions applied:

Correct Answer is C

Explanation

Choice A reason: Lung sounds are important to assess for signs of fluid in the lungs, such as crackles, which can occur with fluid volume overload. However, they do not directly measure fluid balance.

Choice B reason: Turgor assesses skin elasticity and hydration status, but it is not the most accurate indicator of overall fluid balance in the context of fluid volume overload.

Choice C reason: Weight is the most accurate and direct measure of fluid balance. Daily weight monitoring can track changes in fluid status, as weight fluctuations can reflect gains or losses in body fluid.

Choice D reason: Blood pressure is important to monitor, especially in clients with fluid volume issues, but it is not the most direct measure of fluid balance. Weight changes provide more precise information about fluid status.

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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 caring for a client with emphysema who is mildly dyspneic after ambulation. Which instruction should the nurse provide to the client to improve gas exchange?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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