The nurse teaches the client to best promote optimal GI function by including what in the daily routine?

Exercise, adequate sleep, and avoiding caffeine.

Nutritious diet, avoiding alcohol, and cautious use of laxatives.

Avoiding prescription medications, increased fluid intake, and vigorous exercise.

Nutritious diet, adequate fluid intake, and exercise.

Answer and Explanation

The Correct Answer is B

This is because a nutritious diet provides adequate fiber and nutrients for the GI tract, avoiding alcohol prevents dehydration and irritation of the GI mucosa, and cautious use of laxatives prevents dependency and electrolyte imbalance.

Choice A is wrong because caffeine can stimulate the GI motility and cause diarrhea or cramps.

Choice C is wrong because some prescription medications can affect the GI function, such as antibiotics, opioids, or antacids.

Increased fluid intake is good, but not enough to promote optimal GI function.

Vigorous exercise can also cause GI distress or dehydration.

Choice D is wrong because adequate fluid intake is essential for preventing constipation and maintaining hydration.

Exercise can also help with bowel movements and overall health.

Normal ranges for GI function vary depending on the individual, but generally, a person should have at least one bowel movement every 3 days and no more than 3 bowel movements per day.

The stool should be soft, formed, and easy to pass.

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Correct Answer is B

Explanation

This is because antiemetics should be given to prevent motion sickness rather than after nausea or vomiting develop. Taking the medication 30 minutes before departing allows enough time for the drug to be absorbed and reach its peak effect.

Choice A is wrong because avoiding eating or drinking for 6 hours before the trip may cause dehydration and low blood sugar, which can worsen nausea and vomiting.

It is better to eat a light meal or snack before the trip and avoid spicy, greasy, or acidic foods.

Choice C is wrong because taking two doses if relief is not achieved may cause overdose and adverse effects.

Antiemetics should be taken as prescribed and not exceeded without consulting a doctor.

Choice D is wrong because increasing fluid intake to prevent urinary retention is not relevant for motion sickness.

Urinary retention is a possible side effect of some antiemetics, such as anticholinergics, but it is not a common problem for most people.

Fluid intake should be moderate and not excessive to avoid stomach distension.

A. Impaction. B. Chronic diabetic gastroparesis. C. Encopresis. D. Clients requiring diagnostic procedures.

Correct Answer is B

Explanation

Metoclopramide is a medication that increases muscle contractions in the upper digestive tract and speeds up the rate at which the stomach empties into the intestines. It is used to treat gastroparesis (slow stomach emptying) in people with diabetes, which can cause heartburn and stomach discomfort after meals.

Choice A is wrong because impaction is a condition where a large mass of dry, hard stool becomes stuck in the rectum and cannot be passed.

Metoclopramide does not treat impaction, but laxatives or enemas may be used instead.

Choice C is wrong because encopresis is a condition where a child over the age of 4 has involuntary bowel movements, usually due to chronic constipation.

Metoclopramide does not treat encopresis, but behavioral therapy, laxatives, or dietary changes may be used instead.

Choice D is wrong because metoclopramide is not used for clients requiring diagnostic procedures involving the stomach or intestines.

However, it may be used to prevent nausea and vomiting caused by chemotherapy or surgery.

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The nurse teaches the client to best promote optimal GI function by including what in the daily routine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is prone to motion sickness is going on a fishing trip on a boat and has been prescribed an antiemetic. What action should the nurse recommend?

Correct Answer is B

Explanation

The nurse administers metoclopramide to the client with what condition?

Correct Answer is B

Explanation

What type of insulin would the nurse administer if the fastest therapeutic effects are needed?

The nurse is caring for a client who has begun vomiting. The nurse is aware that which part of the client’s brain has been stimulated?

A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client’s occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client’s needs?

The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed?

With what client should the nurse question the administration of human insulin?

The nurse is working with a client who is newly diagnosed with hypothyroidism. Diagnostic testing has indicated that the client’s health problem is caused by anterior pituitary dysfunction. This client’s hypothyroidism is rooted in a deficiency of:

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient?

A client taking a chemical stimulant laxative and medications for heart failure and osteoarthritis calls the clinic and reports, “I’m just not feeling right.” What is the priority question the nurse should ask this client?