Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching for a client who has experienced an acute episode of gastritis. Which of the following instructions should the nurse include in the teaching?
A. Take NSAIDs for pain.
Choice A reason: This is incorrect. Taking NSAIDs for pain is not a good instruction for a client who has experienced an acute episode of gastritis. NSAIDs are nonsteroidal anti-inflammatory drugs, such as aspirin, ibuprofen, or naproxen, that are used to treat pain, inflammation, or fever. However, NSAIDs can also irritate and damage the gastric mucosa and worsen gastritis. The nurse should advise the client to avoid NSAIDs and use other pain relievers, such as acetaminophen, or consult with the provider for alternative options.
B. Avoid drinking alcohol.
Choice B reason: This is the correct answer. Avoiding drinking alcohol is a good instruction for a client who has experienced an acute episode of gastritis. Alcohol can irritate and damage the gastric mucosa and worsen gastritis. The nurse should advise the client to avoid alcohol and other substances that can trigger or aggravate gastritis, such as caffeine, tobacco, or spicy foods.
C. Limit strenuous exercise.
Choice C reason: This is incorrect. Limiting strenuous exercise is not a necessary instruction for a client who has experienced an acute episode of gastritis. Exercise can have many health benefits, such as improving blood circulation, reducing stress, and enhancing mood. However, exercise does not directly affect the gastric mucosa or gastritis. The nurse should encourage the client to maintain a regular exercise routine, unless otherwise contraindicated by the provider.
D. Limit drinking milk.
Choice D reason: This is incorrect. Limiting drinking milk is not a necessary instruction for a client who has experienced an acute episode of gastritis. Milk can have some nutritional benefits, such as providing calcium, protein, and vitamin D. However, milk does not directly affect the gastric mucosa or gastritis. The nurse should advise the client to drink milk as tolerated, unless the client has lactose intolerance or allergy to milk. The nurse should also caution the client that drinking too much milk can cause diarrhea or constipation in some people.
This question is an excerpt from Nurse Dive's nursing test bank - NY BSN Proctored Exam. Take the full exam now
Similar Questions
A nurse is discharging a client who came to the outpatient clinic with an ankle sprain. Which of the following statements should the nurse identify as an indication that the client understands the discharge instructions?
A. "I'll bear weight on my ankle for 10 minutes every hour."
Choice A reason: This is incorrect because bearing weight on an injured ankle can worsen the swelling and pain. The client should rest and elevate the ankle as much as possible.
B. "I'll rewrap my ankle starting from the knee down."
Choice B reason: This is incorrect because wrapping the ankle from the knee down can impair blood circulation and cause more damage. The client should wrap the ankle from the toes up, using an elastic bandage.
C. "I'll put a heating pad on my ankle at bedtime tonight."
Choice C reason: This is incorrect because applying heat to an acute injury can increase inflammation and bleeding. The client should use cold therapy for the first 48 hours after the injury.
D. "I'll apply ice to my ankle today and tomorrow."
Choice D reason: This is correct because applying ice to an ankle sprain can reduce swelling, pain, and inflammation. The client should apply ice for 15 to 20 minutes every two to four hours for the first two days.
A nurse is caring for a client who is scheduled for an arthroplasty. The nurse asks the client to state if he understands the procedure that is being performed. Which of the following statements by the client indicates an understanding of the procedure?
A. "This procedure will prevent further joint damage."
Choice A reason: This is incorrect because an arthroplasty does not prevent further joint damage, but rather treats existing damage by replacing the damaged joint with an artificial one.
B. "This procedure will fuse my joint to reduce my pain."
Choice B reason: This is incorrect because an arthroplasty does not fuse the joint, but rather removes the damaged joint and replaces it with a prosthesis. A fusion is a different type of surgery that joins two or more bones together.
C. "This procedure will replace my joint to improve function."
Choice C reason: This is correct because an arthroplasty is a surgical procedure that replaces a damaged joint with an artificial one, which can improve the function and mobility of the joint and reduce pain.
D. "This procedure will determine the extent of joint damage."
Choice D reason: This is incorrect because an arthroplasty does not determine the extent of joint damage, but rather treats it by replacing the joint. The extent of joint damage can be determined by other methods, such as imaging tests or physical examination.
A nurse on the day shift is preparing to change a client's total parenteral nutrition (TPN) solution, but the new TPN solution has not arrived from the pharmacy. The client receives additional IV fat emulsion during the night shift.
Which of the following actions should the nurse take?
A. Hang the IV fat emulsion solution.
Choice A reason: This is incorrect because hanging the IV fat emulsion solution alone will not provide adequate calories, electrolytes, vitamins, and minerals for the client who needs TPN. The fat emulsion is an adjunct to TPN, not a substitute.
B. Call the provider for new TPN orders.
Choice B reason: This is incorrect because calling the provider for new TPN orders is not necessary unless there is a change in the client's condition or nutritional needs. The nurse should contact the pharmacy to expedite the delivery of the new TPN solution.
C. Hang dextrose 10% in water (D10W) until the TPN solution is delivered.
Choice C reason: This is correct because hanging D10W until the TPN solution is delivered will prevent hypoglycemia and maintain fluid balance in the client who needs TPN. D10W has a similar osmolarity to TPN and can be safely infused through the same IV catheter.
D. Saline lock the IV catheter after discontinuing the TPN solution.
Choice D reason: This is incorrect because saline locking the IV catheter after discontinuing the TPN solution will interrupt the continuous infusion of nutrition and fluids for the client who needs TPN. This can cause hypoglycemia, dehydration, and infection. The nurse should maintain patency of the IV catheter until the new TPN solution is delivered.