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Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow-up action by the nurse?

A.

Review with the client the need to avoid foods that are rich in milk and cream.

B.

Suggest that the client also plan to eat frequent small meals to reduce discomfort.

C.

Remind the client that it is also important to switch to decaffeinated coffee and tea.

D.

Reinforce the teaching by asking the client to make a list of snack foods high in dairy content.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Reviewing with the client the need to avoid foods rich in milk and cream is crucial. Dairy products can increase gastric acid secretion, which can exacerbate duodenal ulcers.

 

Choice B rationale

 

Suggesting frequent small meals can help reduce discomfort but does not address the issue of dairy products exacerbating the ulcer.

 

Choice C rationale

 

Switching to decaffeinated coffee and tea is beneficial but not as critical as avoiding dairy products.

 

Choice D rationale

 

Reinforcing teaching by asking the client to list dairy foods does not address the need to avoid these foods.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Attaching humidification to oxygen delivery can help with comfort but is not the immediate priority in assessing the client’s respiratory status.

Choice B rationale

Coaching through using huff coughing is a useful technique for clearing secretions but should follow the assessment of the client’s oxygenation status.

Choice C rationale

Obtaining a pulse oximetry reading is the next immediate action after positioning the client upright. It provides essential information about the client’s oxygen saturation and helps guide further interventions.

Choice D rationale

Providing a nebulizer breathing treatment can help relieve symptoms but should be based on the assessment of the client’s oxygenation status.

Correct Answer is A

Explanation

Choice A rationale

Acute pancreatitis is a potential complication after cholecystectomy. The persistent upper abdominal pain radiating to the back is a classic symptom of acute pancreatitis. This condition can occur due to the migration of gallstones or other factors affecting the pancreas.

Choice B rationale

Biliary duct obstruction can cause upper abdominal pain, but it is less likely to present with pain radiating to the back. This condition typically presents with jaundice and other symptoms.

Choice C rationale

Surgical site infection can cause abdominal pain, but it is usually localized to the surgical site and does not typically radiate to the back. Other signs of infection, such as fever and redness, would also be present.

Choice D rationale

Hepatorenal failure is a severe condition that can occur in patients with liver disease, but it is not commonly associated with pain radiating to the back. It typically presents with symptoms of liver and kidney dysfunction.

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