2020HESIOBMATERNITYV1.docx.pdf
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Which of the following is an important component of a teaching plan for the client recently diagnosed with peptic ulcer disease? Incorrect: Antacids should not be taken concurrently with other ulcer d ... rugs such as H2 blockers because they will decrease drug absorption by 10% to 20%.Correct: The GI complications of NSAID use are strongly linked to mucosal injury and the development of gastric ulcers.Incorrect: Although milk-based diets may provide symptom relief, research has shown they do not influence healing and in fact actually act to increase acid secretion. Diet plays no defined role in ulcer development and current management of ulcers.Incorrect: The individual with an ulcer does not need to restrict activity to enhance healing. Most clients are able to continue usual activities, although adequate rest is encouraged. Antacids and H2 receptor antagonists can be taken together. Avoid the use of NSAIDs for pain control. Increase milk products in the diet to enhance healing. Limit physical activity to reduce stomach acid. 2 A nurse admits a 42-year-old female with the following characteristics: excessive sleeping, fatigue, constipation, weight gain, and complaint of intolerance to cold. These signs and symptoms are most consistent with: Incorrect: Although some of the symptoms mentioned would be consistent with acute renal failure (i.e. fatigue, weight gain), there is no mention of the classic symptoms of acute renal failure. These would include signs and symptoms of fluid overload and electrolyte imbalance such as hypertension, neck vein distention, low urine output, confusion.Incorrect: Although fatigue is consistent with aplastic anemia, the remaining symptoms are not. Aplastic anemia results from impaired erythrocyte production and is manifested by pale skin color, fatigue, exertional dyspnea8 During a home visit the nurse determines that the client is experiencing dumping syndrome following his recent total gastrectomy. Which dietary recommendation should the nurse convey to the client?A client with asthma goes into status asthmaticus. Which clinical signs, if present, would indicate that intubation and mechanical ventilation are needed? [Show More]
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