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Questions 149

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Extract:


Question 1 of 5

The nurse working in an outpatient clinic has the opportunity to teach a client recently diagnosed with irritable bowel syndrome (IBS). Which of the following topics would be most appropriate for the nurse to include? Select all that apply.

Correct Answer: B, D

Rationale: Stress reduction techniques and daily probiotics can help manage IBS symptoms, while limiting fluids is not recommended, and iced tea may exacerbate symptoms due to caffeine.

Question 2 of 5

The nurse is evaluating nutritional outcomes for an elderly client with anorexia nervosa. Which data best indicates that the plan of care is effective?

Correct Answer: D

Rationale: Weight gain is the most direct indicator of effective nutritional intervention in anorexia nervosa.

Question 3 of 5

The nurse is caring for a client with a history of ulcerative colitis who is admitted with a flare-up. Which of the following dietary recommendations should the nurse provide?

Correct Answer: C

Rationale: avoiding dairy products if lactose intolerant reduces gastrointestinal irritation in ulcerative colitis

Question 4 of 5

A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?

Correct Answer: D

Rationale: basic guidelines to teach a postgastrectomy client are measures to prevent dumping syndrome, which include: lying down for 30 minutes after meals, drinking fluids between meals, and reducing intake of carbohydrates

Question 5 of 5

A client is admitted to the emergency department with chest pain and is diagnosed with an acute myocardial infarction. The physician orders thrombolytic therapy. The nurse knows that this therapy is contraindicated in which of the following conditions?

Correct Answer: B

Rationale: previous hemorrhagic stroke is an absolute contraindication for thrombolytic therapy due to the risk of bleeding

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