What does the nurse include when teaching a patient with newly diagnosed peptic ulcer disease?

Correct Answer: C

Rationale: The correct answer is C because it promotes individualized dietary adjustments based on the patient's symptoms. By eating as normally as possible and eliminating foods that cause pain or discomfort, the patient can identify trigger foods. A bland diet (choice A) may not be necessary for all patients with peptic ulcer disease. Moderating alcohol and caffeine (choice B) is generally advised but not the top priority in dietary education. Avoiding milk and dairy (choice D) is not a standard recommendation unless the patient specifically experiences worsened symptoms with these products.

Correct Answer: A

Rationale: The correct answer is A: Encourage the patient to share concerns and ask questions. This option promotes therapeutic communication and allows the patient to express their fears and anxieties, which can help in addressing their concerns and building trust. By encouraging the patient to share their feelings, the nurse can provide emotional support and offer appropriate education tailored to the patient's needs. This approach empowers the patient to take an active role in their care and decision-making process. Summary: - Option B (Refer the patient to a chaplain): While spiritual support can be beneficial, in this case, the patient's immediate need is to address their concerns about the colostomy. - Option C (Explain that there is nothing the patient can do about it): This response is dismissive and not empowering for the patient, undermining their ability to cope effectively. - Option D (Tell the patient that learning about it will prevent issues): While education is important, forcing information on the patient without addressing their emotional needs may result in

Correct Answer: C

Rationale: The correct answer is C: Anorexia and right upper quadrant discomfort. During the incubation period of viral hepatitis, the virus is replicating in the liver without causing noticeable symptoms. Anorexia and right upper quadrant discomfort are common early symptoms due to liver inflammation. Pruritus and malaise (Choice A) typically occur during the symptomatic phase. Dark urine and easy fatigability (Choice B) are more indicative of liver damage during the acute phase. Constipation or diarrhea with light-colored stools (Choice D) are not specific to the incubation period of viral hepatitis.

Correct Answer: C

Rationale: The correct answer is C because patients with metastatic cancer of the liver typically have advanced disease and poor prognosis. Supportive care focuses on managing symptoms, providing comfort, and improving quality of life. Chemotherapy (choice A) may be used, but it is often palliative rather than curative. Surgery (choice B) is usually not an option for metastatic liver cancer. Choice D is incorrect as metastatic cancer is more difficult to treat compared to primary liver cancer. Therefore, choice C is the most appropriate plan of care for this patient.

Correct Answer: C

Rationale: The correct answer is C: Creamy pasta. Patients with cholecystitis should avoid high-fat foods to prevent triggering symptoms. Creamy pasta is typically high in fat content due to the cream-based sauce, which can exacerbate cholecystitis symptoms. Grilled chicken (A) and brown rice (D) are lower in fat and generally better options for patients with cholecystitis. Spinach (B) is a healthy, low-fat food choice that can be consumed by patients with cholecystitis.