A client is being taught about drug therapy for Helicobacter pylori infection. What assessment by the nurse is most important?

a. Alcohol intake of 1 to 2 drinks per week
b. Family history of H. pylori infection
c. Former smoker still using nicotine patches
d. Willingness to adhere to drug therapy


ANS: D
Treatment for this infection involves either triple or quadruple drug therapy, which may make it difficult for clients to remain adherent. The nurse should assess the client's willingness and ability to follow the regimen. The other assessment findings are not as critical.

Nursing

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A nurse inspects an inpatient psychiatric unit and finds that exits are free from obstruction, no one is smoking, the janitor's closet is locked, and sharp objects are used under staff supervision. These observations relate to:

a. management of milieu safety. b. coordinating care of patients. c. management of the interpersonal climate. d. use of therapeutic intervention strategies.

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A 76-year-old patient is receiving IV heparin 5,000 units every 8 hours. An activated thromboplastin time (aPTT) is drawn 1 hour before the 8:00 AM dose; the aPTT is at 3.5 times the control value. What is the nurse's priority action?

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During an assessment the client complains of back pain. It is important for the nurse to determine:

A) the exact cause of the pain. B) the length of time the client has experienced the pain. C) the location on the back and severity of the pain. D) the client's exercise schedule.

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Valerie presents to the clinic with menorrhagia. Her hemoglobin is 10.2 and her ferritin is 15 ng/mL. Initial treatment for her anemia would be:

1. 18 mg/day of iron supplementation 2. 6 mg/kg per day of iron supplementation 3. 325 mg ferrous sulfate per day 4. 325 mg ferrous sulfate tid

Nursing