The nurse is assisting a patient with a peptic ulcer to select his dinner menu. Which beverage would be most appropriate?
A) Vanilla milkshake
B) Decaffeinated coffee
C) Unsweetened iced tea
D) Room temperature grape juice
Ans: D
Feedback: Coffee and tea, whether caffeinated or decaffeinated, stimulate gastric acid secretion. The same is true of foods rich in milk and cream. Oversecretion of acid and hypermotility of the GI tract can be decreased by avoiding extremes of temperature in food and beverages.
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A patient is admitted to the unit and the nurse assesses whether he or she is at increased risk for infection when what factors are determined? (Select all that apply.)
A) Malnutrition B) Hypertension C) Suppression of immune system D) Advanced age E) Decreased amylase levels
The nurse is instructing a group of women between the ages of 40 and 50 about early detection of breast cancer. What should the nurse include in this teaching?
A) Perform monthly breast self-exams. B) See a healthcare provider if there is a strong family history of breast cancer. C) Have a yearly mammogram. D) Have a clinical breast exam performed by a healthcare provider every 5 years.
You are working with a client who has a diagnosis of bipolar disorder and is taking lithium. Your client is in a manic phase and is not eating or drinking much water
You are concerned when the client develops a fever of 101 degrees, seems confused, and has a blood pressure of 100/64 (baseline 132/84). It is time for the client to receive her next dose of lithium. The client has a prn order for Tylenol gr 650 for fever above 100 degrees Fahrenheit. You would do which of the following? a. Give the lithium and Tylenol, and force fluids. b. Hold the lithium, and give the Tylenol. c. Hold the lithium, and call the provider immediately. d. Report findings to the provider when he or she makes rounds.
A 25-year-old female experiences a headache and takes aspirin for relief. A nurse recalls aspirin relieves the headache by:
a. decreasing leukotriene production. b. increasing histamine release. c. decreasing prostaglandin production. d. increasing platelet-activating factor.