Exam 5 - ATI

A nurse is teaching a community education course about eh physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis? a. Alcohol b. Caffeine c. Cocaine d. Inhalants

a. Chronic alcohol use disorder is one of the primary causes

A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best choice for the client? a. Soy milk b. Cheddar cheese c. Low-fat yogurt d. Cottage cheese

a. Soy milk is the best choice for this client because soy milk is lactose-free.

A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply) a. I can take this medic cation with of without food b. I will take this medication in the morning c. I should expect my stools to turn black d. I will take this medication with an antacid e. I will take this medication when I need it for pain f. I will eat five small meals each day

a. and f - food slows the rate of absorption of cimetidine, but beneficial effects will be prolonged. Cimetidine can be taken with meal, after meals, or at bedtime. f - the client should eat 5 to 6 small meals each day to enhance the therapeutic effects of cimetidine

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about food he should avoid eating. Which of the following foods should the nurse tell him to avoid. a. Nonfat milk b. Chocolate c. Apples d. Oatmeal

b. Chocolate - The client should avoid foods that reduce pressure on the lower esophageal sphincter. These include fatty and fried foods, chocolate, caffeine, alcohol, and carbonated drinks.

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching? (Select all that apply) a. I will lie down for one half hour after meals b. I will consume less caffeine and few spicy foods c. I will sleep with the head of my bed elevated d. I will try not to gain weight e. I will drink less fluid

b. I will consume less caffeine and few spicy foods c. I will sleep with the head of my bed elevated d. I will try not to gain weight Foods and beverages that are spicy or contain caffeine can exacerbate the manifestations of hiatal hernia. The client should raise the head of the bed on blocks to avoid lying flat when sleeping. Obesity raised intra-abdominal pressure, which worsens the hernia.

A nurse is planning care for a client who has manifestations of a Clostridium difficile (C. difficile) infections. Which of the following actions should the nurse plan to take? a. Place a surgical mask on the client during transport b. Place the client on contact precautions c. Use an alcohol-based agent to perform hand hygiene when caring for the client d. Obtain a blood specimen to test for C. difficile

b. Place the client on contact precautions Clients who have manifestations of C. difficile should be placed on contact isolation until proven otherwise to prevent cross-transmission to uninfected and potentially susceptible clients

A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client? a. Moist skin b. Spider angiomas c. Tarry stools d. Blood in urine

b. Spider angiomas are lesions with a red center and numerous extensions that spread out like a spider web. This is an expected finding for a client who has cirrhosis.

A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan? a. Turkey sandwich with celery sticks. b. Sliced ham with green salad c. Pork tenderloin with green peas d. Grilled chicken breast with white rice

d. Grilled chicken breast with white rice are both low in fiber which is advised during the inflammation of diverticulitis. In the presence of diverticulosis, a high-fiber diet is indicated.

A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about way to manage his condition. Which of the following instructions should the nurse include? a. Sleep on your left side b. Drink milk to soothe your stomach c. Eat four small meals each day d. Wait to go to bed for 1 hour after eating

d. The client should avoid eating large meals because of the pressure if places on the stomach. instead, he should eat four to six small meals per day.

A nurse is caring for a client who has Crohn's disease. Which of the following food choice would follow the recommended diet for clients with Crohn's disease? a. Vanilla milkshake b. buttered popcorn c. tossed green salad d. toast with jelly

d. toast with jelly is appropriate as it does not contain large amounts of lactose, fat, or fiber.