Author Question: The nurse is interviewing an older adult client in the clinic who reports incontinence. Numerous ... (Read 117 times)

Kthamas · **on:** Jun 25, 2018

The nurse is interviewing an older adult client in the clinic who reports incontinence. Numerous attempts in the recent past have been unsuccessful in helping to control the problem. Which is the priority diagnosis for this client?

1. Skin integrity impairment.
2. Self-care deficit.
3. Self-esteem, situational-low.
4. Infection.

Question 2

The nurse is interviewing an older adult Hispanic client who complains of recent weight loss, anorexia, and epigastric pain.

The client reports recent use of mints for stomach upset. Based on this assessment data, which interventions are appropriate for this client?
Select all that apply.
1. Schedule the client for an endoscopy as ordered.
2. Educate the client regarding the importance of taking antacids after meals and at bedtime as suggested by the healthcare provider.
3. Educate the client regarding Helicobacter pylori infections.
4. Discuss the importance of using over-the-counter aspirin for mild pain relief.
5. Educate the client about the importance of avoiding all spicy foods as this is the most likely cause of the peptic ulcer.

TheDev123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
Clients suffering from incontinence are at increased risk for social isolation, self-esteem disturbance, and other psychosocial problems. There is no data to support a self-care deficit; the information available is that this client has tried to implement measures to treat the problem. The client is certainly at risk for infection and skin integrity impairment, but these two are not active at this time.

Answer to Question 2

Correct Answer: 1, 2, 3
The client should be scheduled for an endoscopy as ordered by the healthcare provider. This is a common diagnostic test used for clients with suspected peptic ulcers. The client should take antacids after meals and at bedtime. The client should be educated about the most common cause of peptic ulcers, which is an infection due to Helicobacter pylori (H. pylori). H. pylori is a bacteria that results in an infection that causes more than 90 of peptic ulcers. It infects almost two thirds of the world's population and is more prevalent in the elderly, African Americans, Hispanics, and those in lower socioeconomic groups. The client should avoid aspirin products because they can make the symptoms worse. The client can avoid spicy foods, but not because this is the most common cause of peptic ulcers; the spicy foods may aggravate the client's condition. In the past, it was believed that ulcers were caused by stress or eating too much acidic food. Now it is known that this is not true.