Author Question: The nurse is conducting a teaching session with older clients at the community center about the ... (Read 71 times)

michelleunicorn · **on:** Jul 22, 2018

The nurse is conducting a teaching session with older clients at the community center about the risks for peptic ulcers found with this age group. The nurse includes which of the following information in the session?

1. Peptic ulcer disease (PUD) is likely to be infected with the bacteria H. pylori.
2. PUD in an older client causes less bleeding than in a younger client.
3. The elderly client experiences more severe abdominal pain than a younger client with PUD.
4. Older clients should undergo colonoscopy.

Question 2

The nurse has completed gathering data on a client who is seeking assistance with nicotine addiction. Which of the following is the nurse likely to choose as a nursing diagnosis for this client?

1. Ineffective Individual Coping
2. Disturbed Body Image
3. Decisional Conflict
4. Situational Social Isolation

cloud · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Peptic ulcer disease (PUD) is likely to be infected with the bacteria H. pylori.

Rationale:
H. pylori infection is a major factor in the development of ulcers, and prevalence increases with the age of the client. Seventy to ninety percent of persons with gastric ulcers and 90100 of clients with duodenal ulcers are found to have this infection. Older clients experience more bleeding and often have less pain with the ulcer. Bleeding may be the initial symptom experienced. Clients with peptic ulcers should have upper GI endoscopy performed to diagnose the problem with visualization and biopsy, not colonoscopy.

Answer to Question 2

1. Ineffective Individual Coping

Rationale:
The nurse should anticipate that the client with an addiction may need support related to ineffective coping when trying to quit smoking. Smoking cessation support includes helping the client cope with stressors in order to be successful. There is no evidence that is the client has a disturbed body image or experiences decisional conflict or social isolation.