750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER

• Following discharge teaching, a male client with duodenal ulcer tellsthe nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? • Remind the client that it is also important to switch to decaffeinated coffee and tea. • Suggest that the client also plan to eat frequent small meals toreduce discomfort • Review with the client the need to avoid foods that are rich inmilk and cream. • Reinforce this teaching by asking the client to list a dairy food that hemight select. Rationale: Diets rich in milk and cream stimulate gastric acid secretion andshould be avoided. • A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106and he admits that he has not been taking the prescribed medication because the drugs make him “feel bad”. In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? a- Blindness secondary to cataracts b- Acute kidney injury due to glomerular damage c Stroke secondary to hemorrhage d- Heart block due to myocardial damage