The Nurse Is Caring for a Client Who Has Received

question 21

Multiple Choice

The nurse is caring for a client who has received multiple serious injuries in a motor vehicle accident.The client asks the nurse why ranitidine (Zantac) is prescribed because she does not have any abdominal pain.Which is the nurse's best response?

• A) "It will help prevent the development of a stomach ulcer from the stress of your injuries."
• B) "It will help prevent aspiration pneumonia when you are anesthetized during surgery tomorrow."
• C) "It will help your throat heal after it was irritated from the nasogastric tube."
• D) "It will help prevent nausea and vomiting from the narcotic pain medications that you are taking."

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Definitions:

Disturbed Personal Identity

A psychological condition where an individual struggles with a consistent sense of self and may experience confusion about their identity.

Self-Injury

Deliberate harm inflicted on one's own body without suicidal intent, often as a coping mechanism for emotional distress.

Individualized Goal

A specific, personally tailored aim or objective set by an individual, based on their unique needs, desires, and circumstances.

Self-Concept

An individual's perception of self, encompassing the beliefs, values, and images one holds about oneself.