A 45-year-old patient presents to the emergency department with epigastric pain, nausea, and occasional vomiting. The patient's history reveals chronic NSAID use for osteoarthritis. Laboratory tests indicate normal liver function but show the presence of Helicobacter pylori antibodies. Which of the following is the most likely diagnosis?

Peptic ulcer disease

Acute gastritis due to NSAID use

Functional dyspepsia

Chronic gastritis due to Helicobacter pylori infection

Answer and Explanation

The Correct Answer is D

A.   Peptic ulcer disease is possible, but the patient's NSAID use and positive H. pylori antibodies suggest a more specific cause related to gastritis.
B.   Acute gastritis due to NSAID use is likely since NSAIDs can irritate the stomach lining and increase the risk of ulcers.
C.   Functional dyspepsia is less likely given the presence of H. pylori antibodies, which typically indicate an active infection.
D.   Chronic gastritis due to Helicobacter pylori infection is the most likely diagnosis, especially with the combination of NSAID use and positive H. pylori antibodies.

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Correct Answer is D

Explanation

A. Administering feeding solution directly from the refrigerator can cause discomfort to the patient and increase the risk of gastric upset.
B. Flushing the tube with cold water is not appropriate, as it may irritate the stomach and cause discomfort.
C. Positioning the patient supine at 30 degrees is unsafe, as it increases the risk of aspiration. The patient should be at a higher angle, typically 30-45 degrees.
D. Verifying the pH of gastric aspirate is crucial to ensure the feeding tube is in the correct position and to prevent aspiration of feeding material into the lungs.

A. Nocturia B. Fever and chills C. Increased urinary frequency D. Hesitancy in starting urine flow E. Hematuria F. Abdominal distension G. Decreased urinary stream H. Flank pain

Correct Answer is ["A","C","D","G"]

Explanation

A. Nocturia (frequent urination at night) is a common symptom of BPH due to increased urinary retention and urgency.
B. Fever and chills are not associated with BPH; these symptoms suggest an infection or other underlying condition.
C. Increased urinary frequency is a key symptom of BPH due to pressure on the urethra, making it more difficult to empty the bladder completely.
D. Hesitancy in starting urine flow is common in BPH due to the obstruction of the urethra by the enlarged prostate.
E. Hematuria is not a typical finding of BPH, though it can sometimes occur if the prostate is irritated.
F. Abdominal distension is not typically associated with BPH.
G. Decreased urinary stream is often observed in BPH because the enlarged prostate compresses the urethra, making urination difficult.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an enteral feeding to a patient with a gastrostomy tube. Before starting the feeding, which of the following actions should the nurse take to ensure patient safety?

Correct Answer is D

Explanation

A 68-year-old male patient presents with symptoms of benign prostatic hyperplasia (BPH). Which findings are consistent with BPH? (Select All that Apply.)

Correct Answer is ["A","C","D","G"]

Explanation

A patient with Type 1 Diabetes Mellitus is admitted to the emergency department with deep, rapid breathing, abdominal pain, and confusion. Which of the following laboratory findings would most likely confirm a diagnosis of diabetic ketoacidosis (DKA)?

A 25-year-old female patient presents with fever, chills, and a productive cough. Sputum culture reveals Gram-positive cocci in clusters. Which of the following bacterial organisms is most likely responsible for this infection?

A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding? (Select All that Apply.)

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

A patient is experiencing anaphylaxis after receiving an antibiotic. Which interventions should the nurse prioritize to address this condition? (Select All that Apply.)

A 60-year-old patient with a history of peptic ulcer disease is admitted to the hospital with complaints of coffee-ground emesis and melena. What is the nurse's most appropriate initial action?