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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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Using mouthwash may reduce tartar and plaque, but it does not address the severe risks associated with tobacco use, such as oral cancer.
B. The 5-year survival rate for oral cancer is low, but it is not specifically tied to the year 2020 and should be emphasized in a broader context.
C. Brushing and flossing are essential for oral health, but they do not directly relate to cardiovascular disease prevention.
D. Tobacco use can significantly increase the risk of caries, tooth loss, and other oral health problems, negatively affecting the client's quality of life.

A. Recommending high-intensity wrist exercises to strengthen wrist muscles B. Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain C. Ergonomic adjustments to the patient's work area to minimize wrist strain D. Wrist splinting, especially at night, to keep the wrist in a neutral position E. Encouraging the use of a vibrating hand massager to alleviate symptoms F. Applying heat packs to the wrist to improve circulation and relieve symptoms G. Corticosteroid injections to decrease inflammation and swelling around the median nerve

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

Explanation

A. High-intensity wrist exercises may aggravate symptoms and should generally be avoided in carpal tunnel syndrome.
B. NSAIDs are helpful in reducing inflammation and pain, providing symptomatic relief for carpal tunnel syndrome.
C. Ergonomic adjustments to the patient’s work area, such as adjusting chair height and keyboard
positioning, can help reduce strain on the wrist.
D. Wrist splinting, especially at night, keeps the wrist in a neutral position, reducing pressure on the median nerve.
E. A vibrating hand massager could increase irritation to the median nerve and is not recommended.
F. Heat packs are not effective in treating carpal tunnel syndrome; cold therapy may help reduce inflammation.
G. Corticosteroid injections can help decrease inflammation and swelling around the median nerve, providing symptom relief.

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Naxlex Comprehensive Predictor Exams

A nurse is providing preventative health care education material to a new client who chews tobacco. Which of the following statements should the nurse underline as an important reminder in the pamphlet that highlights oral health for this client?

Correct Answer is D

Explanation

A nurse is educating a patient diagnosed with carpal tunnel syndrome about non-surgical management options. Which of the following interventions are appropriate to include in the patient's care plan? (Select All that Apply.)

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

Explanation

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that apply.)

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 assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

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

A nurse is caring for a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?

A nurse is caring for a client with manifestations of status asthmaticus. Which of the following factors play a role in creating circulatory surge of inflammatory cells and cytokines in this condition? (Select all that apply.)

A nurse is educating a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?