A client is brought to the hospital because of severe abdominal pain, nausea, and vomiting. The client reports increased pain in the abdomen and in the epigastric region radiating to the back when lying supine. Upon physical assessment, the nurse finds that the client has fever and hypotension.
What should the nurse infer from these findings?
The client has chronic pancreatitis.
The client has cholecystitis.
The client has cholelithiasis.
The client has acute pancreatitis.
The Correct Answer is D
Choice A rationale: Symptoms and findings described align more with an acute, severe condition rather than a chronic one.
Choice B rationale: While cholecystitis can present with similar symptoms, the radiation of pain to the back is more indicative of a different condition.
Choice C rationale: Cholelithiasis (gallstones) might cause abdominal pain but typically doesn’t lead to fever and hypotension.
Choice D rationale: Symptoms including severe abdominal pain, radiation to the back, fever, and hypotension suggest acute pancreatitis, a potentially serious condition requiring urgent medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: A breast lump that increases in size before the menstrual period might be related to hormonal changes and is not necessarily indicative of a concerning issue.
Choice B rationale: Bilateral breast nodules that are tender with palpation might be related to benign conditions or hormonal changes.
Choice C rationale: A small, mobile, rubbery breast lump could suggest a benign condition like a fibroadenoma, which might not be as concerning.
Choice D rationale: A breast nodule that is 1 cm in size, nontender, and fixed could potentially raise concerns about malignancy and requires further evaluation.
Correct Answer is B
Explanation
Choice A rationale: this corresponds with 25 mg which is lower than the prescribed amount.
Choice B rationale: To answer this question, we need to use the formula: volume (mL) = dose (mg) / concentration (mg/mL). We plug in the given values: volume (mL) = 35 mg / 25 mg/mL. We simplify the fraction: volume (mL) = 7/5. We convert the fraction to a
decimal: volume (mL) = 1.4. Therefore, the nurse should administer 1.4 mL of promethazine.
Choice C rationale: this corresponds with 37.5 mg which is too high.
Choice D rationale: this corresponds with 17.5 mg which is too low.
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