A nurse is admitting a client with a history of duodenal ulcer. To determine if the client's current symptoms are related to this information, the nurse should assess the client for which manifestations of a duodenal ulcer?
Pain relieved by food intake
Pain radiating down the right arm
Nausea and vomiting
Weight loss
The Correct Answer is A
Choice A reason:Pain that is relieved by food intake is a classic symptom of duodenal ulcers, as eating can neutralize stomach acid temporarily, providing relief.
Choice B reason:Pain radiating down the right arm is not a typical symptom of a duodenal ulcer; it is more commonly associated with cardiac issues.
Choice C reason:Nausea and vomiting can be associated with duodenal ulcers, but they are not as specific as pain relief by food intake.
Choice D reason:Weight loss can occur with duodenal ulcers due to pain and eating avoidance, but the key symptom that relates directly to the ulcer is pain relief after food intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["35"]
Explanation
- Step 1: Identify the total volume to be administered. The nurse is scheduled to administer 840 mL of enteral nutrition over a 24-hour period.
- Step 2: Identify the total time over which the volume is to be administered. The total time is 24 hours.
- Step 3: Calculate the rate at which the infusion pump should be set. We can do this by dividing the total volume by the total time:
- Rate = Total Volume ÷ Total Time.
- Rate = 840 mL ÷ 24 hours.
- Calculating the division gives us: Rate = 35 mL/hr.
set the infusion pump to deliver 35 mL/hr.
Correct Answer is A
Explanation
Choice A reason:Placing the client in a sitting position helps to lower blood pressure by promoting venous return and is the first action to take in cases of autonomic dysreflexia²³.
Choice B reason:While examining for skin breakdown is important, it is not the first action to take when autonomic dysreflexia is suspected.
Choice C reason:Checking the bladder for distention is a critical step, but it should be done after positioning the client to address immediate blood pressure concerns.
Choice D reason:Checking for fecal impaction is also important but follows the initial step of positioning the client to manage blood pressure.
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