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 A
Explanation
Choice A reason: Administering oxygen therapy is the first and immediate intervention for a client with a pulmonary embolism to address hypoxemia.
Choice B reason: Starting an IV infusion of Lactated Ringer's is important for fluid resuscitation but is not the first intervention for pulmonary embolism.
Choice C reason: Initiating cardiac monitoring is important for observing the client's heart function but comes after ensuring the client is receiving adequate oxygen.
Choice D reason: Giving morphine IV may be used for pain management in pulmonary embolism but is not the first-line intervention.
Correct Answer is D
Explanation
Choice A reason: Instructing the client to perform range-of-motion exercises to his lower extremities immediately after cardiac catheterization is not recommended. The client should maintain bed rest with the affected leg straight to prevent bleeding from the catheter insertion site.
Choice B reason: Ambulating the client 1 hour following the procedure is not advised. After femoral artery access, the client is typically required to remain on bed rest with the affected leg straight for several hours to ensure hemostasis and prevent bleeding².
Choice C reason: Restricting the client's fluid intake is not a standard post-procedure action. Adequate hydration is important after cardiac catheterization to help flush the contrast dye used during the procedure from the body, unless contraindicated.
Choice D reason: Assessing the color, temperature, and pulse in the affected extremity is crucial for detecting signs of bleeding, hematoma formation, or arterial occlusion. These assessments should be performed regularly as part of post-cardiac catheterization care².
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