A nurse is assessing a client diagnosed with peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Dyspepsia

Epigastric discomfort

Hematemesis

Epigastric pain

Answer and Explanation

The Correct Answer is C

A. Dyspepsia:

Dyspepsia refers to discomfort or pain in the upper abdomen, often described as indigestion. It is a common symptom of peptic ulcer disease but is not as urgent as the manifestation described in option C.

B. Epigastric discomfort:

Epigastric discomfort is a common symptom of peptic ulcer disease, but the priority is to identify more severe complications, such as bleeding.

C. Hematemesis:

This is the correct answer. Hematemesis refers to the vomiting of blood, which is a serious and potentially life-threatening complication of peptic ulcer disease. It indicates active bleeding in the upper gastrointestinal tract and requires prompt medical attention.

D. Epigastric pain:

Epigastric pain is similar to epigastric discomfort and is a common symptom of peptic ulcer disease. However, the priority in the given options is to identify the more severe complication of hematemesis.

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Correct Answer is A

Explanation

A. Regular insulin:

Regular insulin, also known as short-acting insulin, is commonly used in the initial management of diabetic ketoacidosis. It has a relatively rapid onset of action, making it suitable for addressing the acute and severe nature of DKA.

B. Insulin detemir:

Insulin detemir is a long-acting insulin analog. It is not the preferred choice for addressing the acute insulin needs in DKA; instead, it is used for basal insulin requirements in the maintenance phase of diabetes management.

C. Insulin glargine:

Insulin glargine is a long-acting insulin analog used for basal insulin coverage. Like insulin detemir, it is not the first choice for addressing the acute insulin needs in the initial treatment of DKA.

D. NPH insulin:

NPH (Neutral Protamine Hagedorn) insulin is an intermediate-acting insulin. While it has a role in diabetes management, it is not the preferred choice for the initial treatment of DKA. NPH insulin has a slower onset and longer duration compared to regular insulin.

A. "I’ll wear sandals in warm weather." B. "I'll put lotion between my toes after drying my feet. C. "I'll check my feet every day for sores and bruises." D. "I’ll soak my feet in cool water every night before I go to bed."

Correct Answer is C

Explanation

A. "I'll wear sandals in warm weather":

While wearing sandals in warm weather can be comfortable, it may not provide adequate protection for the feet, especially for individuals with diabetes. Closed, protective shoes are generally recommended to prevent injuries.

B. "I'll put lotion between my toes after drying my feet":

Applying lotion between the toes can create a moist environment, which may increase the risk of fungal infections. It is generally advisable to keep the skin between the toes dry to prevent infections.

C. "I'll check my feet every day for sores and bruises":

This statement is correct. Regular foot checks are crucial for individuals with diabetes to identify any signs of sores, bruises, or other abnormalities early. Early detection and prompt treatment can help prevent complications.

D. "I’ll soak my feet in cool water every night before I go to bed":

Soaking the feet in cool water is generally not recommended, as it can lead to maceration of the skin and increase the risk of fungal infections. Daily inspection and proper hygiene are more important aspects of foot care.

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A nurse is assessing a client diagnosed with peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of diabetes mellitus and is being admitted to the unit confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?

Correct Answer is A

Explanation

A nurse is teaching a client diagnosed with type 1 diabetes mellitus about foot care. Which of the following statements by the client about foot care is correct?

Correct Answer is C

Explanation

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