A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

abdominal distention

visible peristalsis

hypoactive bowel sounds

occasional diarrhea

flatus

Answer and Explanation

Correct Answer : A

A.   Abdominal distention can occur due to gas accumulation from undigested lactose.
B.   Visible peristalsis is not typically a specific clinical finding associated with lactose intolerance.
C.   Hypoactive bowel sounds are not commonly associated with lactose intolerance.
D.   Occasional diarrhea is a common symptom due to the inability to digest lactose properly.
E.   Flatus or excessive gas production is a common symptom due to the fermentation of undigested lactose by intestinal bacteria.

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Correct Answer is A

Explanation

A. 4+ edema is characterized by very deep pitting, where the indentation remains for an extended period (several minutes), indicating severe fluid accumulation in the tissue.
B. Deep pitting that lasts for a few minutes is more consistent with 2+ or 3+ edema, not the severe 4+ edema described.
C. Mild pitting with no perceptible swelling does not align with 4+ edema; this level of pitting suggests minimal fluid accumulation.
D. Moderate pitting where the indentation subsides rapidly is indicative of 2+ edema, not the profound swelling described as 4+ edema.

A. Recognizes this dullness as indicative of an enlarged liver, and refers the client to a provider B. Document the presence of hepatomegaly C. Ask additional health history questions regarding alcohol intake D. Recognizes this finding as normal, and proceed with the examination

Correct Answer is A

Explanation

A. Dullness above the right costal margin could indicate an enlarged liver. Referring the client to a healthcare provider is crucial for further evaluation and diagnosis.
B. Documenting hepatomegaly without further investigation or confirmation by a healthcare provider could be premature.
C. While alcohol intake can be a factor in liver conditions, additional history alone may not confirm the cause of the dullness. Direct evaluation by a healthcare provider is necessary.
D. Finding an area of dullness above the right costal margin, particularly of such magnitude, should prompt further investigation rather than being considered normal.

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A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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