A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?
Diarrhea
Dyspepsia
Epigastric discomfort
Hematemesis
The Correct Answer is D
Choice A reason:
While diarrhea can be a symptom of peptic ulcer disease, it is not typically considered a priority over more severe symptoms.
Choice B reason:
Dyspepsia (indigestion) is a common symptom of peptic ulcer disease, but it is not the priority over more concerning symptoms.
Choice C reason:
Epigastric discomfort is a symptom of peptic ulcer disease, but it is not the priority over more severe symptoms like hematemesis.
Choice D reason:
Hematemesis (vomiting blood) is a serious and potentially life-threatening symptom of peptic ulcer disease. It is the top priority for assessment and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
This statement may not be entirely accurate. While other parts of the digestive system can compensate to some extent, the primary function of the appendix is not related to the large intestine's adaptation.
Choice B reason:
This is the correct answer. The appendix is considered a vestigial organ, meaning it doesn't have a major function in humans. Its removal typically doesn't lead to noticeable changes in overall health or digestion.
Choice C reason:
While the appendix does have some immune functions, the impact on nutrient absorption is minimal, and its removal is unlikely to lead to a significant difference in nutrient absorption.
Choice D reason:
Limiting fat intake after surgery is not a standard recommendation following an appendectomy. The statement may cause unnecessary concern for the patient.
Correct Answer is ["31.25"]
Explanation
- To calculate the correct rate of flow for this patient, we need to use the formula: Rate (gtt/min) = Volume (mL) x Calibration (gtt/mL) / Time (min)
- Plugging in the given values, we get: Rate (gtt/min) = 125 mL x 15 gtt/mL / 60 min
- Simplifying, we get: Rate (gtt/min) = 31.25 gtt/min
- Therefore, the correct rate of flow for this patient is 31.25 gtt/min
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