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A nurse is assessing a patient diagnosed with peptic ulcer disease. Which findings would support this diagnosis?
(Select All that Apply.)

High fiber diet

Chronic diarrhea

Weight gain

Burning stomach pain that occurs between meals or at night

Coughing and wheezing

Presence of Helicobacter pylori infection

Use of nonsteroidal anti-inflammatory drugs (NSAIDs)

Positive urea breath test

Elevated blood glucose levels

Answer and Explanation

Correct Answer : D,F,G,H

A.   A high-fiber diet is generally beneficial for gastrointestinal health but does not directly relate to peptic ulcer disease.

B.   Chronic diarrhea is not typically a symptom of peptic ulcer disease.
C.   Weight gain is not commonly associated with peptic ulcers, though weight loss due to nausea or pain may occur.
D.   Burning stomach pain between meals or at night is a classic symptom of peptic ulcers, often caused by gastric acid.
E.   Coughing and wheezing are not associated with peptic ulcers, but may indicate other conditions like asthma.
F.   Helicobacter pylori infection is a leading cause of peptic ulcers, and its presence supports this diagnosis.
G.   The use of NSAIDs is a well-known risk factor for peptic ulcers, as they can damage the stomach lining.
H.   A positive urea breath test indicates the presence of H. pylori, supporting a diagnosis of peptic ulcer disease.

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Correct Answer is ["C","D","F","G"]

Explanation

A. Assuming the episode was a migraine and scheduling a follow-up is not appropriate. TIAs are serious warning signs of potential future strokes and require immediate attention and evaluation.
B. Discharging the patient immediately after symptoms resolve is not appropriate. Even though symptoms resolve, TIAs are medical emergencies, and further evaluation is necessary to reduce the risk of a full-blown stroke.
C. Initiating antiplatelet therapy, such as aspirin, is an appropriate action to reduce the risk of future strokes in patients who have had a TIA.
D. Ordering a CT scan of the head is appropriate to rule out an intracranial hemorrhage and other causes of the symptoms.

E. Starting anticoagulation therapy immediately without further evaluation is not recommended. The patient must be properly assessed before starting anticoagulation to determine the cause of the TIA and if anticoagulation is appropriate.
F. Conducting a carotid ultrasound is appropriate to assess for stenosis, which could be contributing to the TIA.
G. Referring the patient for lifestyle modifications, including smoking cessation and diet changes, is crucial to reduce future stroke risk. These interventions help prevent the recurrence of TIAs and strokes.

A. Initiate high-intensity weight-bearing exercises. B. Increase dietary intake of calcium and vitamin D supplements. C. Avoid all physical activity to prevent further joint damage. D. Apply heat therapy to the affected joints before engaging in physical activity.

Correct Answer is D

Explanation

A. High-intensity weight-bearing exercises can exacerbate pain in patients with osteoarthritis and is not appropriate for alleviating knee stiffness.
B. Calcium and vitamin D supplementation is important for bone health, but it will not directly address the pain and stiffness associated with osteoarthritis.
C. Avoiding physical activity is not recommended for osteoarthritis; instead, moderate exercise can help improve joint function.
D. Applying heat therapy to the affected joints before engaging in physical activity is an effective method for alleviating stiffness and promoting mobility. Heat helps relax muscles and improve blood flow to the affected area.

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A nurse is assessing a patient diagnosed with peptic ulcer disease. Which findings would support this diagnosis? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["C","D","F","G"]

Explanation

A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

Correct Answer is D

Explanation

A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding? (Select All that Apply.)

A 60-year-old patient with a history of peptic ulcer disease is admitted to the hospital with complaints of coffee-ground emesis and melena. What is the nurse's most appropriate initial action?

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A nurse is teaching a client who has multiple sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?

A nurse is assessing a patient diagnosed with peptic ulcer disease. Which findings would support this diagnosis?
(Select All that Apply.)