A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client?

Baked potato

Milkshake

Ham sandwich

Stewed tomatoes

Answer and Explanation

The Correct Answer is C

Rationale:
A. Baked potato is low in sodium if prepared without added salt, making it safe for a client on a diuretic.
B. Milkshake is generally safe unless it contains added sodium; in most cases, it is allowed.
C. Ham is high in sodium, which is contraindicated for a client taking bumetanide, a loop diuretic, as high sodium intake can counteract the diuretic effect and worsen fluid retention.
D. Stewed tomatoes can be included if unsalted; they are generally safe in moderation.

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Correct Answer is A

Explanation

Rationale:
A. Hematemesis (vomiting blood) indicates active gastrointestinal bleeding, which can lead to hypovolemic shock and is a life-threatening complication of peptic ulcer disease. It is therefore the priority assessment finding.

B. Dyspepsia (indigestion) is a common symptom of peptic ulcer disease but is not immediately life-threatening.

C. Epigastric discomfort is a typical symptom but is less urgent compared to active bleeding.

D. Constipation is a non-specific gastrointestinal symptom and does not pose an immediate threat in peptic ulcer disease.

A. Percutaneous Transhepatic Cholangiography (PTC) B. Endoscopic Ultrasound (EUS) C. Magnetic Resonance Cholangiopancreatography (MRCP) D. Endoscopic Retrograde Cholangiopancreatography (ERCP)

Correct Answer is D

Explanation

Rationale:
A. Percutaneous Transhepatic Cholangiography (PTC) involves inserting a needle through the skin into the liver to visualize bile ducts, not using endoscopy.
B. Endoscopic Ultrasound (EUS) uses an endoscope with ultrasound to image structures near the GI tract but does not combine with radiographic imaging of the ducts.
C. Magnetic Resonance Cholangiopancreatography (MRCP) uses MRI to noninvasively visualize bile and pancreatic ducts, without endoscopy.
D. Endoscopic Retrograde Cholangiopancreatography (ERCP) combines endoscopy with radiographic imaging to examine the bile and pancreatic ducts, allowing both diagnosis and therapeutic interventions.

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A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

Which imaging technique uses endoscopy combined with radiographic images to examine the bile and pancreatic ducts?

Correct Answer is D

Explanation

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