A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

"I feel so much better after eating."

"The pain is worse after I eat a meal high in fat."

"The pain radiates down to my lower back."

"My pain is relieved by having a bowel movement."

Answer and Explanation

The Correct Answer is B

A. "I feel so much better after eating." This is most consistent with a duodenal ulcer, where pain is relieved by food (but often returns 2–3 hours later). Gastric ulcers, on the other hand, may worsen with eating.

B. "The pain is worse after I eat a meal high in fat." Fatty food intolerance and postprandial pain are more characteristic of gallbladder disease (cholelithiasis/cholecystitis), not PUD.

C. "The pain radiates down to my lower back." Pain radiating to the back is more typical of pancreatitis, not PUD.

D. "My pain is relieved by having a bowel movement." Relief of abdominal pain with a bowel movement suggests irritable bowel syndrome (IBS), not PUD.

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Correct Answer is ["14"]

Explanation

To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:

Volume to be infused: 1000 ml

Drop factor: 10 gtt/ml

Time: 12 hr

First, we need to convert the time from hours to minutes:

12 hr * 60 min/hr = 720 min

Now, we can calculate the infusion rate:

Infusion rate (gtt/min) = (1000 ml * 10 gtt/ml) / 720 min

Simplifying the equation:

Infusion rate (gtt/min) = 10000 gtt / 720 min

Dividing both sides:

Infusion rate (gtt/min) ≈ 13.89 gtt/min

Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 14 gtt/min.

A. Acid indigestion B. Nausea C. Diarrhea D. Headache

Correct Answer is A

Explanation

Omeprazole is a proton pump inhibitor (PPI) commonly prescribed to reduce stomach acid production. It is frequently used to treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcer disease. Acid indigestion, characterized by a burning sensation in the chest or upper abdomen, is a common symptom of excessive stomach acid.

While omeprazole can indirectly alleviate certain symptoms associated with excessive stomach acid, it is not typically used to directly treat or relieve symptoms such as nausea, diarrhea, or headaches. Other medications or interventions may be more suitable for managing these specific symptoms.

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A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["14"]

Explanation

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

Correct Answer is A

Explanation

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