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."
The Correct Answer is B
Peptic ulcer disease is characterized by open sores that develop on the lining of the stomach, small intestine, or esophagus. The symptoms and pain associated with peptic ulcer disease can
vary, but certain patterns are commonly observed: "The pain is worse after I eat a meal high in fat": This statement aligns with the typical symptom of peptic ulcer disease. The presence of fat in the stomach triggers the release of certain hormones and substances that stimulate gastric acid secretion. This increased acid production can exacerbate the pain experienced by individuals with peptic ulcers.
"I feel so much better after eating": Feeling relief after eating is not characteristic of peptic ulcer disease. In fact, individuals with peptic ulcers may experience pain or discomfort after eating especially those with gastric ulcers.
"The pain radiates down to my lower back": Lower back pain is not a common symptom associated specifically with peptic ulcer disease. Radiating pain to the back is more commonly associated with conditions like pancreatitis or kidney issues.
"My pain is relieved by having a bowel movement": Pain relief with bowel movements is not a typical symptom of peptic ulcer disease. It may be more indicative of conditions like irritable bowel syndrome or inflammatory bowel disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.Docusate sodium should not be taken with mineral oil, as the combination can increase the risk of adverse effects and reduce the effectiveness of the medication.
B.Docusate sodium is primarily used to prevent constipation by softening stools, not for treating diarrhea.
C.Docusate sodium is a stool softener that typically works within 1 to 3 days to produce softer stools, making this statement a correct understanding of its effects and timeline.
D.While it’s important to stay hydrated when taking docusate sodium, the statement is somewhat misleading. It is typically recommended to take docusate sodium with a full glass of water to help facilitate the softening of stools.
Correct Answer is ["2.5"]
Explanation
To determine how many milliliters (ml) should be administered per dose, we need to calculate the dose volume using the available concentration of famotidine.
Given:
Famotidine concentration: 40 mg/5 ml
Dose: 20 mg
We can set up a proportion to solve for the volume:
40 mg / 5 ml = 20 mg / x ml
Cross-multiplying the proportion, we get:
40 mg * x ml = 20 mg * 5 ml
Simplifying, we have:
40x = 100
Dividing both sides by 40, we find:
x = 100 / 40
x ≈ 2.5 ml
Therefore, the nurse should administer approximately 2.5 ml of famotidine per dose.
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