A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (Select all that apply).

The client states that pain occurs 30 minutes to 60 minutes after a meal.

The client states that pain often occurs at night.

The client reports a sensation of bloating.

The client reports pain relieved by eating.

The client experiences pain upon palpation of the epigastric region.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A reason: Pain occurring 30 to 60 minutes after a meal is a common symptom of gastric ulcers due to the increased gastric acid secretion during digestion that can aggravate the ulcer.

Choice B reason: Pain at night is also typical for gastric ulcers as the circadian rhythm can influence acid secretion, potentially leading to increased discomfort during the night.

Choice C reason: A sensation of bloating can be associated with gastric ulcers due to delayed gastric emptying or increased sensitivity of the stomach lining.

Choice D reason:Pain relieved by eating is indicative of gastric ulcers because food can act as a buffer to stomach acid, temporarily relieving pain².

Choice E reason:Pain upon palpation of the epigastric region is expected in clients with gastric ulcers due to the localized inflammation and sensitivity of the stomach lining².

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Correct Answer is B

Explanation

Choice A reason: The GFR does not recover during the oliguric phase; instead, it is typically reduced, reflecting impaired kidney function.

Choice B reason: Urine output of less than 400 mL per 24 hours is characteristic of the oliguric phase of AKI. This phase can last from 1 to 7 days after kidney injury and is a crucial time for monitoring and managing the patient's fluid and electrolyte balance.

Choice C reason: BUN and creatinine levels do not decrease during the oliguric phase. They usually increase due to reduced kidney function and the inability to excrete these waste products.

Choice D reason: Renal function is not reestablished during the oliguric phase. This phase is part of the course of AKI where renal function is at its lowest, and recovery has not yet begun.

Correct Answer is ["1.2"]

Explanation

- Step 1: Identify the child's weight in pounds. The child weighs 33 lbs.

- Step 2: Convert the child's weight from pounds to kilograms. We know that 1 kg = 2.2 lbs. So, 33 lbs = 33 ÷ 2.2 kg. Calculating the division gives us approximately 15 kg.

- Step 3: Identify the prescribed dose in mcg/kg/day. The child is scheduled to receive 8 mcg/kg/day of digoxin, divided equally every 12 hours.

- Step 4: Calculate the total daily dose in mcg. We can do this by multiplying the child's weight in kg by the prescribed dose in mcg/kg:

- Total daily dose = 8 mcg/kg/day × 15 kg.

- Calculating the multiplication gives us: Total daily dose = 120 mcg/day.

- Step 5: Since the dose is divided equally every 12 hours, we divide the total daily dose by 2 to get the dose per administration:

- Dose per administration = Total daily dose ÷ 2.

- Dose per administration = 120 mcg ÷ 2.

- Calculating the division gives us: Dose per administration = 60 mcg.

- Step 6: Identify the concentration of the available solution. The available solution contains 0.05 mg/mL of digoxin. Convert this to mcg/mL for consistency with the dose per administration. We know that 1 mg = 1000 mcg. So, 0.05 mg = 0.05 × 1000 mcg = 50 mcg/mL.

- Step 7: Calculate the volume of solution needed to deliver the required dose. We can set up a proportion to solve for this:

- 50 mcg is to 1 mL as 60 mcg is to X mL.

- In other words, 50 mcg : 1 mL = 60 mcg : X mL.

- Step 8: Solve for X using cross-multiplication and division:

- Cross-multiplication gives us: 50 mcg × X mL = 60 mcg × 1 mL.

- Simplifying this gives us: 50X = 60.

- Dividing both sides by 50 gives us: X = 60 ÷ 50.

- Calculating the division gives us: X = 1.2.

Administer 1.2 mL of the digoxin elixir per dose.

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A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (Select all that apply).

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has acute kidney injury (AKI) about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

Correct Answer is ["1.2"]

Explanation

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