A patient presents with episodes of vomiting and notices the presence of coffee ground-like material in their vomit.
This manifestation is most likely associated with which of the following conditions?
Hiatal Hernia
Gallbladder disease
The Correct Answer is A
Choice A rationale
Coffee ground vomitus is a symptom that indicates upper gastrointestinal bleeding. One of the conditions that can cause this symptom is a hiatal hernia. A hiatal hernia occurs when part of your stomach pushes upward through your diaphragm, and it can cause acid reflux, which can lead to esophagitis and bleeding. When the blood mixes with stomach acid, it can look like coffee grounds when vomited.
Choice B rationale
Gallbladder disease typically presents with symptoms such as abdominal pain (especially after eating), nausea, vomiting, bloating, and fever. While it can cause discomfort and complications like gallstones and inflammation, it does not typically cause coffee ground vomitus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
CEA is not a chemotherapy drug. Chemotherapy drugs are medications used to treat cancer, while CEA is a protein that can be measured in the blood.
Choice B rationale
CEA is not a surgical procedure. It’s a type of protein in the body that can be measured through a blood test.
Choice C rationale
CEA is not a tumor suppressor gene. Tumor suppressor genes are genes that regulate cell division and prevent the formation of tumors, while CEA is a protein that can be present in higher amounts in people with certain types of cancer.
Choice D rationale
CEA is a blood test used to detect and monitor certain types of cancer. It’s often used in people who’ve been previously diagnosed with certain types of cancer, most commonly colorectal cancer.
Correct Answer is ["2"]
Explanation
Step 1: Identify the dose of aspirin the nurse needs to administer, which is 650 mg. Step 2: Identify the available dose, which is 325 mg per tablet.
Step 3: Calculate the number of tablets needed by dividing the required dose by the dose available per tablet. So, 650 mg ÷ 325 mg/tablet.
Step 4: The calculation gives us 2. Therefore, the nurse should administer 2 tablets.
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