Patient Data

Exhibits

According to the client's vital signs, he is experiencing
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and
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}

Tachypnea refers to abnormally rapid breathing, characterized by an increased respiratory rate. In adults, tachypnea is typically defined as a respiratory rate above 20 breaths per minute at rest.

Tachycardia is a medical condition characterized by a rapid heart rate, typically above 100 beats per minute in adults at rest.

Eupnea refers to normal, unlabored breathing at a normal rate and depth. It is characterized by regular inhalations and exhalations without any signs of respiratory distress or abnormalities.

Hypothermia is a medical condition characterized by an abnormally low body temperature, typically below 95°F (35°C).

Bradycardia is a medical condition characterized by an abnormally slow heart rate, typically below 60 beats per minute in adults.

Hyperthermia is a medical condition characterized by an abnormally high body temperature, typically above 100.4°F (38°C).

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Correct Answer is A

Explanation

A Hematemesis refers to vomiting blood, which can occur when esophageal varices rupture and bleed into the gastrointestinal tract. It is a hallmark sign of upper gastrointestinal bleeding and requires immediate medical attention. Monitoring for hematemesis allows for early detection of variceal bleeding and prompt intervention to prevent further complications.

B Brown, foamy urine may indicate the presence of blood or protein in the urine, which can occur in various kidney and urinary tract disorders.

C Clay-colored stool may indicate a lack of bile in the stool, which can occur in conditions affecting the liver or bile ducts, such as obstructive jaundice.

D Anorexia, or loss of appetite, is a common symptom in clients with chronic liver disease, including cirrhosis. However, while anorexia may impact nutritional status and overall health, it is not directly related to the complications of esophageal varices.

A. Review with the client the need to avoid foods that are rich in milk and cream. B. Reinforce the teaching by asking the client to make a list of snack foods high in dairy content. C. Remind the client that it is also important to switch to decaffeinated coffee and tea. D. Suggest that the client also plan to eat frequent small meals to reduce discomfort.

Correct Answer is A

Explanation

A. Consuming dairy products, especially those rich in milk and cream, can stimulate gastric acid secretion and exacerbate symptoms of a duodenal ulcer. Therefore, it is essential for the nurse to review with the client the importance of avoiding foods that can aggravate the ulcer and worsen symptoms.

B. While reinforcing teaching about dietary modifications is important, encouraging the client to make a list of snack foods high in dairy content would not address the issue of avoiding dairy products to protect the duodenal ulcer.

C. While switching to decaffeinated coffee and tea can be beneficial for individuals with duodenal ulcers, it does not directly address the client's misconception about using dairy products to coat and protect the ulcer.

D. Eating frequent small meals can help reduce discomfort associated with duodenal ulcers by minimizing gastric acid secretion and preventing large fluctuations in stomach volume.

However, this option does not address the client's misconception.

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Patient Data Exhibits According to the client's vital signs, he is experiencing dropdown and dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic cirrhosis has esophageal varices. It is most important for the nurse to monitor the client for the onset of which problem?

Correct Answer is A

Explanation

Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow- up action by the nurse?

Correct Answer is A

Explanation

The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?

To assess the quality of an adult client's pain, which approach should the nurse use?

An adult client with multiple sclerosis (MS) fell while walking to the bathroom. On transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

Patient Data Exhibits According to the client's vital signs, he is experiencing dropdown and dropdown

Patient Data Exhibits Which physician orders would the nurse anticipate being prescribed after reporting findings? (Select all that apply).

Patient Data Exhibits What should the nurse do before applying the face mask? Select that apply.

Patient Data

Exhibits

According to the client's vital signs, he is experiencing
dropdown
and
dropdown