The most common symptom of peptic ulcers is:
Nausea
Pain in the epigastric region
Melena
Decreased appetite
The Correct Answer is B
A. Nausea: Nausea can occur with peptic ulcers, particularly if gastric emptying is delayed or if inflammation affects the stomach lining. However, it is not the most common or defining symptom.
B. Pain in the epigastric region: Epigastric pain is the hallmark symptom of peptic ulcers. It is typically described as burning or gnawing and may occur between meals or at night, often relieved by eating or antacids.
C. Melena: Melena, or black tarry stools, can occur if the ulcer bleeds, but this is more of a complication than a routine symptom. It indicates gastrointestinal bleeding and requires urgent evaluation.
D. Decreased appetite: Appetite changes may occur, especially if eating exacerbates pain in gastric ulcers. However, decreased appetite is not as frequent or specific a symptom as epigastric pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Liver cirrhosis: Although chronic alcohol use can cause cirrhosis, the acute presentation with severe abdominal pain, fever, hypotension, and elevated amylase and lipase is more indicative of pancreatitis rather than cirrhosis, which typically presents with chronic symptoms.
B. Acute pancreatitis: Sudden severe abdominal pain, fever, low blood pressure, and elevated inflammatory markers like C-reactive protein along with elevated pancreatic enzymes (amylase and lipase) strongly suggest acute pancreatitis. Alcohol use is a common risk factor for this condition.
C. Hepatitis C: This usually presents with more chronic symptoms related to liver dysfunction fatigue, nausea, dark urine, and jaundice. It does not cause elevated pancreatic enzymes or acute abdominal pain.
D. Cholecystitis: While cholecystitis causes abdominal pain and fever, it does not typically cause elevated amylase and lipase levels unless there is associated pancreatitis. The vital signs and enzyme elevations point more directly to pancreatitis.
Correct Answer is D
Explanation
A. Azotemia: Azotemia, or elevated blood urea nitrogen (BUN) and creatinine levels, is a common feature of glomerulonephritis due to reduced kidney filtration capacity and accumulation of nitrogenous wastes in the blood.
B. Hematuria with red cell casts: Hematuria with red blood cell casts is a classic hallmark of glomerulonephritis, indicating glomerular bleeding and inflammation. These casts are formed in the nephron and reflect active glomerular injury.
C. Oliguria and hypertension: Both are characteristic findings in glomerulonephritis. Oliguria results from impaired filtration, while hypertension develops due to fluid retention and activation of the renin-angiotensin-aldosterone system.
D. An increased glomerular filtration rate (GFR) of >100: Glomerulonephritis typically leads to a decreased GFR, not an increase. Inflammation and damage to the glomeruli impair the kidneys' ability to filter blood effectively, resulting in reduced GFR and waste accumulation.
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