The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

Numbness in the legs

Rebound tenderness on abdominal palpation

Projectile vomiting of undigested food

Jaundice of the skin and sclera

Answer and Explanation

The Correct Answer is B

B. Rebound tenderness on abdominal palpation: Rebound tenderness, where pain increases upon release of pressure during abdominal palpation, is a classic sign of peritonitis, which can occur due to a peptic ulcer perforation. It indicates irritation of the peritoneum, the lining of the abdominal cavity, which can occur when stomach contents leak into the peritoneal cavity.
A. Numbness in the legs is not typically associated with perforation of a peptic ulcer. Perforation of a peptic ulcer usually presents with localized abdominal symptoms rather than symptoms in the legs.
C. Projectile vomiting of undigested food is not typically associated with perforation of a peptic ulcer. It is more commonly seen in conditions such as pyloric stenosis or gastrointestinal obstruction.
D. Jaundice, a yellow discoloration of the skin and sclera, is not typically associated with perforation of a peptic ulcer.

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Correct Answer is B

Explanation

A. Alpha adrenergic blockers are medications commonly used to help control symptoms of benign prostatic hyperplasia (BPH) by relaxing the muscles of the prostate and bladder neck, thereby improving urine flow and reducing urinary symptoms such as hesitancy, urgency, and frequency.
B. Benign prostatic hyperplasia (BPH) is not cancerous and does not typically progress to prostate cancer. While both BPH and prostate cancer involve growth of the prostate gland, they are distinct conditions with different risk factors, symptoms, and treatment approaches.
C. In some cases, if symptoms of BPH are severe or do not respond to medication, surgical management may be necessary. Common surgical procedures for BPH include transurethral resection of the prostate (TURP) or laser prostatectomy.
D. There are several nonsurgical treatment options available for BPH, including alpha adrenergic blockers, 5-alpha reductase inhibitors, combination therapy, and minimally invasive procedures such as transurethral microwave thermotherapy (TUMT) or prostatic artery embolization (PAE).

A. 1 B. 2 C. 3 D. 4

Correct Answer is B

Explanation

McBurney's point is located approximately one-third of the distance from the anterior superior iliac spine (ASIS) to the umbilicus (navel), on the right side of the abdomen.

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The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

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Naxlex Comprehensive Predictor Exams

The nurse teaches the client about his newly-diagnosed benign prostatic hyperplasia (BPH). Which statement made by the client Indicates the need for further education?

Correct Answer is B

Explanation

The client has a possible diagnosis of appendicitis. On physical examination, the nurse should assess for tenderness on palpation at McBurney's point, located at which pictured site?

Correct Answer is B

Explanation

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