The nurse is developing a teaching plan for a client with acute gastritis caused by drinking contaminated water. The nurse should emphasize the need to report the onset of which problem?
Abdominal cramping.
Bruising of the skin.
Low-grade fever.
Bloody emesis.
The Correct Answer is D
Choice A rationale
While abdominal cramping can be a symptom of gastritis, it is not typically a sign of a serious complication that would require immediate medical attention.
Choice B rationale
Bruising of the skin is not typically associated with gastritis. If the client notices unexplained bruising, they should report it, but it is not the most critical symptom to watch for.
Choice C rationale
A low-grade fever can be a symptom of gastritis, but it is not typically a sign of a serious complication. The client should monitor their temperature, but it is not the most critical symptom to watch for.
Choice D rationale
Bloody emesis can be a sign of a serious complication of gastritis, such as a bleeding ulcer. If the client notices bloody or coffee-ground emesis, they should seek medical attention immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,A,B,D
Explanation
Step 1: Complete a focused assessment. The first step in managing a patient with abdominal pain and distention, vomiting, and constipation is to perform a focused assessment. This includes assessing the patient’s vital signs, pain level, abdominal distention, bowel sounds, and any other relevant physical findings.
Step 2: Elevate the head of the bed. Elevating the head of the bed can help reduce the risk of aspiration, especially in a patient who has recently vomited.
Step 3: Send the emesis sample to the lab. Analyzing the vomitus can provide important information about the possible causes of the patient’s symptoms. For example, the presence of blood could suggest a gastrointestinal bleed.
Step 4: Offer PRN pain medication. After the initial assessment and interventions, the nurse should address the patient’s comfort. Pain management is an important part of patient care, but in this scenario, it is not the highest priority.
Correct Answer is B
Explanation
Choice A rationale
Gastric lavage is a procedure that involves the insertion of a tube into the stomach to remove its contents and is typically used in cases of poisoning or drug overdose. However, it should not be the first action taken. The type of chemical exposure needs to be determined first to guide appropriate treatment.
Choice B rationale
Determining the type of chemical exposure is crucial as it guides the subsequent steps in management. Different chemicals can have different effects on the body and require different treatments.
Choice C rationale
While assessing for altered sensorium is important in a child exposed to chemicals, it is not the first action. The nurse needs to identify the type of chemical the child was exposed to in order to anticipate potential complications and guide treatment.
Choice D rationale
Calling the poison control emergency number is an important step in managing a case of chemical exposure. However, having information about the type of chemical the child was exposed to can make this call more effective.
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