The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a duodenal ulcer? The client states that:

pain is relieved by belching.

eating food relieves pain.

pain is aggravated by eating.

pain occurs on the right side of the abdomen.

Answer and Explanation

The Correct Answer is B

B. Eating food relieves pain is typical of a duodenal ulcer. In the duodenum, food intake stimulates the release of pancreatic juices which comprises of bicarbonate. Bicarbonate neutralizes acid relieving pain.
A. Belching can help release gas from the stomach, which may provide temporary relief from pain caused by excess gastric acid irritating the ulcer.
C. Pain is aggravated by eating is typical of gastric ulcer. Food intake stimulates the secretion of gastric acid which irritates gastric ulcer aggravating pain.
D. Pain associated with duodenal ulcers typically occurs in the upper central or upper right quadrant of the abdomen.

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Correct Answer is B

Explanation

B. Bismuth subsalicylate, one of the medications prescribed for peptic ulcers, can cause blackening of the stools. This discoloration is harmless and temporary but is an important side effect to be aware of.
A. Citrus juices, including orange juice, can exacerbate symptoms of peptic ulcers due to their acidic nature. Therefore, it would not be appropriate for the client to consume orange juice while taking famotidine and bismuth subsalicylate.
C. Osteoporosis is not a known side effect or concern associated with these medications.
D. Constipation and not diarrhea, is a potential side effect of bismuth subsalicylate.

A. 5 pounds in one week. B. 1 pound in one week. C. 10 pounds in one month. D. 3 pounds in one week.

Correct Answer is B

Explanation

B. Losing 1 pound in one week is generally considered a safe and sustainable rate of weight loss for many individuals. It is recommended by health professionals as a realistic and achievable goal for healthy weight loss.
A. Losing 5 pounds in one week would be considered too rapid and potentially unhealthy weight loss. Rapid weight loss can lead to various health issues, including nutritional deficiencies, muscle loss, and a higher likelihood of regaining the weight later on
C. Losing 10 pounds in one month would also be considered too rapid and potentially unhealthy weight loss, especially if sustained over a longer period.
D. Losing 3 pounds in one week may be achievable for some individuals, but it is generally considered more rapid than the recommended rate of 1 pound per week.

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The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a duodenal ulcer? The client states that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches a client newly diagnosed with a peptic ulcer about the prescribed medications famotidine and bismuth subsalicylate. Which statement made by the client indicates that the teaching was effective?

Correct Answer is B

Explanation

The nurse evaluates that an overweight client understands the need for a healthy weight loss pattern by Indicating an intention to lose:

Correct Answer is B

Explanation

The nurse is caring for a hospitalized client who is attempting to pass a kidney stone. Which clinical manifestation should the nurse recognize as Indicating a potential emergency situation?

The nurse is evaluating the medical prescription of carvedilol 6.25 mg PO daily for a client with a history of unstable angina. Which of the following reflects that the medication's action has been effective?

The nurse is caring for a client who has suspected appendicitis. While waiting for surgery, nursing interventions for this client would include: (NOTE: Assume that there are physician's orders for all interventions which would require them.) (SELECT ALL THAT APPLY)

The nurse understands that the Intervention proven to provide the most sustained weight loss in the extremely obese population is:

The client has lived with ulcerative colitis for close to 15 years and has learned to manage it very well. At this point in time, the nurse's discussion with the client about this disease should have a primary focus on which question?

The nurse is caring for a client who has a peptic ulcer that is actively bleeding. Which finding would the nurse Immediately report to the physician?

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?