Nokea
A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. Based on this information, which nursing diagnosis would be appropriate for this client?
- A. Ineffective coping related to fear of diagnosis of chronic illness
- B. Deficient knowledge related to unfamiliarity with significant signs and symptoms
- C. Constipation related to decreased gastric motility
- D. Imbalanced nutrition: Less than body requirements due to gastric bleeding
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The client being treated for esophageal varices has a Sengstaken-Blakemore tube inserted to control the bleeding. The most important assessment is for the nurse to:
- A. Check that the hemostat is on the bedside
- B. Monitor IV fluids for the shift
- C. Regularly assess respiratory status
- D. Check that the balloon is deflated on a regular basis
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following complications is thought to be the most common cause of appendicitis?
- A. A fecalith
- B. Bowel kinking
- C. Internal bowel occlusion
- D. Abdominal bowel swelling
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse would assess the client experiencing an acute episode of cholecystitis for pain that is located in the right:
- A. Upper quadrant and radiates to the left scapula and shoulder
- B. Upper quadrant and radiates to the right scapula and shoulder
- C. Lower quadrant and radiates to the umbilicus
- D. Lower quadrant and radiates to the back
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse provides medication instructions to a client with peptic ulcer disease. Which statement, if made by the client, indicates the best understanding of the medication therapy?
- A. The cimetidine (Tagamet) will cause me to produce less stomach acid.
- B. Sucralfate (Carafate) will change the fluid in my stomach.
- C. Antacids will coat my stomach.
- D. Omeprazole (Prilosec) will coat the ulcer and help it heal.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When a client has peptic ulcer disease, the nurse would expect a priority intervention to be:
- A. Assisting in inserting a Miller-Abbott tube
- B. Assisting in inserting an arterial pressure line
- C. Inserting a nasogastric tube
- D. Inserting an I.V.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.