A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (Select all that apply).
- A. The client states that pain occurs 30 minutes to 60 minutes after a meal.
- B. The client states that pain often occurs at night.
- C. The client reports a sensation of bloating.
- D. The client reports pain relieved by eating.
- E. The client experiences pain upon palpation of the epigastric region.
Correct Answer: A,B,C,D,E
Rationale: All options are common findings in gastric ulcer patients due to gastric acid secretion patterns and mucosal irritation.
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A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies?
- A. These tests will enable the provider to determine the heart structure and mobility of the heart valves.
- B. Cardiac enzymes will identify the location of the MI.
- C. Cardiac enzymes assist in diagnosing the presence of pulmonary congestion.
- D. These tests help determine the degree of damage to the heart tissues.
Correct Answer: D
Rationale: Cardiac enzymes (like troponin) indicate myocardial cell death and help quantify infarct size.
A client is admitted to the emergency room with renal calculi. Upon assessment, which of the following findings should the nurse expect?
- A. Bradycardia
- B. Bradypnea
- C. Severe pain
- D. Nocturia
Correct Answer: C
Rationale: Severe pain (renal colic) is the most common symptom of renal calculi, caused by the stone moving and blocking the ureter.
A client is admitted to the medical unit with acute pancreatitis. While planning care for this client, the nurse will include which of the following interventions? (Select all that apply).
- A. Administer antiemetics as needed.
- B. Administer analgesics as needed.
- C. NPO (nothing by mouth) until pain-free.
- D. Monitor blood glucose and provide insulin as needed.
- E. Side-lying or fetal position.
- F. Monitor hydration status.
Correct Answer: A,B,C,D,F
Rationale: These interventions address pain management, pancreatic rest, glucose control, and hydration in acute pancreatitis.
A student nurse is reviewing clinical manifestations of chronic kidney disease. Which of the following findings are consistent with this diagnosis? (Select all that apply)
- A. Hypokalemia
- B. Anemia
- C. Hypertension
- D. Crackles in the lungs
- E. Lethargy
- F. Proteinuria
Correct Answer: B,C,E,F
Rationale: These reflect common CKD complications including erythropoietin deficiency, fluid overload, uremia, and glomerular damage.
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). Which of the following findings should the nurse expect?
- A. BUN 8 mg/dL and creatinine 0.7 mg/dL
- B. BUN 45 mg/dL and creatinine 8 mg/dL
- C. BUN 10 mg/dL and creatinine 0.3 mg/dL
- D. BUN 23 mg/dL and creatinine 1.0 mg/dL
Correct Answer: B
Rationale: Elevated BUN and creatinine reflect impaired kidney function in CKD.