Nokea
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.
You may also like to solve these questions
A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over a 24-hour period using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 35
Rationale: Calculation: 840 mL ÷ 24 hours = 35 mL/hr
A nurse is planning care for a client who is receiving enteral feedings through a nasogastric (NG) tube. Which of the following actions should the nurse plan to take first?
- A. Label the feeding bag with the date and time of the start of the feeding.
- B. Aspirate the client's stomach contents.
- C. Hang the feeding bag 30 cm (12 inches) above the client.
- D. Warm the feeding to room temperature.
Correct Answer: B
Rationale: Aspirating the client's stomach contents is the first action the nurse should take to confirm correct placement of the NG tube before administering feeding.
A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse that the client is developing this condition?
- A. Anorexia
- B. Weight gain
- C. Distended abdomen
- D. Dyspnea
Correct Answer: D
Rationale: Dyspnea is a hallmark symptom of left-sided heart failure due to pulmonary congestion from blood backing up into the lungs.
A nurse in the emergency department is caring for a client who had a seizure and became unresponsive after stating they had a sudden, severe headache. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurological disorders should the nurse suspect?
- A. Embolic stroke
- B. Thrombotic stroke
- C. Transient ischemic attack (TIA)
- D. Hemorrhagic stroke
Correct Answer: D
Rationale: The sudden severe headache followed by seizure and unresponsiveness with elevated BP suggests hemorrhagic stroke.
A nurse is teaching a client about self-administering peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?
- A. The microwave in my kitchen can warm the solution before I use it.
- B. The catheter can become infected even with sterile precautions.
- C. The volume of the output solution should be greater than the input solution.
- D. The fluid from my abdomen will be clear or slightly yellow.
Correct Answer: A
Rationale: Microwaving can unevenly heat solution and is not recommended; solutions should be warmed using approved methods.