Risk factors for the development of hiatal hernias are those that lead to increased abdominal pressure. Which of the following complications DOES NOT cause increased abdominal pressure?
- A. Obesity
- B. Volvulus
- C. Constipation
- D. Intestinal obstruction
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A nurse is caring for a client diagnose with pancreatitis. The nurse anticipates that the client would not experience an elevation of which of the following enzymes?
- A. Lipase
- B. Lactase
- C. Amylase
- D. Trypsin
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following tests is most commonly used to diagnose cholecystitis?
- A. Abdominal CT scan
- B. Abdominal ultrasound
- C. Barium swallow
- D. Endoscopy
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client with a duodenal ulcer may exhibit which of the following findings on assessment?
- A. Hematemesis
- B. Malnourishment
- C. Melena
- D. Pain with eating
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
To accurately assess for jaundice in a patient with dark skin pigmentation, the nurse should examine which body areas?
- A. Nail beds
- B. Skin on the back of the hand
- C. Hard palate of the mouth
- D. Soles of the feet
Correct Answer: C
Rationale: To accurately assess for jaundice in a patient with dark skin pigmentation, the nurse should examine the hard palate of the mouth. Jaundice is best assessed in the sclera; however, in dark-skinned patients, normal yellow pigmentation may be present in the sclera, making it difficult to detect jaundice. Inspection of the hard palate for a yellow color can confirm the presence of jaundice. Cyanosis is best observed in the nail beds, not indicative of jaundice. While skin on the palm of the hand can indicate jaundice, the back of the hand is not a typical area for assessment. Jaundice can be assessed on the soles of the feet in dark-skinned patients, but it is better visualized in the hard palate for accurate evaluation.
A client is taking an antacid for treatment of a peptic ulcer. Which of the following statements best indicates that the client understands how to correctly take the antacid?
- A. I should take my antacid before I take my other medications.
- B. I need to decrease my intake of fluids so that I don't dilute the effects of my antacid.
- C. My antacid will be most effective if I take it whenever I experience stomach pains.
- D. It is best for me to take my antacid 1 to 3 hours after meals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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