Nokea
The pain of a duodenal ulcer can be distinguished from that of a gastric ulcer by which of the following characteristics?
- A. Early satiety
- B. Pain on eating
- C. Dull upper epigastric pain
- D. Pain on empty stomach
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The client has orders for a nasogastric (NG) tube insertion. During the procedure, instructions that will assist in the insertion would be:
- A. Instruct the client to tilt his head back for insertion in the nostril, then flex his neck for the final insertion
- B. After insertion into the nostril, instruct the client to extend his neck
- C. Introduce the tube with the client's head tilted back, then instruct him to keep his head upright for final insertion
- D. Instruct the client to hold his chin down, then back for insertion of the tube
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client is admitted to the hospital for treatment of acute hepatitis B. Which activity order would the nurse expect to be prescribed?
- A. Bedrest
- B. Encourage ambulation
- C. Out of bed in a chair
- D. No activity restrictions
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client with peptic ulcer disease is scheduled for a pyloroplasty. The client asks the nurse about the procedure. The nurse plans to respond knowing that a pyloroplasty involves:
- A. Cutting the vagus nerve
- B. Removing the distal portion of the stomach
- C. Removal of the ulcer and a large portion of the cells that produce hydrochloric acid
- D. An incision and resuturing of the pylorus to relax the muscle and enlarge the opening from the stomach to the duodenum.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client with cirrhosis. Which manifestations indicate deficient vitamin K absorption caused by this liver disease?
- A. Dyspnea and fatigue
- B. Ascites and orthopnea
- C. Purpura and petechiae
- D. Gynecomastia and testicular atrophy
Correct Answer: C
Rationale: A liver disorder, such as cirrhosis, can disrupt the liver's normal use of vitamin K to produce prothrombin (a clotting factor). Because of this, the nurse should monitor the client for signs of bleeding, including purpura and petechiae. Dyspnea and fatigue suggest anemia. Ascites and orthopnea are unrelated to vitamin K absorption. Gynecomastia and testicular atrophy result from decreased estrogen metabolism by the diseased liver.
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.