When obtaining a nursing history on a client with a suspected gastric ulcer, which signs and symptoms would the nurse expect to see? Select ONE that does not apply.
- A. Epigastric pain at night
- B. Relief of epigastric pain after eating
- C. Vomiting
- D. Weight loss
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is scheduling diagnostic tests for a client. If all of the following diagnostic tests are ordered, which would be performed last?
- A. Gallbladder series
- B. Barium enema
- C. Barium swallow
- D. Oral cholecystogram
Correct Answer: C
Rationale: The correct answer is C, 'Barium swallow.' A barium swallow should be done after a barium enema or gallbladder series to prevent the contrast used in the barium swallow from obstructing the view of other organs. It takes several days for swallowed barium to pass completely out of the gastrointestinal tract. Choices A, B, and D are incorrect because a barium swallow should be the last test performed to ensure clear imaging without interference from residual contrast material.
The nurse is caring for a client with a diagnosis of cirrhosis and is monitoring the client for signs of portal hypertension. Which initial sign, if noted in the client, indicates the presence of portal hypertension?
- A. Flat neck veins
- B. Hypotension
- C. Weak pulse
- D. Crackles on auscultation of the lungs
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client being treated for chronic cholecystitis should be given which of the following instructions?
- A. Increase rest
- B. Avoid antacids
- C. Increase protein in diet
- D. Use anticholinergics as prescribed
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with a peptic ulcer reports epigastric pain that frequently awakens her at night, a feeling of fullness in the abdomen, and a feeling of anxiety about her health. Based on this information, which nursing diagnosis would be most appropriate?
- A. Imbalanced Nutrition: Less than Body Requirements related to anorexia.
- B. Disturbed Sleep Pattern related to epigastric pain
- C. Ineffective Coping related to exacerbation of duodenal ulcer
- D. Activity Intolerance related to abdominal pain
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following dietary measures would be useful in preventing esophageal reflux?
- A. Eating small, frequent meals
- B. Increasing fluid intake
- C. Avoiding air swallowing with meals
- D. Adding a bedtime snack to the dietary plan
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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