Nokea
Which of the following symptoms best describes Murphy's sign?
- A. Periumbilical ecchymosis exists
- B. On deep palpation and release, pain is elicited
- C. On deep inspiration, pain is elicited and breathing stops
- D. Abdominal muscles are tightened in anticipation of palpation
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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.
When counseling a client in ways to prevent cholecystitis, which of the following guidelines is most important?
- A. Eat a low-protein diet
- B. Eat a low-fat, low-cholesterol diet
- C. Limit exercise to 10 minutes/day
- D. Keep weight proportionate to height
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with liver dysfunction is having difficulty with protein metabolism. The nurse anticipates that the results of which of the following serum laboratory studies will be elevated?
- A. Lactic acid
- B. Ammonia
- C. Albumin
- D. Lactase
Correct Answer: B
Rationale: During deamination of proteins, the liver splits the amino group from the carbon-containing compound, which results in the formation of ammonia and a carbon residue. The liver then converts the toxic ammonia substance into urea, which can be excreted by the kidneys. Clients with liver dysfunction may have high serum ammonia levels as a result.
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.
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.