A 37-year-old client presents at the emergency department (ED), reporting nausea, vomiting, and severe abdominal pain. The client's abdomen is rigid, and there is bruising to the client's flank. The client's spouse states that the client was on a drinking binge for the past two days. The ED nurse should assist in assessing the client for what health problem?
GERD
diabetes
Severe pancreatitis with possible peritonitis
COPD
The Correct Answer is C
A. GERD typically does not cause severe abdominal pain, rigidity, or flank bruising.
B. Diabetes does not present acutely with these symptoms.
C. Severe pancreatitis, especially after heavy alcohol use, can cause severe abdominal pain, rigid abdomen (sign of peritonitis), and flank bruising (Grey Turner’s sign).
D. COPD primarily affects the lungs and would not cause these abdominal symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A fever of 101.8°F or higher may indicate infection and requires prompt medical evaluation.
B. Right shoulder pain is common after laparoscopic surgery due to residual CO₂ gas and usually resolves on its own.
C. Decreased appetite is common postoperatively and generally improves with time.
D. Constipation is a frequent postoperative issue and can be managed with diet and medications but is not an emergency.
Correct Answer is A
Explanation
A. Humulin R (regular insulin) is a short-acting insulin with an onset of 30 minutes to 1 hour, peak at 2 to 3 hours, and duration of 4 to 6 hours.
B. Lispro is a rapid-acting insulin with onset within 15 minutes and shorter duration.
C. Lente insulin is intermediate-acting with a slower onset and longer duration than regular insulin.
D. Lantus (glargine) is a long-acting insulin with no pronounced peak and lasts up to 24 hours.
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