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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. A tight seal between the lips and mouthpiece is necessary to effectively use the incentive spirometer.
B. Inhalation should be slow and deep, not rapid, to maximize lung expansion.
C. The breath should be held for about 3 to 5 seconds, not 20 seconds, to prevent dizziness.
D. Sitting up or elevating the head of the bed improves lung expansion and enhances the effectiveness of the incentive spirometer.

A. Use nail polish to protect nail beds from injury B. Stop smoking because it causes cutaneous vasospasm. C. Always wear warm clothing even in warm climates to prevent vasoconstriction D. Wear gloves for all activities involving use of both hands

Correct Answer is B

Explanation

A. Nail polish does not protect nail beds from injury and may even mask early signs of problems.
B. Smoking causes vasoconstriction and worsens Raynaud's symptoms; quitting smoking is essential.
C. Wearing warm clothing is important in cold climates to prevent vasospasm, but not necessary in warm climates.
D. Wearing gloves is advised during cold exposure or specific activities, not necessarily for all hand activities.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a preoperative teaching plan about using an incentive spirometer. Which of the following should the nurse include in the teaching plan?

Correct Answer is D

Explanation

The nurse is preparing discharge instructions for a client with Raynaud's Disease. Which teaching point would the nurse include in the teaching plan?

Correct Answer is B

Explanation

The nurse is caring for a client with a large venous ulcer on the leg. What intervention should the nurse implement to promote healing and prevent infection?

Which action most effectively prevents pneumonia and promotes healthy pulmonary function after surgery?

A client with diabetes has a glycosylated hemoglobin A1C measurement of 5%. Based on this laboratory test result, what should the nurse conclude about this client's needs?

Four hours after surgery, the blood glucose level of a client who has type 1 diabetes is elevated. Which of the following actions would the nurse expect?

A nurse is preparing to administer a transfusion of red blood cells to a client who has a history of heart failure. Which of the following manifestations would indicate that the client has fluid overload?

The nurse is caring for a client who has a history of Chronic alcoholism and is experiencing increased blood pressure, hyperactive deep tendon reflexes, abdominal distention, and mood changes. Which electrolyte imbalance does the client have?

A nurse is caring for a client who is two hours postoperative after a laparoscopic cholecystectomy. The client is complaining of pain in the right shoulder. Which nursing intervention should the nurse implement?

An elderly client is in the emergency department, diagnosed with severe HHNK (Hyperosmolar Hyperglycemic Non-Ketotic Syndrome). Which intervention should the nurse include in the plan of care?