A 45-year-old patient presents to the emergency department with epigastric pain, nausea, and occasional vomiting. The patient's history reveals chronic NSAID use for osteoarthritis. Laboratory tests indicate normal liver function but show the presence of Helicobacter pylori antibodies. Which of the following is the most likely diagnosis?

Peptic ulcer disease

Acute gastritis due to NSAID use

Functional dyspepsia

Chronic gastritis due to Helicobacter pylori infection

Answer and Explanation

The Correct Answer is D

A.   Peptic ulcer disease is possible, but the patient's NSAID use and positive H. pylori antibodies suggest a more specific cause related to gastritis.
B.   Acute gastritis due to NSAID use is likely since NSAIDs can irritate the stomach lining and increase the risk of ulcers.
C.   Functional dyspepsia is less likely given the presence of H. pylori antibodies, which typically indicate an active infection.
D.   Chronic gastritis due to Helicobacter pylori infection is the most likely diagnosis, especially with the combination of NSAID use and positive H. pylori antibodies.

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Correct Answer is D

Explanation

A. High-intensity weight-bearing exercises can exacerbate pain in patients with osteoarthritis and is not appropriate for alleviating knee stiffness.
B. Calcium and vitamin D supplementation is important for bone health, but it will not directly address the pain and stiffness associated with osteoarthritis.
C. Avoiding physical activity is not recommended for osteoarthritis; instead, moderate exercise can help improve joint function.
D. Applying heat therapy to the affected joints before engaging in physical activity is an effective method for alleviating stiffness and promoting mobility. Heat helps relax muscles and improve blood flow to the affected area.

A. Advise the patient to take antacids only when severe pain occurs. B. Instruct the patient to eat three large meals per day. C. Encourage the patient to smoke to reduce stress. D. Recommend increased intake of spicy foods to boost metabolism. E. Suggest the patient use NSAIDS for pain relief. F. Advise the patient to drink coffee to help with digestion. G. Administer proton pump inhibitors as prescribed. H. Encourage the patient to consume a bland diet.

Correct Answer is ["G","H"]

Explanation

A. Advising the patient to take antacids only when severe pain occurs may not be effective. Antacids should be used regularly or as prescribed for consistent symptom relief.
B. Instructing the patient to eat three large meals per day may exacerbate symptoms; smaller, more frequent meals are often better for managing gastritis.
C. Encouraging smoking to reduce stress is harmful, as smoking can exacerbate gastritis and increase stomach acid production.
D. Spicy foods should be avoided in gastritis, as they can irritate the stomach lining.
E. NSAIDs should be avoided in gastritis because they can irritate the gastric mucosa and worsen symptoms.
F. Coffee can stimulate acid production and may irritate the stomach lining, so it should be avoided.
G. Proton pump inhibitors (PPIs) help reduce gastric acid secretion and are a mainstay treatment for gastritis.
H. A bland diet is recommended, as it avoids irritating foods and allows the stomach lining to heal.

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Naxlex Comprehensive Predictor Exams

A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

Correct Answer is D

Explanation

A patient is diagnosed with gastritis after presenting with abdominal discomfort and nausea. As a nurse, which interventions would be appropriate for managing this patient's condition? (Select All that Apply.)

Correct Answer is ["G","H"]

Explanation

A patient is experiencing anaphylaxis after receiving an antibiotic. Which interventions should the nurse prioritize to address this condition? (Select All that Apply.)

A nurse is assessing a client who has multiple sclerosis. Which of the following assessment findings should the nurse anticipate? (Select All that Apply.)

A 58-year-old male with a new diagnosis of Type 2 Diabetes Mellitus is being educated on lifestyle modifications to manage his condition. Which of the following interventions would be appropriate to recommend? (Select All that Apply.)

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A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

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