A 45-year-old patient with a history of chronic alcohol use presents to the emergency department with epigastric pain, nausea, and vomiting. Which of the following findings would best support a diagnosis of acute gastritis?

Erosion of the gastric mucosa on endoscopy

Decreased serum amylase levels

Presence of Helicobacter pylori antibodies in serum

Hypersecretion of hydrochloric acid

Answer and Explanation

The Correct Answer is A

A.   Erosion of the gastric mucosa on endoscopy is the hallmark of acute gastritis. Chronic alcohol use can irritate and inflame the stomach lining, leading to mucosal erosion, which is commonly seen during endoscopy in patients with this condition.
B.   Decreased serum amylase levels are not typically associated with acute gastritis. Amylase levels are more commonly elevated in cases of pancreatitis, not gastritis.
C.   The presence of Helicobacter pylori antibodies in serum is more indicative of chronic gastritis or peptic ulcer disease rather than acute gastritis. H. pylori is a long-term cause of gastric inflammation.
D.   Hypersecretion of hydrochloric acid is more commonly associated with conditions such as Zollinger- Ellison syndrome and is not a typical finding in acute gastritis caused by alcohol use.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Decongestants are not directly linked to the development of peptic ulcers and should not be avoided solely for this reason.
B. Undercooked foods may increase the risk for foodborne illness but are not a significant factor in the development of peptic ulcers.
C. Hormone replacement therapy is not a primary risk factor for peptic ulcers, though it may affect other aspects of gastrointestinal health.
D. Fried foods can irritate the stomach lining and exacerbate acid reflux, which could increase the risk of peptic ulcers, so it is advisable to avoid them.

A. Initiate high-intensity weight-bearing exercises. B. Increase dietary intake of calcium and vitamin D supplements. C. Avoid all physical activity to prevent further joint damage. D. Apply heat therapy to the affected joints before engaging in physical activity.

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 45-year-old patient with a history of chronic alcohol use presents to the emergency department with epigastric pain, nausea, and vomiting. Which of the following findings would best support a diagnosis of acute gastritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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 nurse is caring for a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?

A patient with Type 1 Diabetes Mellitus is admitted to the emergency department with deep, rapid breathing, abdominal pain, and confusion. Which of the following laboratory findings would most likely confirm a diagnosis of diabetic ketoacidosis (DKA)?

A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

A patient is diagnosed with acute gastritis. Which of the following interventions and assessments should the nurse consider to effectively manage this condition? (Select All that Apply.)

A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome? (Select All that Apply.)

A 72-year-old patient with a history of chronic hypertension is diagnosed with acute kidney injury (AKI) secondary to contrast-induced nephropathy. Which clinical finding would most likely be present in this patient?