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.

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Correct Answer is ["B","D","F"]

Explanation

A. Nonallergic asthma typically persists throughout the year, not just during certain seasons or in response to allergens.
B. Nonallergic asthma occurs in the absence of hypersensitivity to allergens, so the patient will not exhibit typical allergic reactions.
C. Corticosteroids are often effective in managing both allergic and nonallergic asthma, so a positive response to corticosteroids is common.
D. Exercise-induced asthma flare-ups are common in nonallergic asthma, especially with physical activity.
E. Nasal inflammation is more common with allergic asthma than nonallergic asthma.
F. NSAIDs can trigger asthma flare-ups in some people with nonallergic asthma due to the effect on prostaglandins and inflammatory mediators.

A. Hirsutism B. Bladder spasms C. Hyperglycemia D. Hypotension E. Delayed wound healing

Correct Answer is ["A","C","E"]

Explanation

A. Hirsutism (excessive hair growth) can occur due to corticosteroid use, as they can increase the production of androgens.
B. Bladder spasms are not typically associated with corticosteroid use but may occur with multiple sclerosis itself.
C. Hyperglycemia is a common side effect of corticosteroids, as they can impair insulin sensitivity.
D. Corticosteroids typically cause hypertension, not hypotension, as a side effect.
E. Delayed wound healing is a well-known side effect of corticosteroid therapy, as steroids can suppress immune function.

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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

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that apply.)

Correct Answer is ["B","D","F"]

Explanation

A nurse is planning care for a client who has multiple sclerosis and is receiving methylprednisolone. Which of the following adverse effects should the nurse anticipate? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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