A client tells the nurse of concerns about possibly having a stomach ulcer because the client is experiencing heartburn and a dull gnawing pain that is relieved by eating. Which is the best response by the nurse?

Encourage the client to obtain a complete physical exam, as these symptoms are consistent with an ulcer.

Advise the client to seek immediate medical evaluation and treatment for these symptoms.

Instruct the client that these mild symptoms can generally be controlled with changes in the diet.

Assure the client that the symptoms may only reflect reflux, since ulcer pain is not relieved by food.

Answer and Explanation

The Correct Answer is A

Choice A reason: Symptoms of heartburn and pain relieved by eating can indeed be consistent with an ulcer, and a complete physical exam can help diagnose the condition and rule out other causes.

Choice B reason: While immediate medical evaluation is important, it is not specified that the symptoms are severe or life-threatening, so it may not be the best initial advice.

Choice C reason: Diet changes can help manage symptoms of heartburn and indigestion, but they may not be sufficient if an ulcer is present.

Choice D reason: It is incorrect to assure the client that the symptoms are only reflux, as ulcer pain can indeed be relieved by food, contrary to the statement.

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Correct Answer is B

Explanation

Choice A reason: Reducing the risk for infection is important but not the primary goal for DJD as it is not primarily an infectious condition.

Choice B reason: Achieving satisfactory pain control is the primary goal in the management of DJD to improve the client's quality of life and functional ability.

Choice C reason: Obtaining adequate rest and sleep is beneficial for overall health but is secondary to pain control in the management of DJD.

Choice D reason: Improving stress management skills can help with overall well-being but is not the primary focus of care for a client with DJD.

A. The echocardiogram is an invasive procedure. B. I can show my child a movie or read him a book during the procedure. C. The echocardiogram is a painful procedure. D. The echocardiogram will produce an image of the structure of the heart. E. Echocardiography uses sound waves to produce images.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

- Choice A: No Understanding

- Reason: An echocardiogram is a non-invasive procedure that uses ultrasound waves to create images of the heart.

- Choice B: Understanding

- Reason: Parents can indeed show their child a movie or read a book during the procedure as it helps keep the child calm and still, which is conducive for a transthoracic echocardiogram².

- Choice C: No Understanding

- Reason: An echocardiogram is generally not a painful procedure. It is non-invasive and involves placing a transducer on the chest to capture images of the heart².

- Choice D: Understanding

- Reason: The echocardiogram will indeed produce an image of the structure of the heart, which is essential for diagnosing and assessing conditions like VSD.

- Choice E: Understanding

- Reason: Echocardiography uses sound waves to produce images of the heart, which can show how well blood is moving through the heart and heart valves.

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A client tells the nurse of concerns about possibly having a stomach ulcer because the client is experiencing heartburn and a dull gnawing pain that is relieved by eating. Which is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the primary goal when planning nursing care for a client with degenerative joint disease (DJD)?

Correct Answer is B

Explanation

Patient Data Exhibits After the physician orders the echocardiogram, the nurse educates the parents about the procedure. For each statement below, indicate whether it shows understanding or a lack of understanding by the parents.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

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