A client tells the nurse, "I have intense stomach pain for 3 hours after eating." On assessment the nurse finds abdominal pain and tenderness of the abdomen. The nurse suspects duodenal ulcers in the client. Which diagnostic procedure does the primary health-care provider least likely recommend?
Biopsy
Urea breath test
Endoscopy
Computed tomography (CT) scan
The Correct Answer is D
Choice A rationale: Biopsy during an endoscopy can help confirm the presence of duodenal ulcers by analyzing tissue samples.
Choice B rationale: Urea breath test is used to detect the presence of Helicobacter pylori, a bacterium associated with duodenal ulcers.
Choice C rationale: Endoscopy is a standard procedure for diagnosing duodenal ulcers by directly visualizing the upper gastrointestinal tract.
Choice D rationale: While a CT scan can be useful in some cases, it's less commonly used for diagnosing duodenal ulcers compared to other diagnostic methods like endoscopy,
biopsy, or urea breath test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Asymmetric facial movement might be associated with damage to other cranial nerves, not specifically cranial nerve III.
Choice B rationale: Uvula deviation is a sign of damage to the glossopharyngeal (IX) and vagus (X) nerves, not cranial nerve III.
Choice C rationale: Anosmia, the loss of sense of smell, is not typically associated with cranial nerve III dysfunction.
Choice D rationale: Damage to cranial nerve III (oculomotor nerve) can lead to ptosis, the drooping of the eyelid.
Correct Answer is B
Explanation
Choice A rationale: This does not match the peak time of NPH insulin.
Choice B rationale: This does not match the peak time of NPH insulin.
Choice C rationale: This does not match the peak time of NPH insulin.
Choice D rationale: This is because NPH insulin is an intermediate-acting insulin that has an onset of action of 1 to 2 hours, a peak of 6 to 12 hours, and a duration of 18 to 24 hours. Therefore, if Albert is given NPH insulin at 0730, the peak effect will occur between 1330 and 1930, which means that his blood glucose level will be lowest during this time.
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