A client with a history of PUD is admitted to a medical-surgical unit with pyloric obstruction. The nurse caring for this client knows to monitor for the following symptoms: (SELECT ALL THAT APPLY)

Respiratory acidosis.

Abdominal pain which is relieved by belching.

Sensation of epigastric fullness.

Nausea.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

Pyloric obstruction does not cause respiratory acidosis. Instead, it leads to gastrointestinal symptoms due to obstruction of the stomach's outflow.

Choice B rationale

Abdominal pain relieved by belching is a typical symptom of pyloric obstruction, as it can help release some of the gas and pressure build-up in the stomach.

Choice C rationale

Sensation of epigastric fullness is a common symptom of pyloric obstruction due to the blockage preventing stomach contents from passing into the duodenum.

Choice D rationale

Nausea is a frequent symptom of pyloric obstruction because the stomach's inability to empty properly can lead to discomfort and vomiting. .

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Correct Answer is B

Explanation

Choice A rationale

Active bowel sounds are indicative of normal or increased gastrointestinal motility, which is not expected in severe peritonitis. Peritonitis typically leads to decreased or absent bowel sounds due to inflammation and paralysis of the intestines.

Choice B rationale

Leukocytosis, an elevated white blood cell count, is a common finding in severe peritonitis. It indicates an immune response to infection or inflammation within the abdominal cavity.

Choice C rationale

A pain report of "0" on a 0-10 scale is highly unlikely in severe peritonitis. This condition causes significant abdominal pain due to widespread inflammation of the peritoneum.

Choice D rationale

An undistended abdomen is not expected in severe peritonitis. The condition often results in abdominal distension due to fluid accumulation, inflammation, and decreased bowel motility.

A. Other weight loss methods, such as diet and exercise, should be attempted before beginning treatment with weight loss drugs. B. Drugs used for weight loss are very safe with few side effects. C. Weight loss drugs should be used for at least a year, even if weight loss does not immediately occur. D. In general, drugs currently approved for weight loss either affect nutrient absorption or appetite. E. You can expect to lose at least forty pounds using weight loss drugs.

Correct Answer is ["A","D"]

Explanation

Choice A rationale

It's widely recommended to attempt lifestyle modifications, such as diet and exercise, before initiating pharmacotherapy for obesity. This approach is due to the potential side effects and costs associated with weight loss medications, making non-pharmacological interventions a safer first option.

Choice B rationale

This statement is incorrect. Drugs used for weight loss can have significant side effects, including gastrointestinal disturbances, increased heart rate, and potential risks of abuse or dependence. It is important for healthcare providers to weigh the benefits and risks before prescribing these medications.

Choice C rationale

Weight loss drugs are typically used in conjunction with lifestyle changes and are not recommended to be used for prolonged periods if ineffective. Continuous monitoring and evaluation of the drug's effectiveness and side effects are crucial in managing obesity with pharmacotherapy.

Choice D rationale

Correct. Current drugs approved for weight loss generally work by either reducing nutrient absorption (e.g., orlistat) or suppressing appetite (e.g., phentermine). These mechanisms help individuals decrease caloric intake and promote weight loss.

Choice E rationale

This statement is inaccurate. The amount of weight loss with medication varies among individuals, and losing at least forty pounds is not a guaranteed outcome. The effectiveness of weight loss drugs depends on several factors, including adherence to the medication and accompanying lifestyle changes.

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A client with a history of PUD is admitted to a medical-surgical unit with pyloric obstruction. The nurse caring for this client knows to monitor for the following symptoms: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing an assessment on a client who has been diagnosed with severe peritonitis. Which finding would the nurse expect?

Correct Answer is B

Explanation

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)

Correct Answer is ["A","D"]

Explanation

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