A client with a tentative diagnosis of a gastric ulcer is scheduled for an endoscopy. Which concern should the practical nurse (PN) expect this client to have after the procedure is completed?
Sore throat.
Clay-colored stools.
Pain in the mid-abdominal area.
White, chalky emesis.
The Correct Answer is A
Choice A reason: A sore throat is a common and expected concern after an endoscopy. During the procedure, an endoscope is passed through the mouth and down the throat to examine the upper gastrointestinal tract, which can cause irritation and discomfort in the throat. This is typically temporary and can be managed with soothing remedies such as warm saltwater gargles or throat lozenges. The practical nurse should reassure the client that a sore throat is a normal side effect and provide appropriate comfort measures.
Choice B reason: Clay-colored stools are not typically associated with an endoscopy. This finding is more indicative of a problem with bile flow, possibly related to liver or gallbladder conditions. The presence of clay-colored stools suggests that bile is not reaching the intestines, which can occur in conditions such as biliary obstruction. While it is an important symptom to report, it is not directly related to the endoscopic procedure.
Choice C reason: Pain in the mid-abdominal area is not a common post-endoscopy concern. While some mild discomfort or bloating can occur due to the air introduced into the stomach during the procedure, severe or persistent mid-abdominal pain is not expected and should be evaluated further. This symptom could indicate a complication such as perforation, which is rare but serious.
Choice D reason: White, chalky emesis is not a typical concern after an endoscopy. This type of emesis may be related to the ingestion of barium, a contrast material used in certain radiologic studies, but it is not associated with an endoscopic examination. If a client experiences white, chalky emesis, further investigation is needed to determine the cause, but it is not a normal post-endoscopy symptom.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Aldosterone is a hormone produced by the adrenal cortex that helps regulate sodium and potassium levels in the body. While aldosterone levels can indicate adrenal function, they are not as commonly used as cortisol levels in diagnosing adrenal cortex failure. Aldosterone regulation is also influenced by the renin-angiotensin-aldosterone system, making it a less direct indicator of overall adrenal cortex function compared to cortisol.
Choice B reason: Cortisol is a glucocorticoid hormone produced by the adrenal cortex and plays a vital role in regulating metabolism, immune response, and stress. Measuring cortisol levels is a primary method for assessing adrenal cortex function. Low cortisol levels can indicate adrenal insufficiency or failure, such as in conditions like Addison's disease. Evaluating cortisol levels provides a direct assessment of the adrenal gland’s ability to produce essential hormones necessary for the body's normal functioning.
Choice C reason: Thyroxine (T4) is a hormone produced by the thyroid gland, not the adrenal cortex. It plays a crucial role in regulating metabolism, growth, and development. While thyroxine levels are important for thyroid function assessment, they do not directly reflect the functioning of the adrenal gland. Therefore, thyroxine levels are not relevant in diagnosing adrenal cortex failure.
Choice D reason: Insulin is a hormone produced by the pancreas and is essential for regulating blood glucose levels. It is not related to the adrenal cortex. Monitoring insulin levels is important for diagnosing and managing diabetes mellitus but does not provide information about the functioning of the adrenal gland. Insulin levels are not used to assess adrenal cortex function.
Correct Answer is C
Explanation
Choice A reason: Lymph nodes are important components of the immune system and play a crucial role in filtering harmful substances and housing lymphocytes. While HIV/AIDS can affect lymph nodes, it is not the primary target of the virus.
Choice B reason: The spleen is another vital organ in the immune system that helps filter blood and fight infections. However, it is not the specific target of HIV.
Choice C reason: T cells, specifically CD4+ T cells, are the main target of HIV (the virus that causes AIDS). HIV infects and destroys these cells, leading to a weakened immune system. The progressive loss of CD4+ T cells impairs the body's ability to fight off infections and certain cancers, which is characteristic of AIDS.
Choice D reason: B cells are responsible for producing antibodies and play a key role in the humoral immune response. While HIV/AIDS can indirectly impact B cell function due to the overall compromised immune system, B cells are not the primary cells affected by the virus.
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