A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Hypertension and increased heart rate

Abdominal distention and bloating

Melena (black, tarry stools)

Hyperactive bowel sounds

Answer and Explanation

The Correct Answer is C

Choice A reason:

Hypertension and increased heart rate are not early signs of gastrointestinal bleeding. In fact, hypotension and tachycardia are more common signs of significant blood loss.

Choice B reason:

Abdominal distention and bloating are not typical early signs of gastrointestinal bleeding. These symptoms may occur due to other gastrointestinal issues but are not specific to bleeding.

Choice C reason:

This statement is correct. Melena, or black, tarry stools, is a classic sign of upper gastrointestinal bleeding and indicates the presence of partially digested blood in the stool.

Choice D reason:

Hyperactive bowel sounds are not early signs of gastrointestinal bleeding. Bowel sounds may be hyperactive or hypoactive depending on the severity of the bleeding and associated factors.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a hallmark symptom of cholecystitis. The pain is typically sudden, severe, and constant, and it is often triggered by a fatty meal.

Choice B reason:

Left lower quadrant abdominal pain with rebound tenderness is not characteristic of cholecystitis. It may indicate other conditions, such as diverticulitis or appendicitis.

Choice C reason:

Midline epigastric pain aggravated by lying down is more indicative of gastroesophageal reflux disease (GERD) rather than cholecystitis.

Choice D reason:

Diffuse abdominal pain with a low-grade fever may be seen in various conditions, but it does not specifically point to cholecystitis.

A. "Misoprostol is an antibiotic used to treat bacterial infections." B. "Take misoprostol on an empty stomach at least 1 hour before meals." C. "Avoid becoming pregnant while taking misoprostol, as it can cause birth defects." D. "Misoprostol is used to reduce stomach acid production and prevent ulcers."

Correct Answer is C

Explanation

Choice A reason:

Misoprostol is not an antibiotic. It is a synthetic prostaglandin used to protect the stomach lining and prevent peptic ulcers, particularly in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B reason:

Misoprostol should be taken with meals to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of adverse effects.

Choice C reason:

This statement is correct. Misoprostol is contraindicated during pregnancy and can cause uterine contractions and birth defects. Clients taking misoprostol should use effective contraception to prevent pregnancy.

Choice D reason:

Misoprostol is not used to reduce stomach acid production. Instead, it helps protect the stomach lining by increasing mucus production and promoting bicarbonate secretion.

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A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

Correct Answer is A

Explanation

A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?

Correct Answer is C

Explanation

A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

A client is diagnosed with peptic ulcer disease and asks the nurse about the common risk factors for this condition. Which of the following responses should the nurse provide?

A client with peptic ulcer disease asks the nurse about dietary recommendations to prevent ulcer recurrence. Which of the following statements should the nurse include in the client's education?

A client with peptic ulcer disease is scheduled for an upper gastrointestinal endoscopy. The client asks the nurse about the purpose of the procedure. Which of the following responses should the nurse provide?

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

A client is experiencing epigastric pain, and the nurse suspects peptic ulcer disease. Which of the following questions should the nurse ask to further assess the client's symptoms?

A client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

A client with peptic ulcer disease is prescribed a combination therapy that includes antibiotics and acid-reducing medications. The client asks the nurse about the purpose of the antibiotics in the treatment. Which of the following responses should the nurse provide?