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 C

Explanation

Choice A reason:

While Helicobacter pylori is a type of bacteria, it is not typically transmitted through food and does not directly cause peptic ulcer disease.

Choice B reason:

This statement is incorrect. Helicobacter pylori infection is indeed associated with an increased risk of peptic ulcer disease.

Choice C reason:

This statement is correct. Helicobacter pylori infection can weaken the stomach lining by producing substances that can damage the mucous layer, leading to increased vulnerability to acid and contributing to ulcer formation.

Choice D reason:

Helicobacter pylori infection is not caused by excessive consumption of spicy foods. The infection is typically acquired through person-to-person transmission, such as through contaminated water or food, and is unrelated to diet choices.

A. Nausea and vomiting after meals B. Mild right upper quadrant pain C. Referred pain to the left shoulder D. High fever and chills

Correct Answer is D

Explanation

Choice A reason:

Nausea and vomiting after meals are common symptoms in acute cholecystitis, but they do not indicate a severe complication. They are typical manifestations of gallbladder inflammation.

Choice B reason:

Mild right upper quadrant pain may be present in acute cholecystitis, but it does not suggest a severe complication.

Choice C reason:

Referred pain to the left shoulder (Kehr's sign) is a classic symptom of splenic rupture or other conditions involving the spleen, not directly related to cholecystitis.

Choice D reason:

This statement is correct. High fever and chills may indicate the presence of infection and sepsis, which can be severe complications of acute cholecystitis.

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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 client with peptic ulcer disease asks the nurse about the role of Helicobacter pylori in the development of the condition. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with acute cholecystitis. Which of the following symptoms should the nurse prioritize as a potential sign of a severe complication?

Correct Answer is D

Explanation

A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

A nurse is caring for a client who recently underwent Helicobacter pylori eradication therapy for peptic ulcer disease. Which of the following instructions should the nurse provide to the client to prevent H. pylori reinfection?

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

A client with a history of peptic ulcer disease is prescribed sucralfate as part of the preventive treatment plan. Which of the following instructions should the nurse provide to the client about taking sucralfate?

A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?

A nurse is caring for a client with peptic ulcer disease who is prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis. Which of the following statements by the client indicates a need for further education?

A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?

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?