A nurse in a clinic is caring for a client who has alcohol use disorder. The client reports frequent bruising and nosebleeds. Which of the following conditions should the nurse suspect?
Diabetes mellitus
Hepatitis A
Cirrhosis
Cholecystitis
The Correct Answer is C
A. Diabetes mellitus
Diabetes mellitus can cause easy bruising and slow wound healing, but it is not typically associated with frequent nosebleeds.
B. Hepatitis A
Hepatitis A primarily affects the liver and does not cause frequent bruising and nosebleeds.
C. Cirrhosis
Cirrhosis, which is scarring of the liver tissue due to long-term liver damage, can lead to impaired liver function. One consequence of cirrhosis is decreased production of clotting factors, which can result in easy bruising. Additionally, the enlarged spleen in cirrhosis can lead to thrombocytopenia (low platelet count), contributing to bleeding tendencies, including nosebleeds. Cirrhosis is the most likely condition given the symptoms described.
D. Cholecystitis
Cholecystitis is inflammation of the gallbladder and is not directly associated with frequent bruising and nosebleeds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1110"]
Explanation
8-oz cup of coffee = 8 oz (since 1 fluid ounce is approximately 30 ml, this is roughly 240 ml).
3 oz of juice = 3 oz (approximately 90 ml).
12 oz of soda = 12 oz (approximately 360 ml).
Water pitcher had 300 ml, and 200 ml remains, so the client consumed 300 ml - 200 ml = 100 ml of water.
IV fluids infusing at 40 mL/hr for 8 hours = 40 ml/hr * 8 hr = 320 ml.
Now, sum up these values:
240 ml (coffee) + 90 ml (juice) + 360 ml (soda) + 100 ml (water) + 320 ml (IV fluids) = 1,110 ml
So, the nurse should document the client's total intake for the shift as 1,110 ml.
Correct Answer is D
Explanation
A. Headache: Omeprazole is not primarily used to treat headaches. While it might indirectly alleviate headaches caused by acid reflux or heartburn, its primary purpose is to reduce stomach acid production.
B. Diarrhea: Omeprazole is not typically used to treat diarrhea. Diarrhea can have various causes, including infections or dietary issues, and treatment would depend on the underlying cause.
C. Nausea: While omeprazole may indirectly help with nausea caused by excessive stomach acid, its main role is to reduce acid production. If nausea is due to other causes, such as medications or infections, different treatments might be necessary.
D. Acid indigestion: This is the correct answer. Omeprazole is very effective at relieving symptoms of acid indigestion, heartburn, and gastroesophageal reflux disease (GERD). It works by reducing the production of stomach acid, thereby alleviating discomfort associated with excess acid.
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