A nurse is assessing a client diagnosed with peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Dyspepsia

Epigastric discomfort

Hematemesis

Epigastric pain

Answer and Explanation

The Correct Answer is C

A. Dyspepsia:

Dyspepsia refers to discomfort or pain in the upper abdomen, often described as indigestion. It is a common symptom of peptic ulcer disease but is not as urgent as the manifestation described in option C.

B. Epigastric discomfort:

Epigastric discomfort is a common symptom of peptic ulcer disease, but the priority is to identify more severe complications, such as bleeding.

C. Hematemesis:

This is the correct answer. Hematemesis refers to the vomiting of blood, which is a serious and potentially life-threatening complication of peptic ulcer disease. It indicates active bleeding in the upper gastrointestinal tract and requires prompt medical attention.

D. Epigastric pain:

Epigastric pain is similar to epigastric discomfort and is a common symptom of peptic ulcer disease. However, the priority in the given options is to identify the more severe complication of hematemesis.

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Correct Answer is A

Explanation

Correct answer: A

A. Bear down:

Bear down: Asking the clientto bear down gently (as if to void) helps to expose urethral meatus.Bearing down simulates the act of urination and helps open the urethra.

B. Exhale slowly:

While exhaling slowly might help the client relax, it does not specifically assist with the insertion of the catheter as effectively as bearing down.

C. Contract the pelvic muscles:

Contracting the pelvic muscles (such as squeezing or tightening) might make catheter insertion more challenging by tensing the area where the catheter needs to pass through.

D. Take a sip of water:

Drinking water is not typically instructed during urinary catheter insertion, as it's unrelated to the process and might increase discomfort.

A. Cheddar cheese B. Vegetable soup C. Noodles D. Baked fish

Correct Answer is A

Explanation

A. Cheddar cheese:

Cheddar cheese is high in fat, and individuals with a history of pancreatitis are often advised to limit their fat intake. High-fat foods can stimulate the pancreas to release digestive enzymes, potentially triggering or exacerbating pancreatitis.

B. Vegetable soup:

Depending on the ingredients, vegetable soup may or may not be high in fat. The key consideration is to choose soups that are not prepared with excessive amounts of fat or oil.

C. Noodles:

Noodles, by themselves, are not high in fat. However, the choice of sauce or toppings can impact the overall fat content of the meal. It's important to consider the entire composition of the dish.

D. Baked fish:

Baked fish is generally a lean protein source and is lower in fat compared to some other protein sources. Baked fish is often considered a suitable choice for individuals with a history of pancreatitis.

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A nurse is assessing a client diagnosed with peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

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