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

Percussion of the left lower quadrant

Deep palpation of the epigastric region

Palpation of the right upper quadrant during inspiration

Auscultation of the left upper quadrant

Answer and Explanation

The Correct Answer is C

Choice A reason:

Percussion of the left lower quadrant is not relevant to assess for Boas' sign, which involves the right upper quadrant.

Choice B reason:

Deep palpation of the epigastric region is not associated with Boas' sign. Boas' sign involves palpation of the right subscapular area.

Choice C reason:

This statement is correct. Boas' sign is elicited by palpating the right upper quadrant during inspiration. The client may experience referred pain to the right subscapular area, indicating irritation of the phrenic nerve by the inflamed gallbladder.

Choice D reason:

Auscultation of the left upper quadrant is not relevant to assessing for Boas' sign, which involves the right upper quadrant.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. An upper gastrointestinal endoscopy is a diagnostic procedure that uses a flexible tube with a camera (endoscope) to visualize the esophagus, stomach, and duodenum. It helps identify abnormalities, such as peptic ulcers, inflammation, or tumors.

Choice B reason:

Assessing blood flow to the intestines and colon is not the purpose of an upper gastrointestinal endoscopy. This procedure focuses on the upper digestive tract.

Choice C reason:

Evaluating kidney function and the urinary system is unrelated to an upper gastrointestinal endoscopy, which focuses on the upper digestive tract.

Choice D reason:

Diagnosing conditions in the lower digestive tract is not the purpose of an upper gastrointestinal endoscopy. Lower digestive tract evaluations are typically done using colonoscopy or sigmoidoscopy.

A. "It is best to take the PPI with your meals to enhance its effectiveness." B. "You should take the PPI on an empty stomach, preferably 30 minutes before a meal." C. "You can take the PPI at any time of the day, as long as it is taken consistently." D. "Taking the PPI before bedtime is most effective for managing nighttime acid reflux."

Correct Answer is B

Explanation

Choice A reason:

Taking the PPI with meals is not the most effective timing for acid suppression. PPIs work best when taken on an empty stomach.

Choice B reason:

This statement is correct. PPIs are most effective when taken on an empty stomach, about 30 minutes before a meal. This allows the medication to be absorbed and inhibit acid secretion in the stomach before food intake.

Choice C reason:

While consistency in medication timing is important, taking the PPI at any time of the day may not optimize its effectiveness.

Choice D reason:

Taking the PPI before bedtime may not provide the best acid suppression throughout the day. Taking it on an empty stomach before a meal is a more appropriate approach.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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