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. Sucralfate is best taken on an empty stomach at least 1 hour before meals to allow it to form a protective barrier over the ulcer and provide optimal therapeutic effects.

Choice B reason:

Crushing sucralfate tablets is not recommended, as it may interfere with the medication's ability to adhere to the ulcer site and provide protection.

Choice C reason:

Taking sucralfate with antacids may reduce its effectiveness, as antacids can interfere with its therapeutic actions. It is best to take sucralfate separately from antacids.

Choice D reason:

It is essential to avoid taking sucralfate with other medications, especially those that require an acidic environment for absorption. This is because sucralfate can decrease the absorption of certain drugs.

A. Serum potassium levels B. Blood glucose levels C. Serum creatinine levels D. Complete blood count (CBC)

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. H2 receptor blockers can sometimes cause an increase in serum potassium levels. The nurse should monitor the client's potassium levels closely to detect any abnormalities.

Choice B reason:

H2 receptor blockers do not typically affect blood glucose levels, so monitoring blood glucose is not the priority in this scenario.

Choice C reason:

H2 receptor blockers are not known to have a significant impact on serum creatinine levels, so monitoring creatinine is not the priority in this case.

Choice D reason:

H2 receptor blockers are not known to affect the CBC, so monitoring the complete blood count is not the priority for this client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peptic ulcer disease who is prescribed sucralfate. Which of the following instructions should the nurse provide to the client about taking sucralfate?

Correct Answer is A

Explanation

A nurse is caring for a client with a peptic ulcer who is prescribed histamine-2 (H2) receptor blockers. Which of the following laboratory values should the nurse monitor closely while the client is taking H2 receptor blockers?

Correct Answer is A

Explanation

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