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. Family history and genetic factors are considered significant risk factors for peptic ulcer disease. A positive family history increases the likelihood of developing the condition.

Choice B reason:

Excessive consumption of fresh fruits and vegetables is not a risk factor for peptic ulcer disease. In fact, a diet rich in fruits and vegetables is generally associated with a lower risk of developing peptic ulcers.

Choice C reason:

Regular exercise and maintaining a healthy weight are not considered risk factors for peptic ulcer disease. These factors are essential for overall health but are not directly related to ulcer development.

Choice D reason:

While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

A. "You will need to fast for 12 hours before the ultrasound." B. "You should avoid drinking water before the ultrasound." C. "There are no special preparations required for this ultrasound." D. "You need to avoid all pain medications before the ultrasound."

Correct Answer is C

Explanation

Choice A reason:

Fasting for 12 hours before an abdominal ultrasound is not necessary. Abdominal ultrasound does not require an empty stomach.

Choice B reason:

Drinking water is not typically restricted before an abdominal ultrasound. In fact, drinking water can improve image quality in some cases.

Choice C reason:

This statement is correct. There are no special preparations required for an abdominal ultrasound. The procedure is non-invasive and does not involve any special preparation or fasting.

Choice D reason:

Avoiding pain medications is not necessary before an abdominal ultrasound. The client can continue taking prescribed medications as usual.

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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 client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?

Correct Answer is A

Explanation

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. The client asks the nurse about any special preparations needed for the procedure. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?

A client is experiencing epigastric pain, and the nurse suspects peptic ulcer disease. Which of the following questions should the nurse ask to further assess the client's symptoms?

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?

A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) as part of the preventive treatment plan. Which of the following statements by the client indicates a need for further education about PPIs?

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 nurse is providing dietary education to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to the client?

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 discharge instructions to a client with a history of peptic ulcer disease. The client asks the nurse about warning signs of potential complications. Which of the following responses should the nurse provide?