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

Diarrhea

Dyspepsia

Epigastric discomfort

Hematemesis

Answer and Explanation

The Correct Answer is D

Choice A reason:

While diarrhea can be a symptom of peptic ulcer disease, it is not typically considered a priority over more severe symptoms.

Choice B reason:

Dyspepsia (indigestion) is a common symptom of peptic ulcer disease, but it is not the priority over more concerning symptoms.

Choice C reason:

Epigastric discomfort is a symptom of peptic ulcer disease, but it is not the priority over more severe symptoms like hematemesis.

Choice D reason:

Hematemesis (vomiting blood) is a serious and potentially life-threatening symptom of peptic ulcer disease. It is the top priority for assessment and intervention.

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Correct Answer is D

Explanation

Choice A reason:

A dinner roll is a generally well-tolerated food option and is unlikely to exacerbate gallbladder inflammation.

Choice B reason:

Tapioca pudding is a soft and easily digestible food, which is suitable for a patient with acute gallbladder inflammation.

Choice C reason:

Mashed potatoes are typically considered a bland and easily digestible food, suitable for a patient with gallbladder inflammation.

Choice D reason:

Fried chicken is high in fat, which can trigger gallbladder symptoms and exacerbate

inflammation. Therefore, it is not an appropriate choice for a patient with acute gallbladder inflammation. The nurse should question this item on the tray.

A. "Your large intestine will adapt over time to the absence of your appendix." B. "Your appendix doesn't play a major role, so you won't notice any difference after you recover from surgery." C. "Your body will absorb slightly fewer nutrients from the food you eat, but you won't be aware of this." D. "The surgeon will encourage you to limit your fat intake for a few weeks after the surgery, but your body will then begin to compensate."

Correct Answer is B

Explanation

Choice A reason:

This statement may not be entirely accurate. While other parts of the digestive system can compensate to some extent, the primary function of the appendix is not related to the large intestine's adaptation.

Choice B reason:

This is the correct answer. The appendix is considered a vestigial organ, meaning it doesn't have a major function in humans. Its removal typically doesn't lead to noticeable changes in overall health or digestion.

Choice C reason:

While the appendix does have some immune functions, the impact on nutrient absorption is minimal, and its removal is unlikely to lead to a significant difference in nutrient absorption.

Choice D reason:

Limiting fat intake after surgery is not a standard recommendation following an appendectomy. The statement may cause unnecessary concern for the patient.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a patient admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?

Correct Answer is D

Explanation

A patient has been brought to the emergency department with abdominal pain and is subsequently diagnosed with appendicitis. The patient is scheduled for an appendectomy but questions the nurse about how his health will be affected by the absence of an appendix. How should the nurse best respond?

Correct Answer is B

Explanation

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