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 C

Explanation

Choice A reason:

McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus

Choice B reason:

McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus

Choice C reason:

McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus

Choice D reason:

McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus

A. Remove the NG tube promptly and obtain an order for reinsertion from the primary care provider. B. Attach a syringe filled with warm water and attempt an in-and-out motion of instilling and aspirating. C. Withdraw the NG tube slightly and attempt to dislodge by flicking the tube with the fingers. D. Withdraw the NG tube 3 to 5 cm and reattempt aspiration.

Correct Answer is B

Explanation

Choice A reason:

Removing the NG tube without further attempts to unclog it may not be necessary and could be an unnecessary intervention.

Choice B reason:

This statement is correct. Attempting to unclog the NG tube with warm water and an in-and-out motion is an appropriate next step.

Choice C reason:

Flicking the tube with the fingers may not be effective in dislodging the clog, and it could potentially cause harm to the patient.

Choice D reason:

Withdrawing the tube 3 to 5 cm may not effectively address the clog and could potentially lead to complications.

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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 admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point. (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is C

Explanation

A patient's NG tube has become clogged after the nurse instilled a medication that was insufficiently crushed. The nurse has attempted to aspirate with a large-bore syringe, with no success. What should the nurse do next?

Correct Answer is B

Explanation

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