A nurse is caring for a 50-year-old male client in the emergency department.
Which finding is most consistent with the client's condition?
Hypoglycemia.
Pancreatitis.
Myocardial infarction.
Gastroenteritis.
The Correct Answer is B
Choice A rationale: Hypoglycemia typically presents with symptoms such as sweating, shakiness, confusion, and palpitations. The client's severe abdominal pain, nausea, vomiting, and jaundice are not consistent with hypoglycemia.
Choice B rationale: Pancreatitis is characterized by severe abdominal pain, nausea, vomiting, fever, and jaundice. The client's symptoms, including severe abdominal pain, nausea, vomiting, and faint yellow hue to sclera, are consistent with pancreatitis2.
Choice C rationale: Myocardial infarction usually presents with chest pain, shortness of breath, sweating, and nausea. The client's primary symptom is severe abdominal pain, which is not typical for myocardial infarction4.
Choice D rationale: Gastroenteritis typically presents with symptoms such as diarrhea, nausea, vomiting, and abdominal cramps. The client's severe abdominal pain, jaundice, and fever are more indicative of pancreatitis than gastroenteritis6.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Numerical pain scales rely on the client’s ability to quantify pain verbally, which is often impractical or unreliable in dementia clients due to cognitive and communication impairments.
Choice B rationale
Verbal descriptions require clear articulation and comprehension, which can be challenging for clients with dementia; alternative non-verbal assessments are more effective in evaluating their pain levels.
Choice C rationale
The FACES scale is primarily used for children or cognitively intact clients who can associate facial expressions with pain intensity, making it less reliable for non-verbal dementia clients.
Choice D rationale
Behavioral indicators, such as grimacing or restlessness, provide observable, objective measures of pain in dementia clients who cannot communicate effectively, ensuring accurate pain assessment and appropriate management.
Correct Answer is B
Explanation
Choice A rationale
Older adults experience a decrease in subcutaneous tissue, particularly in extremities, due to age-related fat redistribution, making the skin thinner and more susceptible to injury.
Choice B rationale
Decrease in pigmentation is common in older adults as melanin production declines. This leads to lighter skin tone and the development of hypopigmented areas, often referred to as age spots.
Choice C rationale
Skin moisture levels typically decrease in older adults due to diminished sebaceous gland activity, leading to dryness rather than increased hydration or moisture retention.
Choice D rationale
Decreased elasticity is a hallmark of aging skin, caused by the breakdown of collagen and elastin fibers, resulting in sagging and an increased tendency for wrinkles.
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