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 B
Explanation
Choice A rationale
Peripheral edema may impede accurate readings due to compromised capillary blood flow in fingers. Thickened toenails may further reduce sensor reliability, leading to errors in oxygen saturation measurement.
Choice B rationale
The forehead is ideal for pulse oximetry in patients with peripheral edema. It provides a reliable alternative site with consistent capillary blood flow and is unaffected by thickened nails or peripheral circulation issues.
Choice C rationale
Peripheral edema affects capillary blood flow in toes, and thickened toenails obstruct sensor attachment, leading to unreliable and inaccurate oxygen saturation readings for clinical assessment.
Choice D rationale
While alternative sites might be useful, the forehead offers a proven, optimal placement for reliable oxygen saturation readings in cases of peripheral edema and other extremity-related complications.
Correct Answer is C
Explanation
Choice A rationale
Dry skin is not directly associated with the acute stress response, which activates the sympathetic nervous system, leading instead to physiological changes like increased sweating or oily skin.
Choice B rationale
Increased urinary output is not indicative of stress but may suggest conditions like diabetes or diuretic use. Stress typically activates the fight-or-flight response, causing decreased renal activity and urinary retention.
Choice C rationale
Dilated pupils occur due to sympathetic nervous system activation during stress, which enhances visual acuity by allowing more light into the eyes as part of the fight-or-flight response.
Choice D rationale
Hyperactive bowel sounds are linked to increased parasympathetic activity and not stress, which is characterized by reduced gastrointestinal motility due to sympathetic nervous system activation.
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