A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

"An endoscopy involves inserting a small camera into your throat to examine your esophagus."

"During the endoscopy, a scope will be inserted through your rectum to visualize your lower gastrointestinal tract."

"An endoscopy is a non-invasive procedure that uses sound waves to create images of your abdominal organs."

"A flexible tube with a camera on the end will be inserted through your mouth to examine your stomach and duodenum."

Answer and Explanation

The Correct Answer is D

Choice A reason:

This statement describes an esophagoscopy, not an endoscopy. An endoscopy examines the upper gastrointestinal tract, including the stomach and duodenum.

Choice B reason:

This statement describes a colonoscopy, not an endoscopy. An endoscopy does not involve the lower gastrointestinal tract.

Choice C reason:

This statement describes an ultrasound, not an endoscopy. An endoscopy is a direct visualization procedure.

Choice D reason:

This statement is correct. An endoscopy involves inserting a flexible tube (endoscope) with a camera on the end through the mouth to examine the stomach and duodenum. It is a commonly used procedure to assess and diagnose peptic ulcer disease.

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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.

A. Nausea and vomiting after meals B. Mild right upper quadrant pain C. Referred pain to the left shoulder D. High fever and chills

Correct Answer is D

Explanation

Choice A reason:

Nausea and vomiting after meals are common symptoms in acute cholecystitis, but they do not indicate a severe complication. They are typical manifestations of gallbladder inflammation.

Choice B reason:

Mild right upper quadrant pain may be present in acute cholecystitis, but it does not suggest a severe complication.

Choice C reason:

Referred pain to the left shoulder (Kehr's sign) is a classic symptom of splenic rupture or other conditions involving the spleen, not directly related to cholecystitis.

Choice D reason:

This statement is correct. High fever and chills may indicate the presence of infection and sepsis, which can be severe complications of acute cholecystitis.

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A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 diagnosed with acute cholecystitis. Which of the following symptoms should the nurse prioritize as a potential sign of a severe complication?

Correct Answer is D

Explanation

A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

A nurse is conducting a health screening for peptic ulcer disease risk factors in a community setting. Which of the following questions should the nurse include in the assessment?

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

A nurse is caring for a client with peptic ulcer disease who is receiving intravenous proton pump inhibitors (PPIs) to reduce stomach acid production. Which of the following nursing actions is a priority when administering PPIs to this client?

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

A client with peptic ulcer disease asks the nurse about dietary recommendations to prevent ulcer recurrence. Which of the following statements should the nurse include in the client's education?

A client with peptic ulcer disease reports experiencing frequent abdominal pain, especially during mealtimes. Which of the following nursing interventions should the nurse implement to alleviate the client's pain?