A nurse is evaluating a patient who has been diagnosed with peptic ulcer disease.
Which symptom should the nurse prioritize?

Epigastric discomfort.

Hematemesis.

Dyspepsia.

Constipation.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Epigastric discomfort is a common symptom of peptic ulcer disease, but it is not typically the symptom that should be prioritized. While discomfort can indicate an active ulcer, it does not necessarily signify a complication.

Choice B rationale

Hematemesis, or vomiting blood, is a serious symptom that could indicate a bleeding ulcer, which is a medical emergency. Therefore, this symptom should be prioritized.

Choice C rationale

Dyspepsia, or indigestion, is a common symptom of peptic ulcer disease. However, it is not typically the symptom that should be prioritized as it does not necessarily indicate a serious complication.

Choice D rationale

Constipation is not typically associated with peptic ulcer disease and therefore should not be prioritized.

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Correct Answer is C

Explanation

Choice A rationale

Administering the insulin 30 minutes after breakfast is not recommended. Regular insulin should be administered before meals.

Choice B rationale

Administering the insulin at 0700 is not recommended. Regular insulin should be administered 30 to 45 minutes before a meal.

Choice C rationale

Administering the insulin at 0730 is recommended if breakfast is at 0800. Regular insulin should be administered 30 to 45 minutes before a meal. This is the correct answer.

Choice D rationale

Administering the insulin when the breakfast tray arrives is not recommended. Regular insulin should be administered 30 to 45 minutes before a meal.

A. “The nurse should consider the AP’s level of experience when making delegation decisions.”. B. “The AP can provide client education about how to perform basic self-care to the client.”. C. “The nurse relinquishes accountability for client outcomes when care is delegated to an AP.”. D. “The AP can re-delegate a task to another AP who has similar work experience.”.

Correct Answer is A

Explanation

Choice A rationale

The nurse should indeed consider the AP’s level of experience when making delegation decisions. This is because the level of experience can greatly influence the ability of the AP to perform the delegated tasks effectively and safely. An experienced AP may be more competent and confident in performing certain tasks compared to someone with less experience. Therefore, considering the AP’s level of experience is crucial in ensuring quality care for patients.

Choice B rationale

While it is true that APs can assist in providing client education about basic self-care, it is important to note that the scope of their teaching is limited. They can reinforce teaching done by the nurse but should not be the primary source of education, especially for complex care needs or new diagnoses. Therefore, this statement does not fully reflect effective delegation.

Choice C rationale

This statement is incorrect. Even when care is delegated to an AP, the nurse retains accountability for client outcomes. The nurse remains responsible for ensuring that the delegated tasks are completed correctly and safely. Therefore, this statement does not indicate effective delegation.

Choice D rationale

This statement is also incorrect. APs should not re-delegate tasks to another AP1. The nurse who delegated the task has assessed the competency and capabilities of the specific AP to whom the task was delegated. Re-delegation could lead to tasks being performed by someone who may not have the necessary skills or knowledge, potentially compromising patient safety.

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A nurse is evaluating a patient who has been diagnosed with peptic ulcer disease.Which symptom should the nurse prioritize?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is evaluating a patient who has been diagnosed with peptic ulcer disease.
Which symptom should the nurse prioritize?