A nurse is performing the initial history and physical examination of a patient diagnosed with a duodenal ulcer. Which type of pain does the nurse expect the patient to describe?
Pain that is worse with antacids.
Pain that is worse one hour after eating.
Pain is relieved with eating.
Pain that is relieved with sleep.
The Correct Answer is C
A. Antacids are typically used to neutralize stomach acid, which can provide relief for ulcer-related pain. If the pain worsens with antacids, it may suggest another underlying issue, such as a gastric ulcer or a different gastrointestinal condition.
B. This statement is more typical of gastric ulcers, where pain may occur shortly after eating due to increased gastric acid secretion. In duodenal ulcers, pain typically occurs a few hours after meals.
C. Duodenal ulcer pain often improves with eating because food temporarily buffers stomach acid, which can provide relief. Patients may find that their pain is relieved for a time after eating, as the food helps protect the ulcer.
D. This statement is not typically associated with duodenal ulcers. While some patients may experience variations in pain during the night, the relief during sleep is not a characteristic feature. The pain is usually more related to the timing of meals rather than sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While some individuals may experience discomfort or irritation from spicy foods, there is no substantial evidence linking spicy food consumption directly to the development of oral cancer. It can cause symptoms like mouth ulcers or gastritis in some people but is not recognized as a significant risk factor for oral cancer.
B. Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) is not directly associated with an increased risk of oral cancer. In some contexts, they may even have protective effects against certain cancers due to their anti-inflammatory properties. However, chronic use can lead to other complications, such as gastrointestinal issues, rather than directly influencing oral cancer risk.
C. Cholecystitis, or inflammation of the gallbladder, is unrelated to the development of oral cancer. It primarily affects the digestive system and does not have a known link to oral malignancies. Thus, it is not considered a risk factor for oral cancer.
D. HPV, particularly certain high-risk strains, is recognized as a significant risk factor for the development of oral cancers, especially oropharyngeal cancers. HPV can lead to cellular changes that increase the likelihood of malignancy in the oral cavity.
Correct Answer is ["0.6"]
Explanation
The infant weighs 10 pounds, which is equivalent to about 4.53692 kilograms (10 x 0.453592). The prescribed dose is 2 mg/kg, so the total dose per administration is 9.07384 mg (2 mg/kg x 4.53692 kg).
Since the elixir's strength is 15 mg/mL, we divide the total dose by the strength of the elixir to find out how many mL to administer: 9.07384 mg ÷ 15 mg/mL = 0.60492267 mL. Rounding to the nearest tenth, the nurse should administer 0.6 mL of ranitidine per dose to the infant.
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