A patient with intractable or severe nausea and vomiting from an unknown cause should be placed on a bland diet.

True.

False.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A bland diet reduces gastric irritation by avoiding substances that stimulate acid secretion or exacerbate nausea. It includes foods like rice, bananas, and toast that are easy to digest and less likely to provoke symptoms of nausea or vomiting.

Choice B rationale

Opposing the bland diet recommendation for severe nausea ignores scientific evidence that supports its use. Providing a diet rich in spices or acidic foods can worsen symptoms by irritating the gastrointestinal tract further. .

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Correct Answer is C

Explanation

Choice A rationale

Low urine output could be due to dehydration, medication effects, or stress. While it warrants further assessment, it is not typically associated with immediate life-threatening complications in the context of PUD.

Choice B rationale

Vomiting after a meal can occur in PUD due to delayed gastric emptying or irritation. However, it does not immediately indicate a complication requiring urgent follow-up unless accompanied by other symptoms such as severe pain or hematemesis.

Choice C rationale

Blood in the stool may indicate gastrointestinal bleeding, a serious complication of PUD. This finding requires immediate evaluation to determine the source and extent of bleeding, as it can lead to hypovolemic shock if untreated.

Choice D rationale

Abdominal discomfort is common in PUD due to gastric irritation or acid-related issues. While it requires management, it does not typically signal an urgent complication unless associated with other alarming symptoms.

A. Administer 25 g of dextrose IVP. B. Administer 1 mg Glucagon IM. C. Hold the insulin and encourage the patient to eat their meal. D. Administer 4 units of Humalog insulin.

Correct Answer is D

Explanation

Choice A rationale

Administering dextrose IVP is inappropriate for hyperglycemia. It elevates blood sugar further, risking complications like hyperosmolar hyperglycemic state. It is used to treat severe hypoglycemia instead.

Choice B rationale

Glucagon stimulates glycogen breakdown into glucose, increasing blood sugar. It is contraindicated in hyperglycemia, as it would aggravate elevated glucose levels. It is a treatment for severe hypoglycemia.

Choice C rationale

Holding insulin allows hyperglycemia to persist, increasing risks of complications like ketoacidosis. Insulin administration is essential to reduce the glucose level safely.

Choice D rationale

Rapid-acting insulin like Humalog reduces hyperglycemia efficiently, bringing preprandial blood glucose closer to the target range of 70-130 mg/dL. Administering 4 units is a reasonable corrective dose based on the blood glucose of 243 mg/dL.

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A patient with intractable or severe nausea and vomiting from an unknown cause should be placed on a bland diet.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with peptic ulcer disease (PUD). Which finding, if observed by the nurse, would require immediate follow-up?

Correct Answer is C

Explanation

The patient's meal has been delivered, the nurse checks the patient's pre-meal blood sugar, and the result is 243 mg/dL. The patient is awake, alert, hungry, and able to swallow.The next step the nurse should take is:

Correct Answer is D

Explanation

Which action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Insulin glargine (Lantus) is what type of insulin?

Which risk factor is the most likely cause of a patient's peptic ulcer disease (PUD)?

The patient's meal has been delivered, the nurse checks the patient's pre-meal blood sugar, and the result is 243 mg/dL. The patient is awake, alert, hungry, and able to swallow.The next step the nurse should take is:

Indicate four assessment findings which require immediate follow-up.

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