An adult client presents with gnawing epigastric pain. The pain is worse when the client is hungry and abates after eating something. Which problem do these symptoms suggest?

Chronic pancreatitis.

Gastroesophageal reflux (GERD).

Esophagitis.

Peptic ulcer disease (PUD).

Answer and Explanation

The Correct Answer is D

A. Chronic pancreatitis. Chronic pancreatitis pain is often associated with eating and not relieved by food. Pain is typically more constant and can radiate to the back.

B. Gastroesophageal reflux (GERD). GERD typically causes heartburn and regurgitation, especially after eating, rather than pain that is relieved by eating.

C. Esophagitis. Esophagitis causes pain with swallowing and discomfort in the chest, not specifically relieved by eating.

D. Peptic ulcer disease (PUD). This is the best choice because PUD pain typically presents as gnawing or burning epigastric pain that is relieved by eating or taking antacids.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"},"G":{"answers":"A"}}

Explanation

Pain increases with motion: In rheumatoid arthritis, pain typically is worse in the morning or at rest and may improve with movement. Joint pain increasing with motion is more characteristic of osteoarthritis.
Small joints of the hand: RA commonly affects the small joints of the hands, such as the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. This is a hallmark of RA.
Fatigue and fever: Fatigue and fever can be systemic symptoms associated with RA due to inflammation and systemic involvement.
Symmetrical involvement: RA is known for its symmetrical joint involvement, meaning it often affects the same joints on both sides of the body.
Heberden nodes: Heberden nodes are bony growths that occur in osteoarthritis, not RA. RA is characterized by inflammation rather than bony nodules.
Morning stiffness quickly resolves: In RA, morning stiffness typically lasts for more than an hour and may take longer to resolve. Quick resolution of morning stiffness is more characteristic of other conditions, such as osteoarthritis.
Joint swelling: Joint swelling is a common symptom of RA due to inflammation in the joints.

A. Use a doppler to assess an audible DP pulse. B. Assess capillary refill distal to the DP pulse. C. Review client's history for vascular disease. D. Place a mark where DP pulse is auscultated.

Correct Answer is A

Explanation

A. Use a Doppler to assess an audible DP pulse. This is the most immediate and effective intervention to locate a pulse that is not palpable. A Doppler device can detect blood flow that is not perceptible by palpation.

B. Assess capillary refill distal to the DP pulse. While assessing capillary refill can provide information about peripheral circulation, it does not help locate the pulse.

C. Review client's history for vascular disease. This is important for understanding the client's overall health, but it is not an immediate intervention to locate the pulse.

D. Place a mark where DP pulse is auscultated. Marking the pulse location can be helpful once the pulse is found, but it is not an intervention to find an initially absent pulse.

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An adult client presents with gnawing epigastric pain. The pain is worse when the client is hungry and abates after eating something. Which problem do these symptoms suggest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"},"G":{"answers":"A"}}

Explanation

While completing an admission assessment, the nurse is unable to palpate the client's left dorsalis pedis (DP) pulse. Which intervention is most important for the nurse to implement?

Correct Answer is A

Explanation

An adult client presents with gnawing epigastric pain. The pain is worse when the client is hungry and abates after eating something. Which problem do these symptoms suggest?

The nurse should anticipate difficulty locating the point of maximal impulse (PMI) in which client? Reference Range: Body mass index [(BMI) Normal or healthy weight (18.5 kg/m2 to 24.9 kg/m2)]

The nurse assesses a client who comes to the clinic with neck stiffness and discomfort. Which finding of the cervical spine should the nurse inquire further about lifestyle habits?

A client who is admitted for an acute stroke reports the onset of a burning sensation in the hands and legs. Which action should the nurse implement to identify additional findings that are consistent with the client's paresthesia?

To objectively confirm the presence of fever, before taking the client's temperature, which action should the nurse take?

The nurse is performing an admission assessment for a client with pyelonephritis who has urgency and burning while urinating. Which finding indicates an expected response when the nurse percusses the costovertebral angle?

While completing a health assessment for a client being admitted with bilateral pneumonia, the nurse asks the client to describe the sputum. Which communication technique should the nurse use to obtain this information?

In assessing tactile fremitus in the client with suspected pneumonia, the nurse should perform which action?