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?
Gastroesophageal reflux (GERD).
Esophagitis.
Peptic ulcer disease (PUD).
Chronic pancreatitis.
The Correct Answer is C
A. Gastroesophageal reflux disease (GERD) typically presents with symptoms such as heartburn or regurgitation, which are often exacerbated by lying down or eating certain foods. The pain described as gnawing and related to hunger is more characteristic of peptic ulcer disease.
B. Esophagitis involves inflammation of the esophagus, which often causes pain with swallowing and may be associated with GERD or infections, but the description of pain that improves with eating is more indicative of peptic ulcer disease.
C. Peptic ulcer disease (PUD) is characterized by gnawing or burning pain in the epigastric region that worsens when the stomach is empty and improves with eating or antacids. This fits the description provided by the client.
D. Chronic pancreatitis typically causes pain in the upper abdomen that can radiate to the back and is not specifically associated with pain that improves with eating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Having the client lay flat while listening to the anterior surface of the chest may not provide the best assessment of lung sounds, especially if the client is uncomfortable or if the posterior lung fields are not assessed. A sitting position is generally preferred for lung auscultation.
B. Pressing the stethoscope's diaphragm firmly on the skin over each lung field is the correct technique for assessing lung sounds. The diaphragm is better suited for detecting high-pitched sounds, such as wheezes, crackles, and other adventitious lung sounds.
C. Shaving chest hair may reduce extraneous noise but is unnecessary in most cases. Pressing the diaphragm firmly can usually eliminate the interference caused by hair, and shaving is not a standard procedure for lung auscultation.
D. The bell of the stethoscope is used for detecting lower-pitched sounds, such as heart murmurs, not for lung auscultation. The diaphragm is the appropriate tool for assessing adventitious lung sounds in all lung fields.
Correct Answer is ["B","C","D","E"]
Explanation
A. Capillary refill is not the time it takes to return to the client's normal color after releasing pressure
B. Use your thumbnail and press the nailbed proximal to the injury: This is the correct technique for assessing capillary refill. You should press on the nailbed until it blanches and then release the pressure.
C. Pressure placed on the nailbed should cause blanching (pale): When pressure is applied to the nailbed, it should turn pale. This is known as blanching.
D. Capillary refill is measured in seconds: The time it takes for the nailbed to return to its normal color is measured in seconds.
E. Normal should be within 3 seconds or 5 in the older adult: A normal capillary refill time is generally considered to be within 3 seconds. However, in older adults, it may take up to 5 seconds for the nailbed to return to its normal color.
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