Exhibits

For each of the findings listed, click to indicate which are consistent with the disease process of aortic aneurysm versus gastric cancer. Each column must have at least one response option selected.

Auscultation of bruit

Pulsatile mass

Fatigue

Indigestion

Feeling of fullness

Back pain

Answer and Explanation

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

Rationale:

Auscultation of bruit: A bruit heard over the abdomen suggests turbulent blood flow, a key feature of aortic aneurysm. It results from abnormal dilation of the aortic vessel, which disrupts normal flow and produces an audible vibration on auscultation.
Pulsatile mass: A pulsatile mass in the periumbilical area is highly suggestive of an abdominal aortic aneurysm. This occurs due to the expansion of the weakened aortic wall, making the pulse visible or palpable through the abdominal wall.
Fatigue: Fatigue can appear in both conditions. In gastric cancer, it may be due to anemia or cancer-related systemic effects. In aortic aneurysm, it may be linked to poor circulation or cardiac workload from concurrent conditions like atrial fibrillation.
Indigestion: Indigestion is more common in gastric cancer due to delayed gastric emptying, mucosal irritation, or tumor growth. It presents as bloating, discomfort, or heartburn and is not typically associated with aortic aneurysm.
Feeling of fullness: Early satiety or a persistent sense of fullness can occur with gastric cancer as tumors restrict gastric expansion or interfere with digestion. This symptom is uncommon in aortic aneurysm unless the aneurysm is compressing nearby digestive organs, which is rare.
Back pain: Back pain is a key warning sign of aortic aneurysm, especially if the aneurysm is enlarging or nearing rupture. It results from pressure on surrounding tissues or vertebrae and requires urgent follow-up to prevent life-threatening complications.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:

A. The client's need for pain medication should be determined: Ensuring comfort is the top priority in end-of-life care, especially for a client with a DNR order. Assessing and managing pain helps uphold dignity and minimize suffering during the dying process.

B. The impending signs of death should be documented: Documentation is essential for maintaining accurate medical records, but it is not the first priority. Ensuring the client is comfortable and free from pain takes precedence over recording observations.

C. The client's status should be conveyed to the chaplain: Spiritual support is important, but it should follow after the client’s physical needs—especially pain relief—are addressed. Involving the chaplain is helpful but not the most urgent intervention in this context.

D. The nurse manager should be updated on the client's status: Informing leadership may be necessary for planning purposes, but it does not directly benefit the client’s care in the moment. Addressing physical symptoms must come before administrative communication.

A. Decrease consumption of red meat and most seafood. B. Support joints in an extended position while resting. C. Massage joints to relax muscles and decrease pain. D. Replace dietary table salt with salt substitutes.

Correct Answer is A

Explanation

Rationale:
A. Decrease consumption of red meat and most seafood: These foods are high in purines, which are metabolized into uric acid. Reducing purine intake helps lower uric acid levels, minimizing the frequency and severity of gout flares.

B. Support joints in an extended position while resting: Keeping joints in an extended position may worsen discomfort and inflammation. During acute attacks, joints should be rested in a slightly flexed, supported position to relieve pressure.

C. Massage joints to relax muscles and decrease pain: Massage of an inflamed joint during a gout attack can increase pain and inflammation. The affected area is usually extremely sensitive and should be protected, not manipulated.

D. Replace dietary table salt with salt substitutes: Salt substitutes often contain potassium, which can interact with medications like NSAIDs or ACE inhibitors. This recommendation is unrelated to gout management.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Exhibits For each of the findings listed, click to indicate which are consistent with the disease process of aortic aneurysm versus gastric cancer. Each column must have at least one response option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, which priority action should the nurse implement?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Four days after exposure to COVID-19 a client has a negative COVID-19 test result. Eight days after the negative test result, the client presents with fever, fatigue, and cough and the nurse performs a second COVID-19 test. Which action is most important for the nurse to take?

Which situation indicates a need for the nurse to discuss the use of mitten restraints with the healthcare provider?

Exhibits The nurse reviews the clinical findings. For each of the findings listed, click to indicate which are consistent with the disease process of major depressive disorder, generalized anxiety disorder, or posttraumatic stress disorder. Each column must have at least one response selected.

A client is admitted with the diagnosis of Wernicke's syndrome. Which assessment finding should the nurse use when developing the client's plan of care?

The nurse administers an oral antiviral to a client with shingles. Which finding is most important for the nurse to report to the healthcare provide?

Exhibits

For each of the findings listed, click to indicate which are consistent with the disease process of aortic aneurysm versus gastric cancer. Each column must have at least one response option selected.