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.

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Correct Answer is ["A","E"]

Explanation

Rationale:

A. Separate fluids from meals: Fluids should be consumed at least 30 minutes before or after meals to prevent gastric overdistention and dumping syndrome, which are common after bariatric surgery.

B. Plan meals to include rice porridge: Rice porridge is high in simple carbohydrates, which can cause dumping syndrome and rapid gastric emptying. It is not ideal post-surgery.

C. Eliminate acidic food choices: Acidic foods like citrus or tomatoes may cause discomfort, but they are not universally contraindicated. Tolerance varies by individual, so elimination is not routinely necessary.

D. Offer more bread and cheese: Bread can form a sticky bolus that’s hard to swallow post-op, and cheese is high in fat. Both can cause discomfort or intolerance early in recovery.

E. Provide small frequent meals: After bariatric surgery, the stomach’s capacity is reduced, so clients need to eat small, frequent meals to meet nutritional needs and prevent nausea or vomiting.

A. Transdermal analgesic. B. Topical alcohol rub. C. Topical corticosteroid. D. Oral antihistamine. E. Topical scabicide.

Correct Answer is ["C","D"]

Explanation

Rationale:

A. Transdermal analgesic: Transdermal analgesics are formulated to relieve localized pain, not itching or inflammation. They do not address the histamine release or immune activity seen in eczema. Using them offers no therapeutic benefit for pruritus.

B. Topical alcohol rub: Alcohol-based products dry out the skin and cause further irritation, which can worsen eczema symptoms. Applying alcohol increases the risk of burning and inflammation. It is not recommended for sensitive or inflamed skin.

C. Topical corticosteroid: Topical corticosteroids reduce skin inflammation by suppressing local immune responses. They are standard treatment for eczema flares with severe itching. These medications soothe the skin and reduce redness and swelling.

D. Oral antihistamine: Antihistamines block histamine, which contributes to allergic itching in eczema. They are useful for controlling pruritus and helping clients rest. Some types, like diphenhydramine, also have sedative effects that reduce nighttime discomfort.

E. Topical scabicide: Scabicides are antiparasitic agents used to treat infestations like scabies, not eczema. They do not relieve allergic itching or inflammation. Their strong chemicals may actually worsen skin irritation in eczema patients.

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Body system	Findings
Cardiovascular	Blood pressure of 120/74 mm Hg Capillary refill of 4 seconds in lower extremities Pedal pulse of 2+ or better
Neurovascular	Pupils equal and nonresponsive to light Absence of numbness or tingling in feet Skin that is pale, cool to touch
Renal Perfusion	Client has urine output of 1,600 mL in 24 hours Creatinine of 1.2 mg/dL (106 mmol/L)

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.

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Naxlex Comprehensive Predictor Exams

Which dietary intervention(s) should the nurse include in the plan of care for a client who had bariatric surgery? Select all that apply.

Correct Answer is ["A","E"]

Explanation

A client with eczema is experiencing severe pruritus. Which PRN prescription(s) should the nurse administer? Select all that apply.

Correct Answer is ["C","D"]

Explanation

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.

The nurse is caring for a client who has been admitted with recurring migraine headaches. To assess the quality of the client's pain experienced from the migraine headache, which approach should the nurse use?

In caring for a client with chronic kidney disease (CKD), the nurse notes that the client's serum phosphate level is elevated, with a converse decrease in serum calcium. Which nursing care goal is a priority, based on these laboratory findings?

An older client is admitted for repair of a broken hip. To reduce the risk for infection in the postoperative period, which nursing interventions should the nurse include in the client's plan of care? Select all that apply.

During shift report, the charge nurse receives notice of several problems. Which problem should the nurse address first?

The healthcare provider prescribes 500 mL of 0.45% normal saline with 100 units regular insulin to infuse at 15 units/hour. The drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver how many gtt/minute? (Enter numerical value only.)

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?

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.