The client presents to the emergency room complaining of severe abdominal pain, nausea, and anorexia. The client admits to binge drinking alcohol frequently, eating spicy foods, and takes aspirin frequently for his sore shoulder. The nurse suspects that the client may have developed?
Select one:
Cholecystitis.
Gastritis.
Appendicitis.
Esophageal cancer.
The Correct Answer is B
A. Cholecystitis – Cholecystitis involves inflammation of the gallbladder, typically presenting with right upper quadrant pain and is often triggered by fatty meals, not directly by alcohol, spicy foods, or aspirin.
B. Gastritis – Gastritis is inflammation of the stomach lining, commonly caused by irritants such as alcohol, spicy foods, and NSAIDs (like aspirin). Symptoms include abdominal pain, nausea, and anorexia—all present in this client.
C. Appendicitis – Appendicitis usually presents with right lower quadrant pain, often accompanied by fever and localized tenderness, which are not indicated here.
D. Esophageal cancer – Esophageal cancer typically presents with progressive dysphagia and weight loss over time, not acute abdominal pain or symptoms linked with recent behavior like binge drinking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Restraints should be avoided whenever possible due to risks of injury, increased agitation, and ethical concerns.
B. Limiting fluids may lead to dehydration and does not address the wandering behavior directly.
C. Sedatives can increase confusion and fall risk in elderly patients and should be used cautiously.
D. This is a safe, least restrictive way to monitor and respond promptly to wandering behavior, ensuring patient safety while preserving dignity.
Correct Answer is ["7.5"]
Explanation
Step 1: Determine how many mL are needed for one dose.
The order is 30 mg.
Available concentration is 40 mg per 5 mL.
Use a proportion:
40 mg : 5 mL = 30 mg : x mL
Solve for x:
x = (30 × 5) / 40 = 150 / 40 = 3.75 mL
Step 2: Multiply by 2 doses per day:
3.75 mL × 2 = 7.5 mL
Answer: 7.5 mL
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