The nurse evaluates that an overweight client understands the need for a healthy weight loss pattern by Indicating an intention to lose:

5 pounds in one week.

1 pound in one week.

10 pounds in one month.

3 pounds in one week.

Answer and Explanation

The Correct Answer is B

B. Losing 1 pound in one week is generally considered a safe and sustainable rate of weight loss for many individuals. It is recommended by health professionals as a realistic and achievable goal for healthy weight loss.
A. Losing 5 pounds in one week would be considered too rapid and potentially unhealthy weight loss. Rapid weight loss can lead to various health issues, including nutritional deficiencies, muscle loss, and a higher likelihood of regaining the weight later on
C. Losing 10 pounds in one month would also be considered too rapid and potentially unhealthy weight loss, especially if sustained over a longer period.
D. Losing 3 pounds in one week may be achievable for some individuals, but it is generally considered more rapid than the recommended rate of 1 pound per week.

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Correct Answer is C

Explanation

C. Chest pain is a common symptom of esophageal ulcers. The chest pain associated with esophageal ulcers can vary in intensity and may be described as burning, gnawing, or sharp. The pain may worsen with swallowing and may be relieved by antacids or other medications that reduce stomach acid.
A. Lower abdominal pain is not a common symptom of esophageal ulcers. Esophageal ulcers typically present with symptoms localized to the chest and upper abdomen, such as chest pain or epigastric discomfort.
B. Joint stiffness is not typically associated with esophageal ulcers. Joint stiffness may occur in conditions such as arthritis but is not a characteristic symptom of esophageal ulcers.
D. Frequent urination is not typically associated with esophageal ulcers. This symptom may be indicative of urinary tract infections, diabetes, or other urinary system disorders but is not directly related to esophageal ulcers.

A. hemoglobin 7.8 B. blood pressure = 118/78 C. occult blood in stool D. epigastric pain that is worse on palpation

Correct Answer is A

Explanation

A. Hemoglobin 7.8: This finding indicates a low hemoglobin level, which suggests significant blood loss, likely due to the actively bleeding peptic ulcer. Hemoglobin levels below normal can indicate anemia, and a level of 7.8 is particularly concerning. This finding should be immediately reported to the physician because it suggests ongoing bleeding and the need for intervention to stabilize the client's hemoglobin levels and prevent further complications such as hypovolemic shock.
B. Blood pressure = 118/78: This blood pressure reading falls within the normal range for most adults. While monitoring blood pressure is important, this finding alone may not be immediately concerning in the context of a bleeding peptic ulcer.
C. The presence of occult blood in the stool suggests gastrointestinal bleeding, which is consistent with the actively bleeding peptic ulcer. While this finding is significant, it may not require immediate reporting to the physician as it is expected in the context of the client's condition.
D. Epigastric pain is a common symptom of peptic ulcer disease, and worsening pain on palpation may indicate peritonitis or perforation, which are serious complications of peptic ulcers. However, if the pain is severe or associated with signs of peritonitis it should be promptly reported to the physician for further evaluation and management.

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The nurse evaluates that an overweight client understands the need for a healthy weight loss pattern by Indicating an intention to lose:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common symptom of esophageal ulcers?

Correct Answer is C

Explanation

The nurse is caring for a client who has a peptic ulcer that is actively bleeding. Which finding would the nurse Immediately report to the physician?

Correct Answer is A

Explanation

The nurse is caring for a client receiving total parenteral nutrition (TPN). The nurse understands that the best explanation for utilizing TPN is to:

The nurse is caring for a client who has suspected appendicitis. While waiting for surgery, nursing interventions for this client would include: (NOTE: Assume that there are physician's orders for all interventions which would require them.) (SELECT ALL THAT APPLY)

A client comes to the Urgent Care center complaining of urinary frequency accompanied by pain when voiding. Which clinical manifestation would make the nurse suspect acute pyelonephritis rather than cystitis?

The client has a possible diagnosis of appendicitis. On physical examination, the nurse should assess for tenderness on palpation at McBurney's point, located at which pictured site?

A client is preparing for bariatric surgery. The nurse advises that which form of exercise would be most beneficial for this client?

Which of the following is a common symptom of ulcerative colitis?

The nurse is caring for a client who has acute gastritis due to food poisoning. The client is experiencing nausea and vomiting. The nurse would question which of the following medications, if ordered?