The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

Numbness in the legs

Rebound tenderness on abdominal palpation

Projectile vomiting of undigested food

Jaundice of the skin and sclera

Answer and Explanation

The Correct Answer is B

B. Rebound tenderness on abdominal palpation: Rebound tenderness, where pain increases upon release of pressure during abdominal palpation, is a classic sign of peritonitis, which can occur due to a peptic ulcer perforation. It indicates irritation of the peritoneum, the lining of the abdominal cavity, which can occur when stomach contents leak into the peritoneal cavity.
A. Numbness in the legs is not typically associated with perforation of a peptic ulcer. Perforation of a peptic ulcer usually presents with localized abdominal symptoms rather than symptoms in the legs.
C. Projectile vomiting of undigested food is not typically associated with perforation of a peptic ulcer. It is more commonly seen in conditions such as pyloric stenosis or gastrointestinal obstruction.
D. Jaundice, a yellow discoloration of the skin and sclera, is not typically associated with perforation of a peptic ulcer.

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Correct Answer is ["A","B","C"]

Explanation

A. Proper use of prescribed oxygen in the home: This is a crucial aspect of care for a client with emphysema. Oxygen therapy may be prescribed to help manage symptoms and improve oxygenation. Proper use of prescribed oxygen equipment at home, including understanding flow rates, wearing oxygen as prescribed, and ensuring adequate oxygen saturation, is essential for the client's safety and well-being.
B. Smoking cessation is paramount for individuals diagnosed with emphysema. Smoking is the primary cause of emphysema, and continuing to smoke can exacerbate symptoms, accelerate disease progression, and decrease the effectiveness of treatment.
C. Regular exercise is beneficial for individuals with emphysema as it can help improve cardiovascular health, strengthen respiratory muscles, enhance endurance, and improve overall quality of life. However, exercise should be tailored to the individual's abilities and limitations.
D. High carbohydrate, low protein diet is not appropriate for individuals with emphysema. In fact, a high carbohydrate, low protein diet may contribute to weight gain and exacerbate respiratory symptoms.
E. While individuals with emphysema may need to take precautions to avoid exposure to respiratory infections, such as practicing good hand hygiene and avoiding close contact with individuals who are sick, there is no need to avoid playing with grandchildren altogether.

A. provide a device to strain all urine. B. obtain blood and urine specimens for culture and sensitivity. C. administer ceftriaxone 1 Gm IVPB as prescribed. D. place the client on contact precautions.

Correct Answer is B

Explanation

B. Obtaining blood and urine specimens for culture and sensitivity is a critical first step. These specimens help identify the causative organism(s) and determine their susceptibility to antibiotics, guiding appropriate antibiotic therapy. Prompt initiation of targeted antibiotic treatment is essential in managing sepsis effectively.
A. This action is important for assessing the presence of any urinary tract stones or debris, which can be helpful in diagnosing the cause of the urinary tract infection. However, it is not the first action the nurse should take in managing a client admitted with sepsis secondary to a urinary tract infection.
C. Administering antibiotics before obtaining appropriate cultures may lead to empirical treatment without knowing the specific pathogen causing the infection. It is important to obtain cultures first to guide antibiotic selection and ensure optimal treatment.
D. Contact precautions may be necessary if the client is found to have a multidrug-resistant organism or if there are specific infection control concerns. However, placing the client on contact precautions is not the first action the nurse should take in managing sepsis secondary to a urinary tract infection.

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The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client recently diagnosed with emphysema. What health maintenance Information would the nurse teach the client? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C"]

Explanation

A client is admitted with sepsis secondary to a urinary tract infection. Of the following orders written by the health care provider, the nurse should first:

Correct Answer is B

Explanation

The nurse understands that the Intervention proven to provide the most sustained weight loss in the extremely obese population is:

A client receives 20 units of NPH Insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

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