The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For Which complication would the nurse monitor?
Dyspepsia
Upper gastrointestinal (GI) bleeding
Gastric cancer
Large bowel obstruction
The Correct Answer is B
A. Dyspepsia: Dyspepsia, or indigestion, is a common symptom associated with peptic ulcer disease rather than a complication. It often presents as epigastric discomfort, bloating, or nausea, which are expected findings in this condition and not indicative of worsening disease.
B. Upper gastrointestinal (GI) bleeding: Upper GI bleeding is the most significant and potentially life-threatening complication of peptic ulcer disease. It occurs when an ulcer erodes into a blood vessel, leading to hematemesis or melena.
C. Gastric cancer: Chronic peptic ulcer disease, especially those related to H. pylori infection, can increase the long-term risk of gastric cancer. However, cancer is a delayed sequela rather than an acute complication, so it is not the immediate priority for monitoring during hospitalization.
D. Large bowel obstruction: Large bowel obstruction is unrelated to peptic ulcer disease, as ulcers occur in the stomach or duodenum, not the large intestine. Monitoring for obstruction symptoms such as abdominal distention or absence of bowel movements would not be relevant to this client’s current diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ask the client’s spouse if he is supposed to have a transfusion: Family members cannot reliably confirm the client’s identity. Relying on a spouse or relative could result in a transfusion error and is not an acceptable verification method.
B. Compare the name and ID number on the blood product tag with the name and ID number on the client’s ID band: Using two identifiers—full name and unique hospital ID number—is the safest and standard method to verify the correct recipient of a blood transfusion. This ensures the blood product matches the intended client.
C. Compare the unit and room number of the client with the unit and room number listed on the blood product tag: Room or unit numbers can change and are not unique identifiers. Relying on location alone may result in administering blood to the wrong patient if the client is moved or misassigned.
D. Ask the client whether his or her name is the one on the blood product tag: While confirming with the client can be helpful, it is insufficient as the sole method of identification. Clients may be confused, sedated, or unable to respond accurately.
Correct Answer is C
Explanation
A. Na+ 134 mEq/L is slightly low but generally within the acceptable range and not strongly correlated with these EKG findings.
C. K+ 2.1 mEq/L is a critically low potassium level, representing severe hypokalemia. This value is highly consistent with the pronounced U waves and T wave flattening and inversion
B. K+ 6.1mEq/L is hyperkalemia (high potassium), which typically presents with tall, peaked T waves and a widened QRS complex, which is the opposite of the rhythm shown.
D. Mg+ 1.8 mg/dL is within the normal range.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.