The nurse is caring for a client with chronic gastritis. Which clinical manifestation is LEAST LIKELY associated with this condition?

Weight gain.

Hiccups.

Epigastric pain.

Nausea.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Weight gain is not commonly associated with chronic gastritis. Chronic gastritis typically leads to weight loss due to decreased appetite, nausea, and malabsorption.

Choice B rationale

Hiccups can occur due to irritation of the diaphragm or vagus nerve, which can be associated with gastritis.

Choice C rationale

Epigastric pain is a hallmark symptom of chronic gastritis, occurring due to inflammation of the stomach lining.

Choice D rationale

Nausea is a common symptom of chronic gastritis, resulting from inflammation and irritation of the stomach lining.

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Correct Answer is D

Explanation

Choice A rationale

Hypoactive bowel sounds are common post-operatively due to anesthesia and immobility, so they are not the most concerning immediate finding.

Choice B rationale

Intermittent incisional pain rated 7/10 is significant but expected post-operatively, and manageable with pain control measures.

Choice C rationale

Blood pressure of 110/70 and heart rate of 86 are within normal ranges, so these are not alarming post-operative signs.

Choice D rationale

Increased restlessness can indicate pain, anxiety, or potentially worsening condition, making it the most concerning and requiring immediate attention.

A. Measure abdominal girth every shift. B. Diet: Soft. C. 0.9% NSS 1000 mL at 125 mL/hr. D. Morphine 1 mg IV every 4 hours as needed for abdominal pain.

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

Explanation

Choice A rationale

Measuring abdominal girth every shift helps monitor for increased abdominal distension, which can indicate worsening bowel obstruction or potential complications such as bowel perforation or ischemia. Regular monitoring is crucial to detect changes early.

Choice B rationale

A soft diet is inappropriate for someone with a suspected bowel obstruction, as solid foods can exacerbate the blockage. The standard recommendation is usually to keep the patient NPO (nothing by mouth) to prevent further obstruction.

Choice C rationale

Administering 0.9% NSS at 125 mL/hr helps maintain adequate hydration and electrolyte balance, which is vital in a patient with a bowel obstruction who cannot take oral fluids. This intervention prevents dehydration and electrolyte imbalances.

Choice D rationale

Morphine for pain management is appropriate as it helps alleviate severe abdominal pain associated with bowel obstruction. However, its use should be monitored carefully, as opioids can reduce gastrointestinal motility and potentially worsen the obstruction.

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The nurse is caring for a client with chronic gastritis. Which clinical manifestation is LEAST LIKELY associated with this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?

Correct Answer is D

Explanation

The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)

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

Explanation

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