The nurse is conducting an initial interview, which specific data would be a priority risk factor for developing peptic ulcer disease?

Any known allergies to drugs or environmental factors.

Poor oral hygiene.

Dietary history indicating ingestion of sugary foods

Use of non-steroidal anti-inflammatory drugs (NSAID's).

Answer and Explanation

The Correct Answer is D

A.   While allergies can impact a patient's overall health, they are not directly related to the development of peptic ulcer disease. Allergies do not contribute to the mechanisms that cause ulcers, such as increased stomach acid or mucosal damage.
B.   Poor oral hygiene can lead to dental problems and infections, but it is not a recognized risk factor for peptic ulcer disease. The main causes of peptic ulcers are related to factors that affect the stomach lining, such as certain medications, lifestyle choices, and infections.
C.   While diet can influence gastrointestinal health, sugary foods are not a primary risk factor for peptic ulcers. The role of sugar in ulcer development is not well established compared to other factors, such as the use of certain medications or the presence of H. pylori infection.
D.   This statement is correct and is a significant risk factor for developing peptic ulcer disease. NSAIDs can cause irritation of the stomach lining and inhibit the production of protective mucus, leading to ulcer formation. Chronic use of NSAIDs is one of the most common causes of peptic ulcers.

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Correct Answer is D

Explanation

A. Cholecystitis, which is inflammation of the gallbladder, is not directly associated with diabetes mellitus. While people with diabetes may have other gastrointestinal issues, cholecystitis is not considered a long-term complication of diabetes.
B. Pancreatitis is inflammation of the pancreas and is not a common long-term complication of diabetes. While chronic pancreatitis can lead to diabetes (type 3c diabetes), it is not primarily caused by diabetes itself. Thus, it is not considered a typical long-term complication of diabetes mellitus.
C. Presbyopia is the age-related loss of near vision due to the hardening of the lens in the eye. While individuals with diabetes can experience eye problems, presbyopia is a normal part of aging and not specifically a long-term complication of diabetes.
D. Diabetic neuropathy is a well-known long-term complication of diabetes mellitus. It results from nerve damage caused by prolonged high blood sugar levels. Neuropathy can lead to various symptoms, including pain, tingling, and loss of sensation, particularly in the extremities.

A. Cool extremity B. Absence of pedal pulses C. Misalignment D. Hypotension

Correct Answer is C

Explanation

A. This finding can occur with circulatory issues but is not a classic symptom of a hip fracture itself. A cool extremity may indicate vascular compromise, which is less common immediately after a hip fracture and more concerning for a potential complication, such as compartment syndrome.
B. Similar to cool extremities, absent pedal pulses suggest a significant vascular problem and are not typical for a straightforward hip fracture. While this can indicate serious complications, it is not a common presentation immediately following a hip fracture.
C. Misalignment or deformity of the leg is a classic symptom of a fractured hip. The affected leg may appear shorter and externally rotated. This misalignment is often one of the first observable signs that healthcare providers look for during the assessment.
D. Hypotension can occur due to various reasons, including pain, dehydration, or blood loss, but it is not a direct symptom of a fractured hip. While it could be present in some cases, it is not the most characteristic finding associated with hip fractures.

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The nurse is conducting an initial interview, which specific data would be a priority risk factor for developing peptic ulcer disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is a long-term complication of diabetes mellitus?

Correct Answer is D

Explanation

The elderly client is admitted to the emergency room after a fall with a suspected fracted hip. Which symptom is the client most likely to exhibit?

Correct Answer is C

Explanation

A nurse is admitting a client who has suspected retinal detachment. Which of the following questions should the nurse include when gathering a client history? (Select All that Apply.)

The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.

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