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. While altered mental status can occur in older adults with pneumonia, especially due to hypoxia or infection, it is often a result of more advanced disease or complications rather than an early symptom. Dehydration can also occur but is not a direct symptom of pneumonia.
B. Hemoptysis (coughing up blood) is not a common early symptom of pneumonia, especially in older adults. Dyspnea (difficulty breathing) may occur, but it generally arises as the pneumonia worsens. These symptoms might not be the first to present.
C. Pleuritic chest pain (pain upon breathing) can be associated with pneumonia but is not necessarily an early symptom, especially in the elderly. Hypertension may be present but is not a hallmark of pneumonia and can vary widely among patients.
D. Fever and chills are common initial symptoms of pneumonia and are part of the body’s response to infection. In elderly patients, fever may sometimes be less pronounced or atypical, but it is still one of the first signs of pneumonia.

A. The buttocks are 15° off the bed. B. The child no longer complains of pain. C. The pins are secured within the pulley. D. The legs are suspended in the traction

Correct Answer is D

Explanation

A. In this type of traction, the child’s buttocks should be elevated slightly off the bed to maintain the correct alignment and reduce pressure on the skin. However, a 15° angle may not be specifically necessary for indicating proper traction; what matters more is that the child is positioned correctly and comfortably.
B. While a reduction in pain can indicate that the traction is effective and that the fracture is stabilized, pain management is also influenced by medication and other factors. Therefore, while this is a positive finding, it is not the most definitive indicator of proper traction.
C. However, while it is essential that the pins are secure, the effectiveness of traction is more directly related to the positioning and suspension of the legs rather than just the pin security alone.
D. In Bryant's traction, the legs should be suspended to ensure proper alignment and immobilization of the fractured femur. The traction's effectiveness is best assessed by observing that the legs are correctly suspended and aligned, allowing for the necessary rest and healing of the bone.

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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

An 80-year-old client is diagnosed with pneumonia. Which of the following symptoms may appear first?

Correct Answer is D

Explanation

A 3-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?

Correct Answer is D

Explanation

The following are lipid abnormalities. Which of the following is a risk factor for the development of atherosclerosis and peripheral vascular disease (PVD)?

A school nurse is examining a third-grade student complaining of a small lump on her head. After parting the hair, it is evident that a tick has embedded into the scalp. Which nursing intervention should the school nurse take?

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.)

A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

A client with type 1 diabetes is admitted to the emergency department for DKA. Which assessment findings should the nurse expect to note?

A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?

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?

A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?