The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?

Severe abdominal cramps and diarrhea after eating spicy foods.

B Frequent use of chewable and liquid antacids for indigestion.

Upper mid abdominal pain described as gnawing and burning.

Marked loss of weight and appetite over the last 3 or 4 months.

Answer and Explanation

The Correct Answer is C

C. Peptic ulcer disease involves the formation of open sores in the lining of the stomach or the duodenum. The characteristic symptom of PUD is abdominal pain, typically located in the upper mid abdomen. This pain is often described as gnawing, burning, or aching in nature. The pain may occur shortly after eating, especially when the stomach is empty (gastric ulcer), or it may occur 2-3 hours after eating, typically at night (duodenal ulcer).
A. describes symptoms more suggestive of irritable bowel syndrome (IBS) or gastrointestinal sensitivity to spicy foods, leading to cramps and diarrhea, but it is less specific to PUD.
B. indicates frequent use of antacids for indigestion, which may suggest symptoms of acid reflux or gastritis but do not specifically point to the presence of peptic ulcers.
D. suggests more severe systemic issues such as malignancy or chronic diseases rather than solely PUD.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

Understanding;

"Making these changes will also help me avoid other chronic health conditions."

"If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked."

No understanding;

"If my fasting blood sugar is less than 100 mg/dL (5.6 mmol/L) next time, I can go back to my usual eating habits."

"I can never eat sugar again."

"If I make the changes we talked about, I will not get type 2 diabetes."

Understanding

Adherence to the DASH diet reduces the risk of diabetes mellitus as well as other conditions such as myocardial infarction, hypertension and stoke

Overt diabetes mellitus presents with polyuria and polydipsia due to osmotic diuresis- the presence of increased glucose excreted in the urine exert an osmotic pressure, drawing water into the urine and increasing its volume.

No understanding

Having a normal fasting blood glucose is a good finding. However, resumption of poor eating habits increases the risk of diabetes mellitus moving forward. Also, there are other diagnostic criteria foe diabetes mellitus apart form fasting blood glucose such as OGTT, HbA1c

It is okay for the client to consume unrefined sugar without increased risk of diabetes mellitus. Refined sugars, however, are not recommended.

Adhering to dietary changes lowers the risk of diabetes but does not eliminate it. Other factors including genetics play a role in the development of diabetes mellitus.

A. Restrict physical activities. B. Use incentive spirometer. C. Report when hematuria becomes pink tinged. D. Monitor urinary stream for decrease in output.

Correct Answer is D

Explanation

A. Complete restriction of physical activities is not necessary. The nurse should provide guidance on gradually resuming normal activities based on the healthcare provider's recommendations.

B. Incentive spirometer is not directly related to the management or recovery following TUNA for BPH. This device is typically used to improve lung function and prevent respiratory complications, which may not be a primary concern in this scenario.

C.While clients should monitor hematuria, the primary focus post-TUNA is on urinary output and function rather than just the color of the urine. Changes in hematuria color are important, but they may not directly correlate to urgent issues.
D. After TUNA, clients need to be vigilant about their urinary output because a decrease can indicate complications such as re-obstruction, which is a significant concern following the procedure. Monitoring urinary stream is essential for detecting potential issues early, making this the best choice for discharge instructions.

View Question and Answer

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

The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Review H and P, nurse's note, and laboratory results. Click to mark whether the client statement indicates understanding or no understanding of the education given

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA). Which information should the nurse include in the discharge instructions?

Correct Answer is D

Explanation

A client with a cervical spinal injury (C7) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?

The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?

A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?

A client with draining skin lesions of the lower extremity is admitted with possible methicillin resistant Staphylococcus aureus (MRSA). What nursing intervention (s) should the nurse include in the plan of care? Select all that apply.

An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?

A family suspects that AIDS dementia is occurring in their adult child who is HIV positive. Which symptom confirms the suspicion?

The nurse calls the healthcare provider because a client diagnosed with an abdominal aortic aneurysm (AAA) is reporting low back pain. Which additional information about the client would be important for the nurse to tell the healthcare provider?