MEDICAL SURGICAL HESI RN EXAM WITH NGN (2023/2024) VERIFIED QUESTIONS AND ANSWERS WITH RATIONALE WELL EXPLAINED AND VERIFIES AS 100% CORRECT LATEST UPDATE GRADED A+

MEDICAL SURGICAL HESI RN EXAM WITH NGN (2023/2024) VERIFIED QUESTIONS AND ANSWERS WITH RATIONALE WELL EXPLAINED AND VERIFIES AS 100% CORRECT LATEST UPDATE GRADED A+ A nurse is obtaining a health history from a client with the diagnosis of peptic ulcer disease. Which client statement provides evidence to support the identification of a possible contributory factor? 1 "My blood type is A positive." 2 "I smoke one pack of cigarettes a day." 3 "I have been overweight most of my life." 4 "My blood pressure has been high lately." 2 "I smoke one pack of cigarettes a day." Smoking cigarettes increases the acidity of gastrointestinal secretions, which damages the mucosal lining. While blood type O is more frequently associated with duodenal ulcer, type A has no significance. Being overweight is unrelated to peptic ulcer disease. High blood pressure is not directly related to peptic ulcer disease. A nurse is caring for a client who is positive for hepatitis A. Which precautions should the nurse take? 1 Wear a gown when entering the client's room. 2 Use caution when bringing in the client's food. 3 Use gloves when removing the client's bedpan. 4 Wear a protective mask when entering the client's room. 3 Use gloves when removing the client's bedpan. The virus is present in the stool of clients with hepatitis A; therefore, standard precautions should be followed when handling excretions. The virus also may be present in urine and nasotracheal secretions. The Centers for Disease Control and Prevention (CDC) (Canada: Public Health Agency of Canada (PHAC)) indicate that only standard precautions are necessary when caring for a client who is positive for the presence of hepatitis A; if a client is incontinent or using an incontinence device, the CDC (Canada: PHAC) recommends that contact precautions be implemented. Bringing food to a client requires no precautions; however, disposable utensils should be used and utensils discarded following standard precautions because the client's nasotracheal secretions contain the virus. Hepatitis A usually is not transmitted via the air. Dependent edema usually occurs with severe protein deficiency and heart failure. Spoon-shaped nails usually occur with iron deficiency anemia hiatal hernia protrusion of a part of the stomach upward through the opening in the diaphragm The nurse is caring for a client with a hi