100% CORRECT ANSWERS|LATEST
The nurse is taking the health history of a patient being treated for Emphysema and Chronic Br
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onchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse expe
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cts to note which assessment finding?
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1. Increase in Forced Vital Capacity (FVC)
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2. A narrowed chest cavity
B B B B
3. Clubbed fingers
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4. An increased risk of cardiac failure - ANSWER-
B B B B B B B B
1. Increase in Forced Vital Capacity (FVC)
B B B B B B
Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A patie
B B B B B B B B B B B B B B B B
nt with COPD would have a decrease in FVC. Incorrect.
B B B B B B B B B
2. A narrowed chest cavity
B B B B
A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavi
B B B B B B B B B B B B B B B B B
ty. Incorrect.
B
3. Clubbed fingers - CORRECT
B B B B
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
B B B B B B B B B B B B B
4. An increased risk of cardiac failure
B B B B B B
Although a patient with these conditions would indeed be at an increased risk for cardiac failu
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re, this is a potential complication and not an assessment finding. Incorrect.
B B B B B B B B B B B
The nurse is taking the health history of a 70-year-
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old patient being treated for a Duodenal Ulcer. After being told the patient is complaining of e
B B B B B B B B B B B B B B B B
pigastric pain, the nurse expects to note which assessment finding?
B B B B B B B B B
,1. Melena
B
2. Nausea
B
3. Hernia
B
4. Hyperthermia - ANSWER-
B B B 1. Melena - CORRECT
B B B
Melena is the finding that there are traces of blood in the stool which presents as black, tarry f
B B B B B B B B B B B B B B B B B B
eces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further dow
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n the gastric anatomy.
B B B
2. Nausea
B
Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duoden
B B B B B B B B B B B B B B B
al Ulcer. Incorrect.
B B
3. Hernia
B
A Hernia is a protrusion of a segment of the abdomen through another abdominal structure. It
B B B B B B B B B B B B B B B
is not associated with an Ulcer and is a condition, not an assessment finding. Incorrect.
B B B B B B B B B B B B B B B
4. Hyperthermia
B
Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect
B B B B B B B B B B B B B
A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux Dise
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ase. Which of these statements by the patient indicates a need for more teaching?
B B B B B B B B B B B B B
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
B B B B B B B B B B B B B B
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
B B B B B B B B B B B B B B B B B
3. "I won't be drinking tea or coffee or eating chocolate any more."
B B B B B B B B B B B B
4. "I'm going to start trying to lose some weight." - ANSWER-
B B B B B B B B B B B
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
B B B B B B B B B B B B B B
,CORRECT - B
BLarge meals increase the volume and pressure in the stomach and delay gastric emptying. It's
B B B B B B B B B B B B B B B
recommended instead to eat 4-6 small meals a day. B B B B B B B B
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
B B B B B B B B B B B B B B B B B
Incorrect - This is a correct verbalization of health promotion for GERD.
B B B B B B B B B B B
3. "I won't be drinking tea or coffee or eating chocolate any more."
B B B B B B B B B B B B
Incorrect - This is a correct verbalization of health promotion for GERD.
B B B B B B B B B B B
4. "I'm going to start trying to lose some weight."
B B B B B B B B B
Incorrect - This is a correct verbalization of health promotion for GERD.
B B B B B B B B B B B
The nurse in the Emergency Room is treating a patient suspected to have a Peptic Ulcer. On as
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sessing lab results, the nurse finds that the patient's blood pressure is 95/60, pulse is 110 beat
B B B B B B B B B B B B B B B B
s per minute, and the patient reports epigastric pain. What is the PRIORITY intervention?
B B B B B B B B B B B B B
1. Start a large-bore IV in the patient's arm
B B B B B B B B
2. Ask the patient for a stool sample
B B B B B B B
3. Prepare to insert an NG Tube
B B B B B B
4. Administer intramuscular morphine sulphate as ordered - ANSWER-
B B B B B B B B 1. Start a large-
B B B
bore IV in the patient's arm
B B B B B
CORRECT - B
The nurse should suspect that the patient is haemorrhaging and will need need a fluid replace
B B B B B B B B B B B B B B B B
ment therapy, which requires a large bore IV.
B B B B B B B
2. Ask the patient for a stool sample
B B B B B B B
Incorrect - B
BWhile this is useful in the diagnosis and assessment of Peptic Ulcer Disease, it is not the priorit
B B B B B B B B B B B B B B B B B
y intervention.
B
, 3. Prepare to insert an NG Tube
B B B B B B
Incorrect - B
BWhile this intervention may be used in the later stages of Peptic Ulcer Disease, it is not the firs
B B B B B B B B B B B B B B B B B B
t and priority intervention.
B B B
4. Administer intramuscular morphine sulphate as ordered
B B B B B B
Incorrect - B
BWhile this is an important intervention to manage pain, it is not the priority intervention.
B B B B B B B B B B B B B B
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a
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platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical an
B B B B B B B B B B B B B B B B B
d should be reported to the physician immediately?
B B B B B B B
1. Hemoglobin 11 g/dl
B B B
2. Platelet of 150,000
B B B
3. INR of 2.5
B B B
4. Potassium of 2.7 mEq/L - ANSWER-
B B B B B B 1. Hemoglobin 11 g/dl
B B B
This is below normal, but a normal female hemoglobin is 12-
B B B B B B B B B B
14. There is a more critical lab result.
B B B B B B B
2. Platelet of 150,000
B B B
This is also below the normal values, but is not the most critical lab result.
B B B B B B B B B B B B B B
3. INR of 2.5
B B B
This is a therapeutic range for a patient who is taking an anticoagulant for atrial fibrillation
B B B B B B B B B B B B B B B
4. Potassium of 2.7 mEq/L
B B B B
CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be life-
B B B B B B B B B B B B B B B
threatening and can lead to cardiac distress. B B B B B B
The nurse is taking the health history of a patient being treated for Emphysema and Chronic Br
B B B B B B B B B B B B B B B B
onchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse expe
B B B B B B B B B B B B B B B
cts to note which assessment finding?
B B B B B
1. Increase in Forced Vital Capacity (FVC)
B B B B B B
2. A narrowed chest cavity
B B B B
3. Clubbed fingers
B B B
4. An increased risk of cardiac failure - ANSWER-
B B B B B B B B
1. Increase in Forced Vital Capacity (FVC)
B B B B B B
Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A patie
B B B B B B B B B B B B B B B B
nt with COPD would have a decrease in FVC. Incorrect.
B B B B B B B B B
2. A narrowed chest cavity
B B B B
A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavi
B B B B B B B B B B B B B B B B B
ty. Incorrect.
B
3. Clubbed fingers - CORRECT
B B B B
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
B B B B B B B B B B B B B
4. An increased risk of cardiac failure
B B B B B B
Although a patient with these conditions would indeed be at an increased risk for cardiac failu
B B B B B B B B B B B B B B B
re, this is a potential complication and not an assessment finding. Incorrect.
B B B B B B B B B B B
The nurse is taking the health history of a 70-year-
B B B B B B B B B
old patient being treated for a Duodenal Ulcer. After being told the patient is complaining of e
B B B B B B B B B B B B B B B B
pigastric pain, the nurse expects to note which assessment finding?
B B B B B B B B B
,1. Melena
B
2. Nausea
B
3. Hernia
B
4. Hyperthermia - ANSWER-
B B B 1. Melena - CORRECT
B B B
Melena is the finding that there are traces of blood in the stool which presents as black, tarry f
B B B B B B B B B B B B B B B B B B
eces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further dow
B B B B B B B B B B B B B B
n the gastric anatomy.
B B B
2. Nausea
B
Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duoden
B B B B B B B B B B B B B B B
al Ulcer. Incorrect.
B B
3. Hernia
B
A Hernia is a protrusion of a segment of the abdomen through another abdominal structure. It
B B B B B B B B B B B B B B B
is not associated with an Ulcer and is a condition, not an assessment finding. Incorrect.
B B B B B B B B B B B B B B B
4. Hyperthermia
B
Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect
B B B B B B B B B B B B B
A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux Dise
B B B B B B B B B B B B B
ase. Which of these statements by the patient indicates a need for more teaching?
B B B B B B B B B B B B B
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
B B B B B B B B B B B B B B
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
B B B B B B B B B B B B B B B B B
3. "I won't be drinking tea or coffee or eating chocolate any more."
B B B B B B B B B B B B
4. "I'm going to start trying to lose some weight." - ANSWER-
B B B B B B B B B B B
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
B B B B B B B B B B B B B B
,CORRECT - B
BLarge meals increase the volume and pressure in the stomach and delay gastric emptying. It's
B B B B B B B B B B B B B B B
recommended instead to eat 4-6 small meals a day. B B B B B B B B
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
B B B B B B B B B B B B B B B B B
Incorrect - This is a correct verbalization of health promotion for GERD.
B B B B B B B B B B B
3. "I won't be drinking tea or coffee or eating chocolate any more."
B B B B B B B B B B B B
Incorrect - This is a correct verbalization of health promotion for GERD.
B B B B B B B B B B B
4. "I'm going to start trying to lose some weight."
B B B B B B B B B
Incorrect - This is a correct verbalization of health promotion for GERD.
B B B B B B B B B B B
The nurse in the Emergency Room is treating a patient suspected to have a Peptic Ulcer. On as
B B B B B B B B B B B B B B B B B
sessing lab results, the nurse finds that the patient's blood pressure is 95/60, pulse is 110 beat
B B B B B B B B B B B B B B B B
s per minute, and the patient reports epigastric pain. What is the PRIORITY intervention?
B B B B B B B B B B B B B
1. Start a large-bore IV in the patient's arm
B B B B B B B B
2. Ask the patient for a stool sample
B B B B B B B
3. Prepare to insert an NG Tube
B B B B B B
4. Administer intramuscular morphine sulphate as ordered - ANSWER-
B B B B B B B B 1. Start a large-
B B B
bore IV in the patient's arm
B B B B B
CORRECT - B
The nurse should suspect that the patient is haemorrhaging and will need need a fluid replace
B B B B B B B B B B B B B B B B
ment therapy, which requires a large bore IV.
B B B B B B B
2. Ask the patient for a stool sample
B B B B B B B
Incorrect - B
BWhile this is useful in the diagnosis and assessment of Peptic Ulcer Disease, it is not the priorit
B B B B B B B B B B B B B B B B B
y intervention.
B
, 3. Prepare to insert an NG Tube
B B B B B B
Incorrect - B
BWhile this intervention may be used in the later stages of Peptic Ulcer Disease, it is not the firs
B B B B B B B B B B B B B B B B B B
t and priority intervention.
B B B
4. Administer intramuscular morphine sulphate as ordered
B B B B B B
Incorrect - B
BWhile this is an important intervention to manage pain, it is not the priority intervention.
B B B B B B B B B B B B B B
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a
B B B B B B B B B B B B B B B B
platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical an
B B B B B B B B B B B B B B B B B
d should be reported to the physician immediately?
B B B B B B B
1. Hemoglobin 11 g/dl
B B B
2. Platelet of 150,000
B B B
3. INR of 2.5
B B B
4. Potassium of 2.7 mEq/L - ANSWER-
B B B B B B 1. Hemoglobin 11 g/dl
B B B
This is below normal, but a normal female hemoglobin is 12-
B B B B B B B B B B
14. There is a more critical lab result.
B B B B B B B
2. Platelet of 150,000
B B B
This is also below the normal values, but is not the most critical lab result.
B B B B B B B B B B B B B B
3. INR of 2.5
B B B
This is a therapeutic range for a patient who is taking an anticoagulant for atrial fibrillation
B B B B B B B B B B B B B B B
4. Potassium of 2.7 mEq/L
B B B B
CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be life-
B B B B B B B B B B B B B B B
threatening and can lead to cardiac distress. B B B B B B
