The nurse suspects that a patient is exhibiting manifestations of Zollinger-Ellison syndrome. What did the nurse assess to make this clinical judgment?
Select all that apply.
1. nausea
2. diarrhea
3. belching
4. steatorrhea
5. abdominal pain
Correct Answer: 2, 4
The peptic ulcers of Zollinger-Ellison syndrome may affect any portion of the stomach or duodenum, as well as the esophagus or jejunum. Characteristic ulcerlike pain is common. The high levels of hydrochloric acid entering the duodenum may cause diarrhea and steatorrhea (excess fat in the feces) from impaired fat digestion and absorption. Nausea, belching, and abdominal pain are not manifestations of Zollinger-Ellison syndrome.
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A community health nurse is cautious when recommending the use of OTC cold remedies to patients. The use of pseudoephedrine would most likely be contraindicated in which of the following patients?
A) A woman who is breast-feeding B) A man with a history of angina and hypertension C) A man who has diagnoses of chronic obstructive pulmonary disease and diabetes D) A woman who has myasthenia gravis
The nurse caring for the terminally ill client and the family collects data about loss and grieving during the admission interview. Information important to collect includes: Standard Text: Select all that apply
1. Previous losses. 2. Awareness of approaching loss. 3. How grief was handled previously. 4. Medications being taken for coping. 5. History of alcohol abuse.
The patient you are caring for has been diagnosed with AIDS complicated by chronic diarrhea. What nursing intervention would be appropriate for this patient?
A) Keep perianal area free of discharge. B) Give cholinergic medications as ordered. C) Make sure the patient eats at least two servings of raw fruit each day. D) Feed small, frequent meals to prevent abdominal distention.
Your 71-year-old client is brought to the emergency department with a change in consciousness and level of consciousness. His family reports that he was his "normal self" yesterday. You suspect:
1. mental confusion. 2. chronic confusion. 3. delirium. 4. dementia.