What clinical symptom distinguishes esophageal varices from bleeding gastric ulcers?
a. diarrhea c. anorexia
b. constipation d. abdominal pain
D
With esophageal varices, there is no abdominal pain. The symptom of abdominal pain helps distinguish esophageal varices from bleeding gastric ulcers, which generally do cause pain that worsens after eating.
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A patient is very lethargic. Vital signs include a blood pressure of 110/95 mm Hg and heart rate of 40 beats/min. The nurse would suspect
a. hypothyroidism. c. Addison disease. b. Cushing syndrome. d. thyrotoxic crisis.
Which is the most important intervention for the nurse to teach the client who is going home and continues to be at risk for the development of metabolic acidosis?
A. "Increase your intake of milk to at least three glasses daily." B. "Be sure to eat three well-balanced meals and a snack daily." C. "Avoid taking pain medication and an antihistamine at the same time." D. "Restrict your use of sodium by not adding salt to your food during meals."
A client has been prescribed exenatide (Byetta). What medication education should the nurse provide?
1. "Drink an 8 ounce glass of water with this pill." 2. "You should take this medication twice each day." 3. "You may experience dryness of the mouth while taking this drug." 4. "You may develop diarrhea while taking this drug." 5. "This drug will help you secrete more insulin."
A patient is brought to the emergency department with hemoptysis and is admitted to the unit diagnosed with tuberculosis
The prescriber has ordered isoniazid (INH) and rifampin (Rifadin), with the first dose to be given by the nurse now. The nurse should a. question the prescriber's order because of concerns about hepatotoxicity. b. administer the drugs per the physician's orders. c. instruct the patient that he should never have more than two alcoholic drinks per day. d. collect a sputum sample.