What client has the greatest risk of having a peptic ulcer?
1. A 24-year-old who complains of being stressed mentally
2. A 52-year-old who smokes
3. A 56-year-old who is taking prednisone and ibuprofen for chronic low-back pain
4. A 48-year-old who is taking acetaminophen and aspirin to reduce fever
Correct Answer: 3
Rationale 1: Psychological stress is one risk factor towards the development of a peptic ulcer, but this is not the best choice.
Rationale 2: Smoking puts a client at risk for a peptic ulcer, but this is not the best choice.
Rationale 3: This client has two risk factors for developing a peptic ulcer, making this the best choice.
Rationale 4: Taking aspirin, an NSAID, puts this client at risk for a peptic ulcer, but this is not the best choice. Acetaminophen is not associated with the development of peptic ulcers.
Global Rationale: All of these clients have some risk. Stress, smoking, and use of NSAIDs, corticosteroids, and platelet inhibitors increases risk. The client using two of these factors is at highest risk.
You might also like to view...
An emergency department nurse is assessing a 62-year-old rancher who arrives at the ED with chest pain. The patient states that the pain gets worse with movement. What further assessment should the nurse make?
A) Auscultation at the 5th ICS B) Palpation at the PMI C) Assessment of the precordium D) Palpation of the costochondral junction
Which assessment finding indicates a therapeutic effect of finasteride (Proscar) therapy in a client?
1. Less painful urination 2. Resolution of hematuria 3. Ability to initiate a steady urine stream 4. Decreased flow rate of urine
The nurse is preparing wet dressings for a patient who has a weeping skin lesion. What is the maximum length of time the wet dressings should be used?
a. 24 hours b. 36 hours c. 48 hours d. 72 hours
The hospice nurse has just admitted a new patient to the program. What principle guides hospice care?
A) Care addresses the needs of the patient as well as the needs of the family. B) Care is focused on the patient centrally and the family peripherally. C) The focus of all aspects of care is solely on the patient. D) The care team prioritizes the patient's physical needs and the family is responsible for the patient's emotional needs.