A 40-year-old client has an episode of vomiting. On observation of the vomitus, coffee
ground-like material was noticed. What is the most likely cause of this finding?
A) Forcing back of intestinal contents
B) Presence of bile pigments and salts
C) Bleeding in the lower digestive tract
D) Bleeding inside the stomach
C
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A client with cardiac arrhythmia is prescribed verapamil. The nurse would instruct the client about which of the following as a possible adverse reaction?
A) Diarrhea B) Hyperactivity C) Peripheral edema D) Hypertension
The school health nurse is working with a parent–child group discussing sex education. Which statement by a parent or child requires further teaching by the nurse?
1. "I know girls can develop early. I was only 8 years old when I developed breasts.". 2. "I plan to speak with my daughter about her sexuality only after she reads the books I purchased for her.". 3. "My school nurse talked with us about getting a period," the child giggles. 4. "My friends like to talk about sex. Lots of us have older sisters who dress sexy.".
The client has scabies. The nurse has taught the client about safety in using topical scabicide medications, and evaluates that teaching has been effective when the client makes which statement?
1. "I should cover the area with a clean cloth." 2. "I will need help in showering to remove the lotion." 3. "I need to sign a consent for this medication." 4. "I must avoid putting this lotion on my face."
A patient is brought to the Emergency Department after being found by neighbors. The patient says she has been lying on the floor in the house for 3 days. What action by the health care professional is best?
a. Order a serum creatine kinase (CK) level b. Obtain an x-ray of the patient’s hips c. Arrange for the patient to have a DXA scan