An older adult patient is being evaluated for a possible duodenal ulcer (DU). Which of the following assessments supports the diagnoses? (Select all that apply.)
a. Passing a moderate amount of dark red-dish-brown stool
b. Reporting a stabbing pain in the epigastric region
c. Asking for "some crackers to stop my stomach cramps"
d. Reporting the need to take antacid tablets "most days"
e. Having a rigid abdomen about 2 hours after eating
A, C, D
Typically the symptoms of DU are patterned by periods of exacerbation and remission and fol-low a pain-food-relief pattern. The pain begins 2 to 4 hours after meals, is immediately relieved by food or antacids, is located in the mid epigastrium, and may be described as a burning or cramplike pain. On physical examination, the only abnormality is possibly a tender epigastrium. A rigid abdomen could indicate a perforation of the ulcer. Stabbing epigastric pain is not a ma-nifestation.
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The client is receiving a brand name drug and wants to change to the generic form because it is cheaper. What is the best outcome for this client?
1. Client will state two ways a brand name drug differs from a generic name drug. 2. Client will take the brand name drug after speaking with the physician. 3. Client will ask the nurse why brand name drugs are better than generic drugs. 4. Client will state two ways to obtain the medication at a reduced cost.
A 42-year-old male complains of extreme fatigue and weakness after his first week of radiation therapy. Which of the following responses by the nurse would best reassure him?
A) "These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and x-ray studies." B) "These symptoms are part of your disease and can't be helped." C) "Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy." D) "This is a good sign. It means that only the cancer cells are dying."
The female nurse identifies that many of the power positions in her organization are held by male nurses
Which strategies should the nurse use to improve her image and increase her power? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Identify what she really wants 2. Keep her focus on her unit, not the entire organization 3. Prioritize her needs in order of importance 4. Identify her current resources 5. Determine who stands in the way of what she wants
A community health nurse is well aware that taking responsibility for oneself is the key to successful health promotion. Which of the following actions by the nurse's patients best demonstrates self-responsibility and health promotion?
A) A woman takes action to quit smoking cigarettes. B) A man seeks care because of an apparent cognitive decline. C) A man questions his pharmacist when having a prescription refilled. D) A woman reluctantly agrees to have her infant immunized.