A 45-year-old male presents with persistent, severe stomach pain. Testing reveals a peptic ulcer. Further laboratory tests reveal the presence of Helicobacter pylori. Which of the following is of concern for this patient?
a. Gastric cancer
b. Leukemia
c. Lung cancer
d. Adenocarcinoma of the colon
ANS: A
The presence of Helicobacter pylori is associated with gastric cancer, not leukemia, lung cancer, or colon cancer.
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A 62-year-old patient with atrial fibrillation is being treated with warfarin. The nurse notices small, red, lesion-like freckles on the patient's arms. These are noted as
A) ecchymoses. B) angiomas. C) urticaria. D) petechiae.
An infant is to receive gastrostomy feedings. What intervention should the nurse institute to prevent bloating, gastrointestinal reflux into the esophagus, vomiting, and respiratory compromise?
a. Rapid bolusing of the entire amount in 15 minutes b. Warm cloths to the abdomen for the first 10 minutes c. Slow, small, warm bolus feedings over 20 to 30 minutes d. Cold, medium bolus feedings over 20 minutes
Which statement best describes cystic fibrosis?
a. Obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation b. Respiratory disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest x-ray imaging c. Pulmonary disorder involving an abnormal expression of a protein-producing viscous mucus that obstructs the airways, pancreas, sweat ducts, and vas deferens d. Pulmonary disorder characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency
The client receives amitriptyline (Elavil). What is a priority teaching point at discharge?
1. Do not rapidly stand up or change positions. 2. Begin a low-carbohydrate diet. 3. Avoid green, leafy vegetables. 4. Do not take aspirin with this drug.