The nurse is caring for a patient who has a duodenal peptic ulcer and vomits old blood. What description would the nurse use to document the appearance of the vomitus?
a. Duodenal fecal matter
b. Undigested particles of food
c. Coffee-ground particles
d. Chyme streaked with a black syrupy material
ANS: C
When blood mixes with hydrochloric acid and enzymes in the stomach, a dark, granular material resembling coffee grounds is produced. This indicates old bleeding, as fresh bleeding would be red in color.
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A) Pallor B) Cyanosis C) Erythema D) Jaundice
A nurse is caring for a client who has been the victim of elder abuse by her son. According to the situational
violence theory of elder mistreatment, which of the situations would have occurred? A) The care of the client has overwhelmed son. B) The client was abusive to her son when he was a child. C) The son is an alcoholic. D) The son witnessed his father beating his mother while he was a child.
A community health center leases space from the owner of the building. As the manager develops the budget, they understand this to be a fixed cost. From which of the following would the lease payment be paid?
a. Operating budget b. Personnel budget c. Capital budget d. Cash budget
The nurse understands that the following statement is true about patient classification systems?
a. "The systems measure all the needs of pa-tients.". b. "The systems provide an absolute formula for unit staffing.". c. "The systems should not be used to make patient care assignments because acuity systems are more accurate.". d. "The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget.".