A patient who reports a severe, steady pain in the epigastric area along with nausea and vomiting states, "This happens every time I eat barbecued ribs. It will go away in a little while, especially if I lie on my back."
The nurse would consider which disorder as the likely cause of these symptoms? 1. Porcine allergy
2. Obesity
3. Cholelithiasis
4. Pancreatitis
3
Rationale 1: There is no evidence that the patient is allergic to pork or pork products.
Rationale 2: The patient may be obese, but these symptoms are not related to that condition.
Rationale 3: Symptoms of cholelithiasis (gallstone) include severe, steady pain in the epigastric region or upper-right quadrant of the abdomen. The pain may radiate to the back, right scapula, or shoulder. The pain often begins suddenly following a meal and may last as long as 5 hours. It is often accompanied by nausea and vomiting.
Rationale 4: The symptoms of pancreatitis are not generally associated with eating a specific food but rather with heavy alcohol consumption. The pain becomes worse when the patient lies supine.
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The main focus of medical management for anorexia is to:
a. Encourage rapid weight gain. b. Encourage the client to eat voluntarily. c. Teach more appropriate food choices. d. Keep the client from developing additional problems.
A nurse is assessing a patient who presented to the emergency department after a public fight. The patient is crying and claiming that he does not remember how the fight started
What sensory functions should the nurse check as part of the patient's initial psychiatric assessment? Select all that apply. 1. Pain 2. Smell 3. Pressure 4. Temperature 5. Proprioception
A client with a history of heart failure has been prescribed an antacid for the treatment of peptic ulcer disease. What instructions should the nurse include when teaching this client about antacids?
A. "Some antacids have a high sodium content." B. "Some antacids could potentiate digoxin toxicity." C. "Some antacids could cause potassium depletion." D. "Some antacids could trigger irregular heartbeats."
Vegetables are likely to be highest in vitamin C if they are
a. boiled. b. canned. c. stir-fried. d. oven roasted.