A client with a gastric ulcer develops a sudden, sharp pain in the mid-epigastric region. On assessment, the nurse notes that the abdomen is tender and rigid. What is the nurse's priority action?
A. Increase the IV fluid rate.
B. Notify the health care provider.
C. Place the client in a knee-chest position.
D. Prepare to administer an H2 antagonist.
B
A client with a gastric or duodenal ulcer who is presenting with sudden onset of sharp mid-epigastric pain and a tender, boardlike abdomen has most likely developed perforation, a surgical emergency. Notify the health care provider immediately.
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The nurse is assessing and reviewing the chart of a 78-year-old male patient who is newly admitted to the hospital unit. Which of the following diagnostic and assessment findings should the nurse interpret as potentially pathological?
A) The patient's testes appear to be atrophied. B) Slight enlargement of prostate was noted during his last visit to his primary care provider. C) The client states he has difficulty achieving and maintaining an erection. D) Serum testosterone levels are a small fraction of those in younger men.
The nurse who observes a client prescribed haloperidol who has his head rotated to one side in a
stiff, fixed position with his lower jaw thrust forward and drool coming from his mouth should intervene by a. obtaining an order to administer diphenhydramine (Benadryl) 50 mg IM. b. reassuring the client that the symptoms will subside if he relaxes. c. administering trihexyphenidyl (Artane) 5 mg orally. d. administering atropine 2 mg subcutaneously.
The nurse is reviewing the laboratory reports for a client with chronic kidney failure. Which lab should the nurse understand reflects the progression of the kidney disease?
A. Glomerular filtration rate (GFR) B. Serum creatinine C. Blood urea nitrogen (BUN) D. Urinalysis
The nurse is conducting an educational session for patients who have a diagnosis of Crohn disease. Fifty patients with the disorder are in attendance. Statistically, how many of these patients have a form of Crohn disease that is familial in origin? Record your answer rounding to the nearest whole number.
Fill in the blank(s) with the appropriate word(s).