A client new to the clinic reports having peptic ulcer disease and a weight loss of 14 pounds in 2 months. The symptom of weight loss would be most consistent with:
1. a duodenal ulcer.
2. a gastric ulcer.
3. frequent exercise.
4. anorexia nervosa.
Correct Answer: 2
Rationale 1: Weight gain, not loss, would be more consistent with a duodenal ulcer.
Rationale 2: Anorexia, weight loss, and vomiting are more common with gastric ulcers.
Rationale 3: This client is not reporting frequent exercise.
Rationale 4: This client is complaining of peptic ulcer disease, which is likely the cause of weight loss.
Global Rationale: Anorexia and weight loss are more common with gastric ulcers than with duodenal ulcers. The client does not report frequent exercise and presents with reports of a peptic ulcer history.
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