A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats, but pain does not waken him. The nurse recognizes a diagnostic sign of which condition?
a. Duodenal ulcer
b. Gastritis
c. Achalasia
d. Peptic ulcer
ANS: D
A significant subjective data assessment for a peptic ulcer is the patient report that pain is associated with eating, but not with an empty stomach, because there would be pain with a duodenal ulcer.
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A nurse cares for a client with hepatopulmonary syndrome who is experiencing dyspnea with oxygen saturations at 92%. The client states, "I do not want to wear the oxygen because it causes my nose to bleed. Get out of my room and leave me alone!"
Which action should the nurse take? a. Instruct the client to sit in as upright a position as possible. b. Add humidity to the oxygen and encourage the client to wear it. c. Document the client's refusal, and call the health care provider. d. Contact the provider to request an extra dose of the client's diuretic.
Which of the following statements by older adult clients should the nurse interpret as a potential pathological process rather than a normal age-related change?
A) "Food just doesn't seem to have as much taste as it did when I was younger.". B) "I feel like it takes so much longer to digest my meals than it used to.". C) "Even when I have a bowel movement it often doesn't feel like it's complete.". D) "I tend to regurgitate a lot of my food after a meal these days.".
Vicarious trauma is a phenomenon nurses might experience. What are the signs indicating this problem that the nurse should be aware of? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Reduced sense of accomplishment 2. A positive effect on commitment to one's work 3. Questioning of personal belief systems 4. Balance of time for family, self, friends, and work 5. Frustration with the judicial system
When applying a transfer belt,
A) fasten the belt in the back. B) apply the belt as loosely as possible. C) make sure the belt is below the breasts. D) slip one hand under the belt so it is not too tight.