A patient has come to the clinic complaining of pain just above her umbilicus. When assessing the patient, the nurse notes Sister Mary Joseph's nodules
The nurse should refer the patient to the primary care provider to be assessed for what health problem?
A) A GI malignancy
B) Dumping syndrome
C) Peptic ulcer disease
D) Esophageal/gastric obstruction
Ans: A
Feedback:
Palpable nodules around the umbilicus, called Sister Mary Joseph's nodules, are a sign of a GI malignancy, usually a gastric cancer. This would not be a sign of dumping syndrome, peptic ulcer disease, or esophageal/gastric obstruction.
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When the urinary bladder is removed, a new pathway is needed for urine to exit the body. The new pathway is called a:
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The nurse identifies that the client is unable to cough to produce a sputum specimen, and the cli-ent's secretions must be suctioned. Which suctioning route is preferred for obtaining this speci-men?
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