The nurse is doing triage at the community clinic when a middle-aged patient presents with abdominal pains and heartburn
The patient states the symptoms have persisted for several days following a particularly spicy meal. When assessing the patient, the nurse notes the patient has a history of acute gastritis. What complication would the nurse be particularly likely to assess for?
A) Esophageal or pyloric obstruction related to scarring
B) Acute systemic infection related to peritonitis
C) Gastric hyperacidity related to excessive gastrin secretion
D) Chronic referred pain in the right shoulder
Ans: A
Feedback: Acute gastritis can result from dietary indiscretion, and may lead to scarring and stenosis often requiring dilation. Acute systemic infection occurs following perforation. Perforation is not a common occurrence following ingestion of a corrosive substance. Gastrin is a hormone secreted in the stomach. It is not normally found in the esophagus. Chronic referred pain to the right shoulder is a symptom of peptic ulcer disease, but would not be an expected finding for a patient who has ingested a corrosive substance.
You might also like to view...
After a renal biopsy, what symptom indicates a significant complication of this procedure?
A) Increasing hematuria B) Increased urine volume C) Heart rate 60 to 100 D) Mean arterial pressure 85
A nurse has planned a detailed and individualized teaching plan for a patient who had a double mastectomy
While working with her, the nurse notes that the patient seems distracted and unable to remember what was just taught; also, her skill at changing her dressings is poor. The nurse is frustrated and consults a colleague, who explains that the most likely reason for this behavior is a. denial of the need to learn self-care. b. inadequate pain relief or treatment. c. lack of emotional readiness to learn. d. not enough time to perform the skills.
Obtaining the respirations of an infant requires a modified approach from that of an adult because:
a. infants breathe through their noses. b. infants have very rapid respirations. c. infants' respirations are thoracic in nature. d. infants' respiratory movements are abdominal.
While caring for a new mother, the nurse instructs the client to prevent hypothermia in the newborn by:
1. Covering the newborn with a light sheet during afternoon naps. 2. Covering the newborn with minimal blankets when out of doors in temperatures in the 50s. 3. Expecting the baby to shiver. 4. Noticing changes in the baby's respirations and taking the appropriate action.