A 40-year-old client has an episode of vomiting. On observation of the vomitus, yellowish-green color was noticed. What is the most likely cause of this finding?
A) Forcing back of intestinal contents
B) Presence of bile pigments and salts
C) Bleeding in the lower digestive tract
D) Bleeding inside the stomach
B
Feedback:
Vomitus that contains bile is yellowish or greenish. Presence of coffee ground-like material in vomitus is a sign of bleeding in the lower digestive tract. When the vomitus contains intestinal contents that have been forced back, there is a fecal odor, not a coffee ground-like material. In case of gastric bleeding, the vomitus may contain bright red blood.
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When inspecting the skin, you should observe each area for the ten key characteristics, which are color, moisture, temperature, texture, turgor, edema,
a. lesions, vascularity, bleeding, and ecchymosis. b. pigmentation, bruising, bleeding, and eruptions. c. xerosis, ecchymosis, distribution of hair, and vascularity. d. vascularity, pigmentation, xerosis, and lesions.
A patient is brought to the emergency department with injuries sustained when a wall collapsed in the home. The nurse recognizes that this patient's injuries were most likely caused by which mechanism of injury?
1. crushing 2. shearing 3. deceleration 4. blast
One advantage of health-risk appraisal instruments is that they
a. Are suitable for all age-groups b. Accurately reflect an individual's ability to initiate changes in lifestyle c. Provide support to nurses in counseling individuals about self-care behaviors d. Emphasize environmental factors
A nurse was becoming frustrated. She had given her client extensive information on his health problem, but the client continued to be noncompliant in making needed changes. Which of the following principles had the nurse forgotten?
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