The nurse is evaluating the pain complaints of four clients. Which client does the nurse report to the primary care provider as indicative of peptic ulcer disease?
a. right upper quadrant (RUQ) pain radiating to the right shoulder
b. low, colicky abdominal pain
c. a gnawing epigastric pain relieved by food
d. left upper quadrant (LUQ) pain that radiates to the back
C
A gnawing epigastric pain relieved by food is indicative of peptic ulcer disease. RUQ pain that radiates to the right shoulder is characteristic of cholecystitis. Low, colicky abdominal pain is a clinical manifestation of diverticulitis. LUQ pain that radiates to the back is classic in pancreatitis.
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Genetic testing reveals that a client has a heterozygous mutation in a gene related to cancer development. The client is 60 years old and has not developed cancer. How should the nurse interpret this situation?
1. The client will likely develop cancer if he or she lives long enough. 2. The mutation was not strong enough to increase cancer risk. 3. A second, random mutation has not occurred. 4. The client will likely remain cancer free.
The assessment a nurse performed on a 12-year-old boy demonstrated a positive Kernig's sign and a Brudzinski's sign. Identify the priority for the nurse's next action
1. Document the findings and note as normal. 2. Further assess the neurological function of the child and call the doctor with a report. 3. Explain to the patient that the assessment was abnormal and there is no a cause for concern. 4. Prepare the child for a lumbar puncture.
A nurse is preparing to administer medications to a female client with bipolar disorder who is experiencing acute mania. Which of the following would be most appropriate for the nurse to do?
A) Tell the client firmly that she must take her medication. B) Allow the client to participate in the treatment decision. C) Restrain the client before administering the medication. D) Notify the physician about the client's refusal of the medication.