A client with peptic ulcer disease (PUD) becomes dizzy and begins to vomit blood. The initial action by the nurse should be to:
1. call the physician.
2. notify the nursing supervisor.
3. place the client in Fowler's position and ensure a patent airway.
4. place a nasogastric (NG) tube in the client.
Question 2An older client who has had vomiting and diarrhea for 3 days is in the Emergency Department. The priority of care for this client would be:
1. starting an IV and fluids.
2. inspecting for pressure sores.
3. oral care.
4. infection control.
Question 3During an assessment, the nurse should inspect a client who is suspected of having oral cancer for:
1. breath sounds.
2. decreased blood pressure.
3. palpable masses.
4. asymmetry of the face.
Question 4A client with an electrolyte imbalance has a normal weight, calluses on the hands, and lacerations in the mouth. What additional finding should the nurse expect in this client?
1. Anemia
2. Skin and hair changes
3. Loss of dental enamel
4. Low body temperature
Question 5Obesity contributes to a number of alterations in health, such as heart disease, hypertension, and cancer. The nurse should explain to the client that:
1. under-eating causes obesity.
2. upper-body obesity has a greater chance of complications.
3. obesity is not caused by hormone imbalances.
4. a person with an obese parent has a 20 chance of being obese.
Question 6A client has been following an eating plan to improve mineral stores. Which observations indicate that this eating plan has been successful? (Select all that apply.)
1. Blood pH 7.32
2. Good skin turgor
3. Normal sinus rhythm
4. Red blood cell count within normal limits
5. Serum potassium level within normal limits
Question 7A client with malnutrition and skin lesions avoids eating all fats because they serve no purpose in the body. What should the nurse explain as the purpose of ingesting fat? (Select all that apply.)
1. Promote growth
2. Form cell membrane
3. Provide fuel for the body
4. Carry fat soluble vitamins
5. Provide insulation for the body
Question 8A client with complaints of right upper quadrant pain is scheduled for an ultrasound of the gallbladder. The nurse explains that the test will help to identify:
1. the ability of the gallbladder to store and excrete bile.
2. blockages in the common bile duct and sphincter of Oddi.
3. presence of an abdominal aneurysm.
4. presence of gallstones.
Question 9An ERCP (endoscopic retrograde cholangiopancreatogram) indicates that a client has an obstruction at the sphincter of Oddi. Which client symptom should the nurse correlate to this finding?
1. Abdominal distention
2. Complaints of indigestion after eating
3. Complaints of heartburn after eating
4. Frequent episodes of hiccoughing
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