Which of the following clients is at highest risk for developing a peptic ulcer?
a. 44 year old who takes a proton pump inhibitor agent every day
b. 55 year old who describes his philosophy of life as live and let live
c. 56 year old successfully treated four years ago for Helicobacter pylori infection
d. 68 year old who takes nonsteroidal anti-inflammatory drugs around the clock for arthritis pain
Q. 2A client experiencing nausea may benefit from what teaching?
a. Ask the client what has helped to alleviate nausea in the past.
b. Offer soft, moist foods such as pudding or other milk-based items.
c. Use olive oil instead of vegetable or animal fats in cooking food.
d. Suggest the client eat foods that are warm or hot and more comforting to the stomach lining.
Q. 3Prolonged vomiting is known to lead to all of the following except:
a. metabolic alkalosis acid-base imbalance.
b. increased gastric secretions.
c. damage to enamel of teeth.
d. dehydration.
Q. 4The nurse understands that energy needs may increase in a client with metabolic and respiratory stress because of development of:
a. hypoxia and hypercapnia.
b. hypermetabolic and wasting states.
c. increased histamine and hormone release.
d. lowered basal metabolic rate and blood pressure.
Q. 5What statement by an 80-year-old client with acute respiratory stress suggests acidosis?
a. I can't see that clock on the wall well enough to see what time it is.
b. I feel so sleepy... I just don't want to be bothered.
c. I need to get home to help my dad milk the cows.
d. I feel short of breath and light-headed.
Q. 6The most common direct injury that can cause acute respiratory distress syndrome is:
a. bronchitis.
b. aspiration.
c. emphysema.
d. artificial ventilation.
Q. 7The specific nutrient required for the body to produce eicoanoids that regulate blood pressure and blood clotting is:
a. protein.
b. glucose.
c. folic acid.
d. fatty acids.
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