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NS G 6001 Week 3 Midterm Exam Questions & Answers A 35 year old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical - nature of the pain, timing of the pain, palliative and provocative aspects, associated symptoms (n/v). A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the contipation - Pepto - Bismol A patient is seen with complaints of diarrhea. Which of the following shoul d be included in the patient's differential diagnosis? - frequency, amount and fluidity, color and characteristics. Diet history, recent travel, medication use, source of drinking water A 29 year old Englishman is seen in the office with complaints of pai n in his chest and belly. He has been suffering the pain for 2 weeks and gets temporary relief from Alka - Seltzer. The burning wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer - His use of Alka Seltzer Which of the following is most effective in diagnosing appendicitis - History and physical A 46 - year - old patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient? - Urine human chorionic gonadotropin . A 25 - year - old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She temporarily feels better after a bowel movement. She states s he is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be? - Obtain a complete history
A 28 - year - old patient is seen in the cli nic with colicky abdominal pain particular with meals. She has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of diverticulitis unlikely? - Her age Which of the following dietary instructions should be given to a patient with GERD? - Eliminate coffee The patient with GERD should be instructed to eliminate which of these activities? - Weight lifting . A 22 - year - old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis? - Very early . A patient is seen in the clinic with right upper quadrant pain that is radiating to the middle of the back. The NP suspects acute cholelithiasis. The NP should expect which of the following laboratory findings? - Elevated alkaline phosphatase Which of the following is par t of the treatment plan for the patient with irritable bowel syndrome? - High fiber diet The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the following should be included in this assessment? - Presence of pyrosis A client, diagnosed with a hiatal hernia, will experience which of the following symptoms most frequently? - Heartburn The nurse is instructing a client diagnosed with a hiatal hernia on ways to reduce the symptoms. Which of the following should be includ ed in these instructions - Avoid lying down after meals .A client is experiencing water brash. The nurse realizes this symptom is associated with - Barretts esophagus
.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse rea lizes this medication is classified as a - histamine H2 - receptor antagonist A client is diagnosed with peptic ulcer disease caused by NSAID use. Which of the following would be indicated for this client? - Treatment similar to a client with peptic ulcer d isease A child care worker complains of flu - like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis - Hep A When the liver is seriously damaged, ammonia levels can rise in the body. One of the treatments for this is - giving lactulose A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: - bleeding The nurse realizes that the organ which is a major site for metastase s, harboring and growing cancerous cells that originated in some other part of the body, is the - liver Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers - become vaccinated A femal e client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client? - Females often do not experience the effects of the disease until menopause The nurse, caring for a client re covering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery? - Pulmonary edema A client is diagnosed with macrovesicular fatty liver. Which of the foll owing should the nurse instruct this client? . - Avoid all alcohol
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