Peptic Ulcer Assessment: Perforation Signs
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Questions and Answers

What is a major clinical finding indicative of pancreatitis?

  • Low WBC count
  • Bruising around the belly button (Cullen's sign) (correct)
  • Decreased serum amylase
  • Increased serum calcium levels

    • Why should clients with pancreatitis avoid alcohol?

  • Alcohol can reduce serum amylase levels
  • Alcohol can help alleviate pain
  • Alcohol can worsen symptoms and complications (correct)
  • Alcohol is a necessary part of the treatment plan

    • Which of the following positions is recommended for a client with pancreatitis for comfort?

  • Sitting up (correct)
  • Lying on the back
  • Supine position
  • Prone position

    • What type of diet is advised for clients with pancreatitis post-pain resolution?

    <p>Bland, high protein, low-fat diet without stimulants (D)</p> Signup and view all the answers

    Why is the use of antacids advised 1hr before taking H2 antagonists for peptic ulcers?

    <p>To enhance the effectiveness of the H2 antagonist (A)</p> Signup and view all the answers

    What is the significance of a positive guaiac FOBT in clinical judgment for GI bleeding?

    <p>It confirms the presence of GI bleeding (C)</p> Signup and view all the answers

    What is the nurse's highest assessment priority before instilling enteral feeding to a client with an NG tube?

    <p>Verify the placement of the NG tube. (C)</p> Signup and view all the answers

    After cholecystectomy, what diet is encouraged for the client?

    <p>Low in fats and high in carbs and protein. (A)</p> Signup and view all the answers

    What is a risk factor for peptic ulcers?

    <p>H.Pylori infection, NSAID use, severe stress. (D)</p> Signup and view all the answers

    What should the nurse monitor to assess paralytic ileus in a post-op client?

    <p>Monitor for bowel sounds. (A)</p> Signup and view all the answers

    How can the nurse check if an NG tube is properly placed?

    <p>X-ray and pH testing of nasogastric tube drainage. (C)</p> Signup and view all the answers

    What is the purpose of encouraging ambulation in a client with paralytic ileus?

    <p>To improve bowel motility. (B)</p> Signup and view all the answers

    What is the most likely indication of perforation of a peptic ulcer?

    <p>Rigid, board-like abdomen (D)</p> Signup and view all the answers

    Which assessment data would best support a diagnosis of gastric ulcer?

    <p>Complains of pain with ingestion of food &amp; sleep (B)</p> Signup and view all the answers

    What should a nurse instruct a client with epigastric pain to do when it frequently causes waking up during the night?

    <p>Sit up for 1 hour when awakened (B)</p> Signup and view all the answers

    What should a nurse instruct clients with intense episodes to do to promote bowel rest?

    <p>Obtain NPO and TPN help (B)</p> Signup and view all the answers

    When should a nurse empty a stoma post-op?

    <p>When ½ full (A)</p> Signup and view all the answers

    What is an important sign indicating the need for immediate physician notification in a person with a peptic ulcer?

    <p>Severe pain spreading over abdomen (A)</p> Signup and view all the answers

    What is the most common type of glaucoma?

    <p>Primary open-angle glaucoma (B)</p> Signup and view all the answers

    Which early sign of glaucoma is considered an ocular emergency?

    <p>Pain and nausea (B)</p> Signup and view all the answers

    What is the initial action a nurse should take when preparing to perform tonometry to measure intraocular pressure (IOP)?

    <p>Check the time the test was performed (D)</p> Signup and view all the answers

    Why is Atropine sulfate contraindicated in clients with glaucoma?

    <p>It increases intraocular pressure (IOP) (B)</p> Signup and view all the answers

    In glaucoma, why are mydriatics contraindicated?

    <p>They increase intraocular pressure (IOP) (A)</p> Signup and view all the answers

    What should a nurse educate clients about in terms of early identification of glaucoma?

    <p>Reduced vision and mild eye pain (D)</p> Signup and view all the answers

    Which client teaching should the nurse provide for a client diagnosed with diabetic retinopathy?

    <p>Avoid activities that increase intraocular pressure, such as bending over the waist and sneezing (B)</p> Signup and view all the answers

    What is a key step in the administration of prescribed eye meds every 12 hours?

    <p>Wait 30 seconds between each drop to prevent dilution (A)</p> Signup and view all the answers

    What is an important instruction for a client prescribed pilocar (miotics) eye drops for open angle glaucoma?

    <p>Apply punctal occlusion technique with each drop (A)</p> Signup and view all the answers

    What should a client with cataracts avoid doing to prevent complications?

    <p>Touch the tip of the bottle to the eye during medication administration (B)</p> Signup and view all the answers

    Which activity should be avoided by a client experiencing presbyopia to prevent worsening symptoms?

    <p>Reading small print in low light conditions without glasses (C)</p> Signup and view all the answers

    What is a critical emergency treatment measure to quickly decrease intraocular pressure (IOP) in primary angle-closure glaucoma?

    <p>Apply IV Mannitol to lower IOP rapidly (D)</p> Signup and view all the answers

    What is the first-line therapy for open-angle glaucoma with decreased aqueous humor production?

    <p>Beta-blocker (timolol/timoptic) (C)</p> Signup and view all the answers

    What medication is used as an emergency treatment for angle-closure glaucoma to quickly decrease intraocular pressure (IOP)?

    <p>IV Mannitol (C)</p> Signup and view all the answers

    When administering 3 drops of acetazolamide (Diamox) to a client's left eye, what should the nurse do?

    <p>Instruct the client to look up while administering the drops (A)</p> Signup and view all the answers

    How does chronic open-angle glaucoma (COAG) damage a client's eyesight?

    <p>It causes increased intraocular pressure (IOP) (D)</p> Signup and view all the answers

    What potential complication should the nurse explain to a client who instills eye drops by trying to 'hit the middle of the eyeball'?

    <p>Corneal injury (C)</p> Signup and view all the answers

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