UNIT 2 NURSING SEM 3 PBSC QUESTIONS AND ANSWERS WITH COMPLETE RATIONALES GUARANTEED PASS!, Exams of Nursing

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UNIT 2 NURSING SEM 3 PBSC QUESTIONS AND ANSWERS WITH COMPLETE RATIONALES GUARANTEED PASS! 2024-25 A+ REVIEW A client is diagnosed with acute gastritis secondary to alcoholism and cirrhosis. The client reports frequent nausea, pain that increases after meals, and black, tarry stools. The client recently joined Alcoholics Anonymous. The nurse should give priority to which client history item? a-Black, tarry stools b-Frequent nausea c-Joining Alcoholics Anonymous d-Pain that increases after meals - ANS: A-black, tarry stools The priority is black (tarry) stools that indicate upper gastrointestinal (Gl) bleeding; digestive enzymes act on the blood, resulting in tarry stools. Hemorrhage can occur if erosion extends to blood vessels. Nausea is a common symptom of gastritis but is not life threatening. Attempts to control alcoholism should be supported, but this is a long-term goal; assessment of bleeding takes priority. Investigation of bleeding takes priority; later the nurse should help to identify irritating foods that may be increasing the pain after eating and are to be avoided. A client is admitted to the hospital for acute gastritis and ascites secondary to alcoholism and cirrhosis. For which condition is it most important for the nurse to assess this client? A-Nausea B-Blood in the stool C-Food intolerances D-Hourly urinary output - B-Blood in stool Erosion of blood vessels may lead to hemorrhage, a life-threatening situation further complicated by decreased prothrombin production, which occurs with cirrhosis. Although food intolerances should be identified, there is no immediate threat to life. Although increased intraabdominal pressure because of ascites may precipitate nausea, there is no immediate threat to life. Hourly urine output measurements are unnecessary. Which of the following clinical findings should the nurse expect to find during the assessment of a child with acute glomerulonephritis (AGN)? Select all that apply. a-Flank pain