This topic contains a solution. Click here to go to the answer

Author Question: During a pain assessment, a client reports stomach pain that feels like gnawing in the upper abdomen ... (Read 50 times)

justinmsk

  • Hero Member
  • *****
  • Posts: 524
During a pain assessment, a client reports stomach pain that feels like gnawing in the upper abdomen that occurs about 1-1/2 hours after eating meals. The nurse identifies these symptoms to be most consistent with:
 
  1. a duodenal ulcer.
  2. acute appendicitis.
  3. an exacerbation of diverticulitis.
  4. cholelithiasis.

Question 2

A client new to the clinic reports having peptic ulcer disease and a weight loss of 14 pounds in 2 months. The symptom of weight loss would be most consistent with:
 
  1. a duodenal ulcer.
  2. a gastric ulcer.
  3. frequent exercise.
  4. anorexia nervosa.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Melissahxx

  • Sr. Member
  • ****
  • Posts: 304
Answer to Question 1

Correct Answer: 1
Rationale 1: The characteristic symptom of a duodenal ulcer is a gnawing or burning, upper abdominal pain that occurs 13 hours after a meal. The pain is worse when the stomach is empty and often disappears with ingestion of food.
Rationale 2: The pain associated with acute appendicitis is localized in the right lower quadrant.
Rationale 3: The pain associated with diverticulitis is localized in the left lower quadrant.
Rationale 4: The pain of cholelithiasis, otherwise known as gallstones, is described as epigastric. Ingestion of fatty foods makes this pain worse.
Global Rationale: The characteristic symptom of a duodenal ulcer is a gnawing or burning, upper abdominal pain that occurs 13 hours after a meal. The pain is worse when the stomach is empty and often disappears with ingestion of food. The pain associated with acute appendicitis is localized in the right lower quadrant. The pain associated with diverticulitis is localized in the left lower quadrant. The pain of cholelithiasis, otherwise known as gallstones, is described as epigastric. Ingestion of fatty foods makes this pain worse.

Answer to Question 2

Correct Answer: 2
Rationale 1: Weight gain, not loss, would be more consistent with a duodenal ulcer.
Rationale 2: Anorexia, weight loss, and vomiting are more common with gastric ulcers.
Rationale 3: This client is not reporting frequent exercise.
Rationale 4: This client is complaining of peptic ulcer disease, which is likely the cause of weight loss.
Global Rationale: Anorexia and weight loss are more common with gastric ulcers than with duodenal ulcers. The client does not report frequent exercise and presents with reports of a peptic ulcer history.




justinmsk

  • Member
  • Posts: 524
Reply 2 on: Jul 23, 2018
:D TYSM


bimper21

  • Member
  • Posts: 309
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

The heart is located in the center of the chest, with part of it tipped slightly so that it taps against the left side of the chest.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

For a complete list of videos, visit our video library