The nurse walks into a room and finds the patient forcefully ...

[Zulu123]

The nurse walks into a room and finds the patient forcefully expelling stomach contents into a wash basin. When documenting this occurrence, the nurse will use the term
 
  A)
  nauseous.
  B)
  retching.
  C)
  vomiting.
  D)
  expatriate.

Question 2

Which of the following clinical findings among older adults is most unlikely to warrant further investigation and possible treatment?
 
  A)
  An 81-year-old male's serum creatinine level has increased sharply since his last blood work.
  B)
  A 78-year-old female's GFR has been steadily declining over several years.
  C)
  A 90-year-old female's blood urea nitrogen (BUN) is rising.
  D)
  An 80-year-old male whose urine dipstick reveals protein is present.

[quynhmickitran]

Answer to Question 1

Ans:
C

Feedback:

Vomiting or emesis is the sudden and forceful oral expulsion of the contents of the stomach. It is usually preceded by nausea. Nausea is a subjective and unpleasant sensation. Retching consists of rhythmic spasmodic movements of the diaphragm, chest wall, and abdominal muscles. It usually precedes or alternates with periods of vomiting. Expatriate means to banish or withdraw.

Answer to Question 2

Ans:
B

Feedback:

A gradual decrease in GFR is considered a normal age-related change. Increased creatinine or BUN would warrant follow-up, as would the presence of protein in a client's urine.