Author Question: A male patient, aged 78 presents in the emergency department after stepping on a nail. The patient ... (Read 49 times)

CBme · **on:** Jul 23, 2018

A male patient, aged 78 presents in the emergency department after stepping on a nail. The patient tells the nurse that he had his last tetanus shot 12 years ago and asks whether he will need another shot today.

The nurse explains that tetanus boosters are required how often? A) Yearly
B) Every 10 years
C) Every 2 years
D) Every 5 years

Question 2

A patient presents to the walk-in clinic complaining of vomiting and burning in his or her mid-epigastria.

The nurse suspects peptic ulcer disease and knows that to confirm peptic ulcer disease, the physician is likely to order a diagnostic test to detect the possible presence of what? A) Infection with Helicobacter pylori
B) Decreased stomach acid secretion
C) Gastric irritation caused by nonsteroidal anti-inflammatory drugs (NSAIDs)
D) Overconsumption of spicy foods

atrochim · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Having a tetanus booster shot every 10 years will help to protect older adults from exposure to that illness. Ask the patient about any adverse reaction to previous tetanus boosters, and weigh that risk against the possible exposure to tetanus. Options A, C, and D are incorrect information to give the patient.

Answer to Question 2

A
Feedback:
Peptic ulcers may result from increased acid production, decrease in the protective mucous lining of the stomach, infection with Helicobacter pylori bacteria, or a combination of these. Peptic ulcers do not result from decreased acid secretion or overconsumption of spicy foods. While gastric irritation can be caused by NSAIDs gastric irritation can result from many different causes so this would not be specifically assessed for unless the patient was found to use NSAIDs frequently, which is not indicated by the question.