Which assessment data would indicate to the nurse that pharmacologic treatment with antibiotics and antacids has been effective for the patient diagnosed with peptic ulcer disease (PUD) secondary to H. pylori?
Absence of burning epigastric pain after eating.
Two episodes of coffee-ground emesis.
A decrease in the patient’s alcohol intake.
Normalization of the patient’s hemoglobin levels.
The Correct Answer is A
Choice A rationale
The absence of burning epigastric pain after eating indicates that the treatment for peptic ulcer disease (PUD) secondary to H. pylori has been effective. This suggests that the ulcer has healed and the inflammation has subsided.
Choice B rationale
Coffee-ground emesis indicates the presence of blood in the vomit, which suggests ongoing bleeding and is not a sign of effective treatment for PUD.
Choice C rationale
A decrease in alcohol intake is beneficial for overall health but does not directly indicate the effectiveness of treatment for PUD secondary to H. pylori.
Choice D rationale
Normalization of hemoglobin levels is important but does not specifically indicate the effectiveness of treatment for PUD secondary to H. pylori. The primary indicator would be the resolution of symptoms such as burning epigastric pain.
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Correct Answer is A
Explanation
Choice A rationale
Enlarged liver (hepatomegaly) and peripheral edema are common clinical manifestations of right heart failure (RHF). RHF leads to congestion of systemic circulation, causing fluid accumulation in the liver and peripheral tissues.
Choice B rationale
Crackles in the lungs are more commonly associated with left-sided heart failure, where fluid backs up into the pulmonary circulation, leading to pulmonary edema.
Choice C rationale
A dry hacking cough is not a typical symptom of right heart failure. It is more commonly associated with respiratory conditions such as asthma or bronchitis.
Choice D rationale
Altered mentation with pinpoint pupils is not a characteristic of right heart failure. These symptoms are more indicative of neurological conditions or opioid overdose.
Correct Answer is D
Explanation
ChoiceArationale
Post-renalacute kidneyinjury(AKI)iscausedbyobstructionofurineflow,leadingto decreased urine output, but it does not typically cause crackles in the lungs.
ChoiceBrationale
Diabetesinsipidus(DI)ischaracterizedbyexcessiveurinationandthirstduetoadeficiencyof antidiuretic hormone (ADH), but it does not cause crackles in the lungs.
ChoiceCrationale
Syndromeofinappropriateantidiuretichormone(SIADH)involvesexcessivereleaseofADH, leading to water retention and hyponatremia, but it does not cause crackles in the lungs.
ChoiceDrationale
Congestiveheartfailure(CHF)canleadtofluidaccumulationinthelungs(crackles)and decreased urine output due to poor cardiac function and renal perfusion.