NCLEXGI

The nurse is taking the health history of a 70-year-old patient being treated for a Duodenal Ulcer. After being told the patient is complaining of epigastric pain, the nurse expects to note which assessment finding?
Melena
Nausea
Hernia
Hyperthermia
A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux Disease. Which of these statements by the patient indicates a need for more teaching?
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“I’m going to limit my meals to 2-3 per day to reduce acid secretion.”
“I’m going to make sure to remain upright after meals and elevate my head when I sleep”
“I won’t be drinking tea or coffee or eating chocolate any more.”
“I’m going to start trying to lose some weight.”
The nurse in the Emergency Room is treating a patient suspected to have a Peptic Ulcer. On assessing lab results, the nurse finds that the patient’s blood pressure is 95/60, pulse is 110 beats per minute, and the patient reports epigastric pain. What is the priority intervention?
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Start a large-bore IV in the patient’s arm (The nurse should suspect that the patient is haemorrhaging and will need need a fluid replacement therapy, which requires a large bore IV.)
Ask the patient for a stool sample
Prepare to insert an NG Tube
Administer intramuscular morphine sulphate as ordered
 A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical and should be reported to the physician immediately?
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Hemoglobin 11 g/dl
Platelet of 150,000
INR of 2.5
Potassium of 2.7 mEq/L

While receiving normal saline infusions to treat a GI bleed, the nurse notes that the patient’s lower legs have become edematous and auscultates crackles in the lungs. What should the nurse do first?
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Stop the saline infusion immediately (the patient has a fluid volume overload as a result of overly rapid fluid replacement. The nurse should