Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis, which has been occurring for 2 days. He does note a dark, granular substance resembling the coffee left in the filter after brewing. What do you suspect?

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Vital Signs and Pain Assessment Questions

Question 1 of 5

Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis, which has been occurring for 2 days. He does note a dark, granular substance resembling the coffee left in the filter after brewing. What do you suspect?

Correct Answer: B

Rationale: When blood is exposed to the environment of the stomach, it often resembles 'coffee grounds.' This is not always recognized by patients as blood, so it is important to inquire about this. This symptom is not common in cholecystitis, and the other possibilities occur lower in the intestine. It should be noted that conversely, rapid bleeding from the stomach or other upper gastrointestinal source can produce bright red blood in the stool. Do not rule out proximal bleeding on the basis of the absence of 'coffee grounds.' Likewise, bright red blood seen with emesis may originate from the stomach. Black, sticky stools also can accompany upper GI bleeding.

Question 2 of 5

A client, age 22, is admitted with bacterial meningitis. Which hospital room would be the best choice for this client?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Which of these patients in the neurologic ICU will be best to assign to an RN who has floated from the medical unit?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client admitted to the hospital with a neurological problem requires magnetic resonance imaging. The nurse understands that the client may be ineligible for this diagnostic procedure based on the client's history of:

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A physical therapist assesses the functional strength of a patient's hip extensors while observing the patient move from standing to sitting. What type of contraction occurs in the hip extensors during this activity?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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