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DHA Medical Surgical Nursing (DHA-MedSurg) Practice Exams & Exam Prep

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DHA DHA-MedSurg Practice Test Features

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DHA Medical Surgical Nursing Sample Test

1 of 5

A male client has returned from vacation with a severe, sudden onset of continuous gastric pain, nausea, and vomiting. The preliminary diagnosis would most likely be which of the following?

Correct Answer:

pancreatitis

the question presents a case of a male client who experiences severe, sudden onset of continuous gastric pain, nausea, and vomiting after returning from vacation. given these symptoms, the preliminary diagnosis would most likely be pancreatitis.

pancreatitis is an acute or chronic inflammation of the pancreas, an organ that sits behind the stomach and plays an essential role in digestion and glucose management. the inflammation arises when the digestive enzymes that are usually activated in the small intestine start functioning within the pancreas itself, leading to tissue damage. this process is known as autodigestion.

the symptoms of pancreatitis can vary but commonly include severe abdominal pain which can radiate to the back, nausea, vomiting, fever, and a rapid pulse. the onset of these symptoms can be sudden and intense, as described in the question. the pain is typically persistent and may increase in intensity.

risk factors for pancreatitis include heavy alcohol consumption, gallstones, certain medications, and other medical conditions. it is also possible that dietary habits or specific activities during the vacation, such as excessive alcohol intake or a high-fat diet, could have triggered the episode.

diagnosis of pancreatitis typically involves a combination of physical examinations, blood tests to check elevated levels of pancreatic enzymes, and imaging studies such as ultrasound or ct scans to assess the inflammation and damage to the pancreas.

in conclusion, given the sudden onset and nature of the symptoms described, pancreatitis is a likely preliminary diagnosis. however, further medical evaluation is necessary to confirm this diagnosis and rule out other possibilities such as kidney stones, gastrointestinal infections, or other causes of abdominal pain. proper management and treatment would depend on the severity and cause of the pancreatitis, focusing on pain relief, hydration, and avoiding alcohol and fatty foods to allow the pancreas to heal.