CEA Nursing Practice Exam

In assessing a patient with gnawing abdominal pain, which question is most useful to rule out serious conditions?

1. What time of the day are you taking your acetaminophen?

2. Have you noticed any particular food has made this worse?

3. When was the last time you took topical corticosteroids for pain?

4. Have you been taking any non-steroidal anti-inflammatory medications lately?

The correct answer is: Have you been taking any non-steroidal anti-inflammatory medications lately?

In evaluating a patient presenting with gnawing abdominal pain, it's crucial to consider the potential for serious underlying conditions that could be exacerbated by certain medications. Asking about the use of non-steroidal anti-inflammatory medications (NSAIDs) is particularly relevant because these drugs are known to potentially cause gastrointestinal irritation, ulcers, or even perforation, which can present as abdominal pain. NSAIDs work by inhibiting the production of substances in the body called prostaglandins, which protect the stomach lining. When these substances are reduced, the risk of damage to the gastric mucosa increases, leading to symptoms such as gnawing pain, which might indicate ulcer disease or other serious gastrointestinal issues. By inquiring about the recent use of NSAIDs, the healthcare provider can gain crucial insight into whether the abdominal pain may be linked to drug-induced gastritis or other complications. This line of questioning allows the clinician to rule out serious conditions related to medication use, guiding further assessment and management effectively. The other questions, while potentially useful in a broader context of the patient's care, do not directly address potential serious complications related to abdominal pain as clearly as the inquiry regarding NSAID use does.