A nurse is assisting with the care of a client.

Exhibits

For each data collection finding, dick to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.

Abdominal cramping

Diarrhea

Weight loss

Anemia

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,C"},"C":{"answers":"A,C"},"D":{"answers":"A,C"}}

Abdominal cramping: Present in ulcerative colitis, diverticulitis, and Crohn's disease due to inflammation of the bowel. Ulcerative colitis affects the colon, diverticulitis involves inflamed diverticula, and Crohn’s disease can cause transmural inflammation anywhere in the GI tract.
Diarrhea: A hallmark of ulcerative colitis and Crohn’s disease, resulting from mucosal damage and inflammation. Diverticulitis more commonly presents with constipation or alternating bowel habits rather than persistent diarrhea.
Weight loss: Common in Crohn’s disease due to malabsorption caused by widespread GI involvement. Less likely in ulcerative colitis or diverticulitis unless there is prolonged disease progression or severe complications.
Anemia: Present in both ulcerative colitis and Crohn’s disease due to chronic inflammation and potential GI blood loss. Less common in diverticulitis unless there is active bleeding from perforation or fistula formation.

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Correct Answer is D

Explanation

A. Kleihauer-Betke test. This test is used to detect fetal-maternal hemorrhage by identifying fetal red blood cells in maternal circulation. It is not related to a nonreactive NST, which indicates the need for further fetal well-being assessment rather than checking for fetal-maternal bleeding.
B. Amnioinfusion. This procedure involves infusing fluid into the amniotic sac to relieve umbilical cord compression or dilute meconium-stained amniotic fluid. It is not an appropriate intervention for a nonreactive NST, as it does not assess fetal oxygenation or reactivity.
C. Administration of terbutaline. Terbutaline is a tocolytic used to relax the uterus and prevent preterm labor. It is not indicated for a nonreactive NST, as the concern in this scenario is fetal well-being rather than uterine activity.
D. Contraction stress test. A nonreactive NST means that the fetal heart rate does not demonstrate adequate accelerations, which can indicate potential fetal hypoxia. A contraction stress test is performed next to evaluate how the fetal heart rate responds to contractions, helping determine if the fetus can tolerate labor.

A. Urticaria B. Hypercapnia C. Wheezes D. Muscle rigidity E. Tachycardia

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A,C"}}

Explanation

Urticaria: Present in latex allergy, as hypersensitivity reactions to latex can cause pruritic hives due to histamine release.
Hypercapnia: Present in malignant hyperthermia, as it results from uncontrolled skeletal muscle contractions leading to excessive carbon dioxide production.
Wheezes: Present in latex allergy due to bronchoconstriction and airway hypersensitivity, which can lead to respiratory distress.
Muscle rigidity: Present in malignant hyperthermia, as sustained muscle contractions occur due to excessive calcium release in skeletal muscles.
Tachycardia: Present in both malignant hyperthermia and hypovolemic shock. Malignant hyperthermia causes tachycardia due to increased metabolic activity and hypercapnia, while hypovolemic shock results in tachycardia as a compensatory mechanism for reduced circulating volume.

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A nurse is assisting with the care of a client. Exhibits For each data collection finding, dick to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 36 weeks of gestation and is undergoing a nonstress test (NST). The test is nonreactive. Which of the following interventions should the nurse suggest based on the findings?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client. Exhibits For each data collection finding click to specify if the finding corresponds to malignant hyperthermia, latex allergy or hypovolemic shock. Each finding may be related to more than 1 option.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A,C"}}

Explanation

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A nurse is assisting with the care of a client.

Exhibits

For each data collection finding, dick to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.