A nurse is assisting with the care of a client.
Data Collection Findings.
For each data collection finding, click 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
Weight loss
Diarrhea
Anemia
The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,C"},"C":{"answers":"A,C"},"D":{"answers":"A,C"}}
The data collection findings are consistent with the following disease processes: Abdominal cramping: This finding can indicate ulcerative colitis, diverticulitis, or Crohn’s disease.
Abdominal cramping is a common symptom of inflammation and infection in the digestive tract. Weight loss: This finding can indicate ulcerative colitis or Crohn’s disease. Weight loss can result from malabsorption, reduced appetite, inflammation, or complications of the disease. Diarrhea: This finding can indicate ulcerative colitis or Crohn’s disease. Diarrhea is caused by increased intestinal motility, inflammation, and ulceration of the mucosa. Anemia: This finding can indicate ulcerative colitis or Crohn’s disease. Anemia can result from chronic blood loss, iron deficiency, vitamin B12 deficiency, or inflammation. The finding of fatty appearance and foul odor of the stool is also consistent with Crohn’s disease, as it suggests steatorrhea (excess fat in the stool) due to malabsorption. The finding of a positive fecal occult blood test is consistent with ulcerative colitis or Crohn’s disease, as it indicates bleeding in the digestive tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement that "we require informed consent for all routine treatments" is not accurate. Informed consent is typically required for procedures and treatments that carry significant risks or require the patient's understanding and agreement. Routine treatments such as taking vital signs or administering routine medications do not typically require informed consent.
Choice B rationale:
The nurse should include in the teaching that the client can sign the informed consent form after the provider explains the pros and cons of the procedure. This statement emphasizes the importance of informed consent, which requires that the patient receives information about the procedure, risks, benefits, and alternatives before providing their consent.
Choice C rationale:
Stating that verbal consent is acceptable unless the surgical procedure is an emergency is not accurate. Informed consent generally requires written documentation, except in true emergencies when obtaining written consent is not possible due to the patient's condition.
Choice D rationale:
The statement that a family member must witness the client's signature on the informed consent form is not a universal requirement for informed consent. While witnesses may be necessary in some cases, it is not a standard requirement for all surgical procedures. The focus should be on ensuring that the client understands the information provided before consenting.
Correct Answer is C
Explanation
Choice A rationale:
Replacing the ear molds once per year is not a standard recommendation for hearing aid maintenance. The frequency of ear mold replacement may vary depending on individual needs and wear and tear. It is not necessary to replace them annually unless there is a specific issue with the ear molds.
Choice B rationale:
Disinfecting the hearing aid with isopropyl alcohol is not recommended for routine cleaning. Isopropyl alcohol can damage the components of the hearing aid, including the microphone and receiver. Cleaning solutions specifically designed for hearing aids or a soft cloth are safer options for routine cleaning.
Choice C rationale:
Cleaning the hearing aid with a soft cloth is the correct action to take when caring for hearing aids. Routine cleaning with a soft cloth helps remove dust, debris, and earwax from the hearing aid's surface without causing damage to the components. It is a safe and effective method of maintaining hearing aid hygiene.
Choice D rationale:
Changing the battery once per month is not a fixed rule for all hearing aids. The frequency of battery replacement depends on the type of hearing aid, battery size, and individual usage patterns. Some batteries may last longer than a month, while others may need replacement sooner. Clients should be instructed to replace the battery when it no longer functions effectively.
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