A nurse is assisting with the care of a client.

Exhibits

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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

"Obtain a prescription for pramipexole." Rationale: This statement is not appropriate for a pregnant client experiencing trouble sleeping. Pramipexole is a medication used to treat restless legs syndrome and Parkinson's disease. It is not typically prescribed for sleep disturbances during pregnancy.

Choice B rationale:

"Lie on your left side with your top leg forward." Rationale: This is the correct instruction. The recommended sleeping position during pregnancy is lying on the left side with the top leg forward. This position can help improve blood flow to the uterus and relieve pressure on major blood vessels, promoting better sleep.

Choice C rationale:

"Use a transcutaneous electrical nerve stimulator." Rationale: Using a transcutaneous electrical nerve stimulator (TENS) is not a standard intervention for pregnancy-related sleep problems. TENS units are typically used for pain management and are not indicated for sleep disturbances.

Choice D rationale:

"Soak in a bathtub of hot water each night." Rationale: This recommendation is not appropriate during pregnancy. Soaking in hot water for extended periods can raise the body's core temperature, which is not recommended during pregnancy as it may pose a risk to the developing fetus. Pregnant individuals should avoid hot tubs, saunas, and prolonged exposure to hot water.

A. Place a padded tongue blade in the child's mouth. B. Place a pillow under the child's head. C. Turn the child onto their back. D. Restrain the child's upper extremities.

Correct Answer is B

Explanation

Choice A rationale:

Placing a padded tongue blade in the child's mouth is not recommended during a tonic-clonic seizure. This action can cause injury to the child's mouth or teeth and does not help manage the seizure itself.

Choice C rationale:

Turning the child onto their back is generally the correct action to take during a seizure to ensure an open airway. However, this should be done gently and after ensuring the child's safety. Placing a pillow under the head is also important to prevent head injury during the seizure.

Choice D rationale:

Restraining the child's upper extremities is not recommended during a tonic-clonic seizure. It can lead to injury for both the child and the healthcare provider and is not an effective way to manage the seizure. The priority is to ensure the child's safety and protect them from harm.

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A nurse is assisting with the care of a client. Exhibits 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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is pregnant and reports having trouble sleeping.Which of the following instructions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse enters the room of a school-age child and finds them on the floor experiencing a tonic-clonic seizure.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing discharge teaching with the caregiver of a client who has dependent personality disorder.Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr PRN for pain.The nurse inadvertently administers 2 tablets to the client.In which of the following locations should the nurse document this client care incident?

A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxy-methamphetamine. Which of the following findings should the nurse expect?

A nurse is evaluating a client's acceptance of having a new ileostomy.Which of the following statements by the client indicates acceptance?

A nurse is collecting data from a client who has placenta previa.Which of the following findings should the nurse expect?

A client who has type 1 diabetes mellitus asks a nurse about beginning an exercise regimen.Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with a client who has hypothyroidism and a new prescription for levothyroxine.The nurse should instruct the client to notify the provider of which of the following manifestations of thyrotoxicosis?

A nurse is reinforcing teaching with the parents of an infant who has a Pavlik harness. Which of the following statements should the nurse include in the teaching?

A nurse is assisting with the care of a client.

Exhibits

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.