A nurse is caring for a client.
Nurses' Notes 0900:
Client reports a 3-month history of intermittent diarrhea and abdominal pain. Reports unintentional weight loss of 5.5 kg (12 lb) in 3 months.
0930:
Stool sample obtained for fecal occult blood test. Fatty appearance and foul odor noted.
For each assessment 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.
Weight loss
Steatorrhea
Anemia
Diarrhea
Fever
The Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"C"},"C":{"answers":"A,C"},"D":{"answers":"A,C"},"E":{"answers":"C"}}
A. Weight loss - Consistent with: Ulcerative colitis, Crohn's disease
B. Steatorrhea - Consistent with: Crohn's disease
C. Anemia - Consistent with: Ulcerative colitis, Crohn's disease
D. Diarrhea - Consistent with: Ulcerative colitis, Crohn's disease
E. Fever - Consistent with: Crohn's disease
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. A filter needle should be used to withdraw medication from an ampule to prevent drawing up any glass fragments into the syringe.
B. Using the same needle to draw up and inject the client is not recommended to prevent contamination.
C. Breaking the neck of the ampule toward the body is not a safe practice, as it can cause injury.
D. Ampules should be disposed of properly in a sharps container, not a regular trash can.
Correct Answer is A
Explanation
A. Correct. Epiglottitis can cause airway obstruction, so continuous respiratory monitoring is crucial to detect any signs of respiratory distress.
B. Incorrect. Administering pancreatic enzymes is not relevant to epiglottitis.
C. Incorrect. Frequent swallowing assessment is not the priority for epiglottitis. Airway management is.
D. Incorrect. Suctioning may be necessary, but continuous respiratory monitoring takes precedence.
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