The nurse is assessing a patient who is diagnosed with inflammatory bowel disease and is requiring inpatient treatment at a hospital. What medication will the nurse provide when caring for this patient?

Ondansetron on a PRN basis

Vitamin B12 injections to prevent pernicious anemia

Antidiarrheal medications 30 minutes before a meal

Beta adrenergic blockers to reduce bowel motility

Answer and Explanation

The Correct Answer is A

Choice A reason: Ondansetron is an antiemetic given to control nausea and vomiting, which are common symptoms in patients with inflammatory bowel disease, especially when they have a flare-up.

Choice B reason: Vitamin B12 injections are crucial for preventing pernicious anemia but are not specific treatments for acute management of inflammatory bowel disease symptoms.

Choice C reason: Antidiarrheal medications should be used cautiously in inflammatory bowel disease as they can worsen symptoms or lead to complications like toxic megacolon.

Choice D reason: Beta-adrenergic blockers are not used to reduce bowel motility and are not a part of the standard treatment regimen for inflammatory bowel disease.

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Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Receiving pneumococcal and influenza vaccines is crucial for patients with sickle cell disease. Infections can trigger sickle cell crises, and these vaccines help prevent common infections that could lead to complications. Ensuring immunization against these diseases reduces the risk of crisis and hospitalization.

Choice B reason: Taking oral hydroxyurea as ordered is an important strategy for preventing sickle cell crises. Hydroxyurea increases fetal hemoglobin levels, which reduces the occurrence of sickling in red blood cells. Adherence to this medication regimen helps reduce the frequency of painful episodes and other complications associated with sickle cell disease.

Choice C reason: Avoiding dehydration is essential for patients with sickle cell disease. Dehydration can lead to increased blood viscosity, promoting sickling of red blood cells and triggering a crisis. Staying well-hydrated helps maintain proper blood flow and reduces the risk of sickle cell-related complications.

Choice D reason: Following a low-fat, low-sodium diet is generally beneficial for overall health but is not specifically targeted at preventing sickle cell crises. While maintaining a healthy diet is important, the focus for sickle cell patients should be on hydration, infection prevention, and medication adherence.

A. Recheck blood glucose immediately. B. Provide 15 grams of fast-acting carbohydrates. C. Administer 1 mg of glucagon intramuscularly. D. Prepare an insulin subcutaneous injection.

Correct Answer is B

Explanation

Choice A reason: Rechecking blood glucose immediately is not the appropriate immediate intervention when a patient shows signs of hypoglycaemia with a blood glucose level of 55 mg/dL. Immediate treatment is needed to raise the blood glucose level to prevent further complications.

Choice B reason: Providing 15 grams of fast-acting carbohydrates is the immediate intervention for a patient with hypoglycaemia. Fast-acting carbohydrates such as glucose tablets, juice, or regular soda can quickly raise blood glucose levels. This intervention addresses the immediate need to correct hypoglycaemia symptoms such as diaphoresis and palpitations.

Choice C reason: Administering 1 mg of glucagon intramuscularly is typically reserved for severe hypoglycaemia when the patient is unconscious or unable to ingest carbohydrates. In this scenario, the patient is conscious and able to consume fast-acting carbohydrates.

Choice D reason: Preparing an insulin subcutaneous injection is not appropriate for treating hypoglycaemia. Insulin lowers blood glucose levels and would worsen the patient's hypoglycaemic state.

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The nurse is assessing a patient who is diagnosed with inflammatory bowel disease and is requiring inpatient treatment at a hospital. What medication will the nurse provide when caring for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient with sickle cell disease about strategies to prevent sickle cell crisis. The patient states, "I do not want to come to the hospital with another sickle cell crisis." What will the nurse include in this teaching? (Select All That Apply)

Correct Answer is ["A","B","C"]

Explanation

The nurse is caring for a patient with type 2 diabetes who reports diaphoresis and palpitations. A blood glucose check reveals a level of 55 mg/dL. What is the nurse's immediate intervention?

Correct Answer is B

Explanation

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