The nurse is caring for a client diagnosed with Crohn's Disease who is crying. The client tells the nurse, am so frustrated. I never know when I will get sick and end up in the hospital" which statement would be the nurse's best response?

“I understand how frustrating this must be for you, just be strong.”

"Are you thinking about not continuing treatment.”

"You must keep thinking about the good things in your life."

“I can see that you are upset. I can sit down and we can talk.”

Answer and Explanation

The Correct Answer is D

A. "I understand how frustrating this must be for you, just be strong." : While it acknowledges frustration, it dismisses the client’s emotions and offers an unrealistic solution ("just be strong").

B. "Are you thinking about not continuing treatment?" : This response is inappropriate because the client has not indicated nonadherence. It may also make the client feel defensive rather than supported.

C. "You must keep thinking about the good things in your life." : While positive thinking is beneficial, this statement invalidates the client's distress rather than addressing their concerns.

D. "I can see that you are upset. I can sit down and we can talk.": This is a therapeutic response that acknowledges the client’s feelings and provides an opportunity for open discussion, which is key in supporting clients with chronic illnesses.

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Correct Answer is A

Explanation

A. Cholelithiasis: Gallstones (cholelithiasis) are a major cause of acute pancreatitis because they can block the pancreatic duct, leading to inflammation and autodigestion of the pancreas.

B. Constipation: Pancreatitis is more commonly associated with diarrhea due to malabsorption, rather than constipation.

C. Splenomegaly: Splenomegaly (enlarged spleen) is associated with portal hypertension from liver disease, not pancreatitis.

D. Ascites: Ascites is seen in advanced liver disease (e.g., cirrhosis) rather than acute pancreatitis, though severe cases of pancreatitis can lead to fluid accumulation in the abdomen.

A. Void prior to the paracentesis B. Ask about family history of malignant hyperthermia. C. Place the patient in the prone position for the procedure D. Administer metronidazole prophylactically for infection

Correct Answer is A

Explanation

A. Void prior to the paracentesis: Before a paracentesis, the patient is typically instructed to void to reduce the risk of puncturing the bladder during the procedure. It is an essential preparatory step.

B. Ask about family history of malignant hyperthermia: Malignant hyperthermia is related to anesthetic agents, not paracentesis.

C. Place the patient in the prone position for the procedure: The correct position for paracentesis is high Fowler’s (sitting upright at 45–90°) to allow fluid to collect in the lower abdomen for easier drainage.

D. Administer metronidazole prophylactically for infection: This is not a routine intervention before a paracentesis, as the risk of infection is managed with sterile technique during the procedure.

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The nurse is caring for a client diagnosed with Crohn's Disease who is crying. The client tells the nurse, am so frustrated. I never know when I will get sick and end up in the hospital" which statement would be the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

Correct Answer is A

Explanation

A client with end stage liver disease, cirrhosis, and ascites is scheduled for a paracentesis. Which of the following interventions can be anticipated related to care of this patient?

Correct Answer is A

Explanation

The nurse is to administer 30gm of lactulose to a client. The medication is supplied as 10gm/15ml. How many mL would you give to the client.

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