What should the nurse stress in a teaching plan for the mother of an 11-year-old diagnosed with ulcerative colitis?

Preventing the spread of illness to others.

Nutritional guidance and preventing constipation.

Teaching daily use of enemas.

Coping with stress and avoiding triggers.

Answer and Explanation

The Correct Answer is D

Ulcerative colitis is a chronic inflammatory bowel disease that causes diarrhea, pain, and bleeding in the colon. Stress and certain foods can trigger or worsen the symptoms, so it is important to teach the mother how to help her son cope with stress and avoid triggers.

Choice A is wrong because ulcerative colitis is not an infectious disease that can spread to others.

Choice B is wrong because ulcerative colitis causes diarrhea, not constipation. Nutritional guidance is important, but not the main focus of teaching.

Choice C is wrong because the daily use of enemas is not part of the treatment plan for ulcerative colitis. Enemas can irritate the colon and cause more inflammation.

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Correct Answer is D

Explanation

Digoxin is a medication that helps improve the pumping function of the heart and reduces fluid retention in the lungs and other tissues. It is commonly used to treat congestive heart failure in infants.

Choice A is wrong because weighing the infant every day on the same scale at the same time is a way to monitor fluid balance, not an intervention to treat excess fluid volume.

Choice B is wrong because notifying the physician when weight gain exceeds more than 20 g/day is also a monitoring measure, not an intervention. Moreover, weight gain may not accurately reflect fluid volume status in some patients with heart failure due to poor nutrition and decreased appetite.

Choice C is wrong because putting the infant in a car seat to minimize movement may worsen the respiratory distress and increase the workload of the heart. The infant should be positioned in a semi-Fowler’s or Fowler’s position to facilitate breathing and reduce venous return.

A. Pitocin. B. Methergine. C. Terbutaline. D. Hemabate. E. Magnesium sulfate.

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

Explanation

Pitocin and Methergine are both medications used to manage postpartum hemorrhage (PPH) by causing the uterus to contract and reduce bleeding. Pitocin is the most effective and preferred medication for PPH prevention and treatment.

Choice C is wrong because Terbutaline is a medication that relaxes the uterus and is used to stop preterm labor, not PPH.

Choice D is wrong because Hemabate is a brand name for carboprost, which is a prostaglandin that can be used for PPH, but it has more side effects and contraindications than Pitocin or Methergine.

Choice E is wrong because Magnesium sulfate is a medication that prevents seizures in women with preeclampsia or eclampsia, not PPH.

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What should the nurse stress in a teaching plan for the mother of an 11-year-old diagnosed with ulcerative colitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?

Correct Answer is D

Explanation

Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):.

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

Explanation

A school-age child is admitted in vaso-occlusive sickle cell crisis. The child’s care should include which intervention? (Select all that apply.)

The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This finding is associated with which congenital heart defect?

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The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would indicate pyloric stenosis?

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When caring for an infant with an upper respiratory tract infection and elevated temperature, which appropriate nursing intervention should the nurse implement?