Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

To provide essential nutrients while allowing the bowel to rest and heal.

To reduce inflammation and control symptoms of IBD.

To stimulate the bowel and promote regular bowel movements.

To prevent malnutrition and promote weight gain.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Total parenteral nutrition (TPN) provides essential nutrients intravenously, allowing the bowel to rest and heal, which is important in the management of inflammatory bowel disease (IBD).

Choice B rationale

While reducing inflammation and controlling symptoms are important goals in IBD management, TPN is primarily used to provide nutrition and allow the bowel to rest.

Choice C rationale

Stimulating the bowel is not the purpose of TPN. TPN is used to give the digestive tract a break while ensuring the patient receives necessary nutrients.

Choice D rationale

Preventing malnutrition and promoting weight gain are secondary benefits of TPN, but the primary rationale is to provide nutrients while allowing the bowel to rest and heal.

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Correct Answer is C

Explanation

Choice A rationale

While heartburn can occur shortly after eating, it is the frequent episodes of heartburn and regurgitation that are more commonly associated with hiatal hernia.

Choice B rationale

Dysphagia (difficulty swallowing) and odynophagia (painful swallowing) can occur with other esophageal conditions but are not the primary symptoms of hiatal hernia.

Choice C rationale

Frequent bouts of heartburn and regurgitation after food intake are classic symptoms of hiatal hernia, due to the herniation of the stomach through the diaphragm allowing acid to reflux into the esophagus.

Choice D rationale

Bloating and postprandial fullness can occur, but they are not as commonly associated with hiatal hernia as heartburn and regurgitation.

A. Nasal congestion. B. Dysuria. C. Shortness of breath. D. Joint pain.

Correct Answer is B

Explanation

Choice A rationale

Nasal congestion is not a symptom associated with acute cystitis. Acute cystitis primarily affects the urinary system.

Choice B rationale

Dysuria, which means painful or difficult urination, is a common symptom of acute cystitis, as it involves inflammation of the bladder and urethra.

Choice C rationale

Shortness of breath is not a typical symptom of acute cystitis. Acute cystitis symptoms are localized to the urinary tract.

Choice D rationale

Joint pain is not associated with acute cystitis. The symptoms of acute cystitis are related to the urinary system.

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Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What information should the nurse relay to the client with a hiatal hernia diagnosis?

Correct Answer is C

Explanation

A 24-year-old female client comes to the ambulatory care center in moderate distress with a probable diagnosis of acute cystitis.Which symptom should the nurse expect the client to report during the assessment?

Correct Answer is B

Explanation

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia.Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

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