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1 of 197
Term
client is recently diagnosed with Crohn disease and is beginning
treatment. What first-line treatment does the nurse expect that the
client will be placed on to decrease the inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathioprine
D. Sulfasalazine
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A
Hypertension is often present in clients with polycystic kidney disease at the time of
diagnosis. Pain from retroperitoneal bleeding, lumbar discomfort, and abdominal
pain also may be noted based on the size and effects of the cysts. Fever would
suggest an infection. Periorbital edema is noted with acute glomerulonephritis
, B
Rationale: A partial dislocation is referred to as a subluxation. A Volkmann
contracture is a claw like deformity that results from compartment syndrome or
obstructed arterial blood flow to the forearm and hand. Compartment syndrome is
a condition in which a structure such as a tendon or nerve is constricted in a
confined space and affects nerve innervation, leading to subsequent palsy. A sprain
is injury to the ligaments surrounding the joint.
C
Alprostadil is the drug used for self-administration via a urethral suppository.
Sildenafil and vardenafil are examples of phosphodiesterase inhibitors that are taken
orally. Papaverine with phentolamine is used for self-injection into the corpora
cavernosa to achieve an erection.
D
Considered first-line treatment for inflammatory bowel disease, 5-ASA drugs
contain salicylate, which is bonded to a carrying agent that allows the drug to
be absorbed in the intestine. These drugs work by decreasing the
inflammatory response
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2 of 197
Term
The nurse is caring for a client recovering from an
esophagogastroduodenoscopy (EGD). Which of the following client
symptoms would require further nursing assessment?
A. Drowsiness
B. Abdominal distention
, C. Sore throat
D. Thirst
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C
A
D
Normally, total bilirubin concentration ranges from 0.2 to 1.3 mg/dL. If the serum
bilirubin level exceeds 2.5 mg/dL, jaundice is visible, notably on the skin, oral
mucous membranes, and, especially, sclera.
B
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3 of 197
Term
A client is prescribed a nitroglycerin transdermal patch to treat angina.
Which statement does the nurse include when reinforcing medication
teaching to the client prior to discharge?
A. "You do not need the effects of this medication while you sleep."
B. "The medication patch causes headaches so you should remove it
daily."
C. "The patch should be worn for 12 hours and then removed for 12