NUR3410 MED SURGE II FINAL EXAM RATED A

1. Crohn’s disease. Diagnostic test. **If a client had irritable bowel syndrome, which of the following diagnostic tests would determine if the diagnosis is Crohn's disease or ulcerative colitis? Colonoscopy with biopsy A client had a colonoscopy and biopsy yesterday calls the gastrointestinal clinic to report a spot of bright red blood on the toilet paper today. What response by the nurse is appropriate? c. Remind the client that a small amount of bleeding is possible. 2. Review risk factor of acute renal failure – pre-renal **The nurse is assessing a client with a diagnosis of prerenal acute kidney injury (AKI). Which condition would the nurse expect to find in the patient’s recent history. b. Dehydration or myocardial infarction A nurse develops a dietary plan for a client with diabetes mellitus and new onset of microalbuminuria. Which component of the client’s diet would the nurse decrease? Proteins A client has a serum potassium level of 6.5 mEq/L (6.5 mmol/L), a serum creatinine level of 2 mg/dL (176 mcmol/L), and a urine output of 350 mL/day. What is the best action by the nurse? Place the client on a cardiac monitor immediately. A male client with gastric cancer is 1 week postoperative for a total gastrectomy and has normal hematologic parameters. Which supplement should the nurse explain to the client is indicated for lifetime to prevent complications? Vitamin B12, intramuscular y. What action(s) by the nurse is (are) appropriate to promote nutrition in a client who had a partial gastrectomy? (Select All That Apply) a. Administer vitamin B12 injections. b. Ask the primary health care provider about folic acid replacement. e. Provide iron supplements for the client