Solutions
A 20 year-old patient with a history of Crohn's disease come to
the clinic with persistent diarrhea. What are common
characteristics of Crohn's disease? Select all that apply.
a. Weight loss
b. Rectal bleeding
c. Abdominal pain
d. Toxic megacolon
e. Has segmented distribution
f. Involves the entire thickness of the bowel wall Correct
Answers a. Weight loss
c. Abdominal pain
e. Has segmented distribution
f. Involves the entire thickness of the bowel wall
A 22 year-old patient calls the outpatient clinic reporting nausea
and vomiting and right lower abdominal pain. What should the
nurse advise the patient to do?
A. Use a heating pad to relax the muscles at the site of pain.
B. Drink at least 2 quarts of juice to replace the fluid lost to
vomiting.
C. Take a laxative to empty the bowel before examination at the
clinic
D. Have the symptoms evaluated right away by the health care
provider at the emergency department Correct Answers D.
Have the symptoms evaluated right away by the health care
provider at the emergency department
,A 39-year-old woman w hx of smoking & oral contraceptive use
is admitted with a VTE & prescribed unfractionated heparin.
What lab test should the RN review to evaluate the expected
effect of the heparin?
a. Platelet count
b. Activated clotting time
c. INR
d. aPTT Correct Answers d. aPTT
A 62-year-old Hispanic male pt with diabetes has been
diagnosed with PAD. The pt smokes and has a history of gout.
To prevent complications, which factor is a PRIORITY in pt
teaching?
a. Gender
b. Smoking
c. Ethnicity
d. Comorbidities Correct Answers b. Smoking
Major PAD risk factor, plus really the only modifiable one here
A patient has been vomiting for several days from an unknown
cause is admitted to the hospital. What should the nurse
anticipate will first be included in interprofessional care?
a.Oral administration of broth and tea
b.IV replacement of fluids and electrolytes
c.Administration of parenteral antiemetics
, d.Insertion of a nasogastric tube for suction Correct Answers
b.IV replacement of fluids and electrolytes
A patient treated for vomiting is to begin oral intake when the
symptoms have subsided. To promote rehydration, the nurse
plans to administer which fluid first?
a.Water
b.Hot tea
c.Gatorade
d.Warm broth Correct Answers a.Water
Water is the fluid of choice for rehydration by mouth. Very hot
or cold liquids are not usually well tolerated and although broth
and Gatorade have been used for the patient with severe
vomiting, these substances are high in sodium and should be
administered with caution.
A patient with inflammatory bowel disease has a nursing
diagnosis of impaired nutritional status; etiology: decreased
nutritional intake and decreased intestinal absorption. Which
assessment findings support this nursing diagnosis?
a.Pallor and hair loss
b.Frequent diarrhea stools
c.Anorectal excoriation and pain
d.Hypotension and urine output less than 30ml/hr Correct
Answers a.Pallor and hair loss
After the nurse teaches a patient with gastroesophageal reflux
disease (GERD) about recommended dietary modifications,