N440 - Exam 1 - Inflammation & Immunity
Questions with Complete Solutions
A client with Crohn's disease who is taking sulfasalazine (Azulfidine) asks the nurse why this
medication is necessary. Which information should the nurse include in the response?
1. The drug decreases abdominal cramping by slowing peristalsis
2. The drug decreases prostaglandin production in the bowel so it decreases inflammation
3. The drug inhibits neurotransmission of pain impulses
4. The drug stimulates the release of endorphins so pain is relieved 2
The nurse is caring for a client with ulcerative colitis. Which finding does the nurse determine is
consistent with this diagnosis?
1. Hypercalcemia
2. Hypernatremia
3. Frothy, fatty stools
4. Decreased hemoglobin 4
The health care provider prescribes prednisone (Deltasone) for a client with ulcerative colitis.
What health teaching is most important before the client begins the medication?
,1. Determine if the client's insurance pays for the drug.
2. Teach the client to take the drug at night.
3. Ask the client if he has any allergies to sulfa-type drugs.
4. Teach the client the importance of avoiding crowds. 4
The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding,
if noted on assessment of the client, should the nurse report to the health care provider (HCP)?
1. Hypotension
2. Bloody Diarrhea
3. Rebound tenderness
4. A hemoglobin level of 12 mg/dL 3
The nurse is assisting a client with Crohn's disease to ambulate to the bathroom. After the client
has a bowel movement, the nurse should assess the stool for which characteristic that is expected
with this disease?
1. Blood in the stool
2. Chalky gray stool
3. Loose, watery stool
,4. Dry, hard, constipated stool 3
A client had a bowel resection yesterday for colorectal cancer. Which assessment finding does
the nurse report immediately to the surgeon?
1. Abdominal discomfort
2. Mild abdominal distention
3. Distended, board-like abdomen
4. Minimal abdominal bowel sounds 3
During assessment, the nurse should be looking for additional symptoms diagnostic of
peritonitis, which include:
1. Abdominal rigidity.
2. Diminished peristalsis.
3. Leukocytosis.
4. All of the above. 4
, The following are results of diagnostic and imaging studies in a patient with peritonitis except:
1.Elevated WBC's
2.Air and fluid levels on abdominal x-ray
3.Leukopenia
4.Intra-abdominal abscess on MRI 3
A patient reports frequent heartburn twice a week for the past 4 months. What other symptoms
reported by the patient may indicate the patient has GERD? SELECT-ALL-THAT-APPLY:
1. Bitter taste in mouth
2. Dry cough
3. Melena
4. Difficulty swallowing
5. Smooth, red tongue
6. Murphy's Sign 1, 4
Questions with Complete Solutions
A client with Crohn's disease who is taking sulfasalazine (Azulfidine) asks the nurse why this
medication is necessary. Which information should the nurse include in the response?
1. The drug decreases abdominal cramping by slowing peristalsis
2. The drug decreases prostaglandin production in the bowel so it decreases inflammation
3. The drug inhibits neurotransmission of pain impulses
4. The drug stimulates the release of endorphins so pain is relieved 2
The nurse is caring for a client with ulcerative colitis. Which finding does the nurse determine is
consistent with this diagnosis?
1. Hypercalcemia
2. Hypernatremia
3. Frothy, fatty stools
4. Decreased hemoglobin 4
The health care provider prescribes prednisone (Deltasone) for a client with ulcerative colitis.
What health teaching is most important before the client begins the medication?
,1. Determine if the client's insurance pays for the drug.
2. Teach the client to take the drug at night.
3. Ask the client if he has any allergies to sulfa-type drugs.
4. Teach the client the importance of avoiding crowds. 4
The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding,
if noted on assessment of the client, should the nurse report to the health care provider (HCP)?
1. Hypotension
2. Bloody Diarrhea
3. Rebound tenderness
4. A hemoglobin level of 12 mg/dL 3
The nurse is assisting a client with Crohn's disease to ambulate to the bathroom. After the client
has a bowel movement, the nurse should assess the stool for which characteristic that is expected
with this disease?
1. Blood in the stool
2. Chalky gray stool
3. Loose, watery stool
,4. Dry, hard, constipated stool 3
A client had a bowel resection yesterday for colorectal cancer. Which assessment finding does
the nurse report immediately to the surgeon?
1. Abdominal discomfort
2. Mild abdominal distention
3. Distended, board-like abdomen
4. Minimal abdominal bowel sounds 3
During assessment, the nurse should be looking for additional symptoms diagnostic of
peritonitis, which include:
1. Abdominal rigidity.
2. Diminished peristalsis.
3. Leukocytosis.
4. All of the above. 4
, The following are results of diagnostic and imaging studies in a patient with peritonitis except:
1.Elevated WBC's
2.Air and fluid levels on abdominal x-ray
3.Leukopenia
4.Intra-abdominal abscess on MRI 3
A patient reports frequent heartburn twice a week for the past 4 months. What other symptoms
reported by the patient may indicate the patient has GERD? SELECT-ALL-THAT-APPLY:
1. Bitter taste in mouth
2. Dry cough
3. Melena
4. Difficulty swallowing
5. Smooth, red tongue
6. Murphy's Sign 1, 4
