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Questions and Answers

A patient diagnosed with ulcerative colitis has consumed less that twenty-five percent of meals for the past seven days. Which order does the nurse anticipate from the doctor?

  • Total parenteral nutrition (TPN) (correct)
  • 0.9 normal saline
  • albumin
  • 0.3 normal saline

Which assessment data support the patient's diagnosis of gastric ulcer. Select the best answer.

  • Bloody stool for the last 15 days. (correct)
  • Complain of wave like burning sensation.
  • Epigastric pain after eating a large meal.
  • Complain of difficulty swallowing.

Which is a side effect of terazosin medication given for BPH? Select the best answer.

  • Slow heart rate.
  • Bradypnea
  • Eupnea
  • Irregular heart rate. (correct)

The nurse provides medication instructions to a client with peptic ulcer disease. Which statement, if made by the client, indicates the best understanding of the medication therapy?

<p>&quot;The cimetidine (Tagamet) will cause me to produce less stomach acid.&quot; (A)</p> Signup and view all the answers

Which of the following task is a priority immediately postoperative management of a client who has undergone gastric resection?

<p>Do not move the NG tube. (A)</p> Signup and view all the answers

The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies?

<p>Vitamin B12 (B)</p> Signup and view all the answers

When assessing a patient diagnosed with rheumatoid arthritis the nurse notice the patient skin with small brownish spots around the nail bed. The nurse identifies this as _____. Fill in the blank.

<p>Vasculitis (A)</p> Signup and view all the answers

Which laboratory tests are associated with Rheumatoid Arthritis? Select all that apply.

<p>C-reactive protein (A), Erythrocyte sedimentation rate (B), Antinuclear antibody (C), Anti-cyclic citrullinated peptide (D)</p> Signup and view all the answers

Which is a sign or Systemic Lupus Erythematosus (SLE)?

<p>Fatigue (A)</p> Signup and view all the answers

A patient diagnosed with Rheumatoid arthritis is receiving medication education on methotrexate. Which statement demonstrates understanding by the patient?

<p>&quot;I will avoid having a social alcoholic drink at the party.&quot; (A)</p> Signup and view all the answers

The nurse abdominal assessment reveals abdominal distention without bowel sounds in all four quadrants. The patient informs the nurse of not having bowel movement for several days and is not able to pass gas at this time. The nurse identifies this as ____.

<p>obstipation (A)</p> Signup and view all the answers

The nurse is caring for a patient diagnosed with gastroesophageal reflux disease. Which nursing instruction should the nurse inform the patient of?

<p>Frequently eat small meals. (A)</p> Signup and view all the answers

Which nursing diagnosis is a priority for a person with gastritis?

<p>Acute pain (A)</p> Signup and view all the answers

The nurse is providing medication education to a patient diagnosed with gastritis and receives Carafate (sucralfate). Which directions would the nurse provide for a patient receiving Carafate?

<p>Take Carafate 30 minutes - 1 hour before meals. (B)</p> Signup and view all the answers

A patient is receiving dietary discharge instructions from the nurse. Which statement made by the patient indicates their understanding of dietary instructions related to their diagnosis of Ulcerative Colitis (UC).

<p>&quot;I will not drink coffee, tea, and carbonated drinks.&quot; (A)</p> Signup and view all the answers

What are the signs and symptoms of small-bowel obstruction? Select all that apply.

<p>Epigastric abdominal distention (A), Abnormal electrolyte imbalance (B)</p> Signup and view all the answers

A patient who has been diagnosed with toxic megacolon obstruction is identified as ____. Fill in the blank.

<p>Nonmechanical bowel obstruction. (A)</p> Signup and view all the answers

The nurse is caring for a patient with an exacerbation of Ulcerative Colitis in a medical-surgical unit. Which nursing intervention promotes intestinal healing and comfort?

<p>Bed rest (A)</p> Signup and view all the answers

Which disease process causes chronic inflammation of the rectum and rectosigmoid colon?

<p>Ulcerative colitis (A)</p> Signup and view all the answers

A patient diagnosed with Ulcerative Colitis has had seven episodes of diarrhea in the last five hours with signs and symptoms of tachycardia, abdominal pain, and a low-grade fever. The nurse receives arterial blood gas results of pH 7.33, CO2 39, and HCO3 20. The nurse identifies the results of the arterial blood gas as ___.

<p>uncompensated metabolic acidosis. (A)</p> Signup and view all the answers

The patient asks the nurse why I cannot stop taking corticosteroids after I feel better. What is the best response from the nurse?

<p>&quot;If you suddenly stop taking your corticosteroid medication you can experience signs and symptoms of diarrhea, dizziness, and can be life-threatening.&quot; (A)</p> Signup and view all the answers

What vital signs would the nurse monitor before giving tamsulosin (Flomax)?

<p>Blood pressure (B)</p> Signup and view all the answers

A patient is diagnosed with gastritis and receiving Omeprazole (Prilosec) as part of their medication regimen. Which laboratory results would the nurse monitor before giving Omeprazole to the patient?

<p>Platelets (A)</p> Signup and view all the answers

Which laboratory result indicate renal function alterations unrelated to dehydration?

<p>Creatinine 2.5 ml/dl (B)</p> Signup and view all the answers

The nurse instructs a patient with urolithiasis to avoid which type of food?

<p>Eating spinach (A)</p> Signup and view all the answers

The nurse is caring for a post-operative transurethral resection of the prostate surgical patient. What should the nurse inform the patient with a urine catheter in place ?

<p>You will feel the urge to void while the urine catheter is in place. (B)</p> Signup and view all the answers

Which medication treats symptoms of gastroesophageal reflux disease by neutralizing the acid in the stomach?

<p>Antacids (B)</p> Signup and view all the answers

Which infectious disease process is related to acquired immunodeficiency syndrome (AIDS)?

<p>Tuberculosis (A)</p> Signup and view all the answers

What is urine accumulation causeing enlargement of the kidney's known as?

<p>Hydronephrosis (B)</p> Signup and view all the answers

A patient is prescribes Tamsulosin, an Alpha1-Adrenergic Antagonist to take daily. Which vital signs the nurse needs to monitor before giving the Tamsulosin?

<p>Blood pressure (D)</p> Signup and view all the answers

A patient is scheduled to receive a transurethral resection of the prostate surgery. Which medication the nurse informs the patient to stop taking seven days prior to surgery?

<p>Anticoagulant (B)</p> Signup and view all the answers

A patient reports to the nurse they are experiencing epigastric pain a few minutes after eating and painful swallowing. Which disease process contributes to the patient's symptoms?

<p>Gastroesophageal reflux disease (B)</p> Signup and view all the answers

A patient diagnosed with ulcerative colitis notifies the nurse of a persistent and intense urge to have a bowel movement, even when there is little or nor stool present. The nurse identifies this as _____.

<p>Tenesmus (B)</p> Signup and view all the answers

Which laboratory result would the nurse review during the care of a patient diagnosed with Fulminant Ulcerative colitis?

<p>Hemaglobin level (A)</p> Signup and view all the answers

The nurse receives a newly admitted patient who is 69 years old on the medical-surgical floor and has been recently diagnosed with gatsrointestinal reflux disease (GERD). The patient asks the nurse what is GERDs. What is the correct statement related to the etiology of gastroesophageal reflux disease?

<p>A backflow of stomach content into the esophagus. (B)</p> Signup and view all the answers

A patient has been diagnosed with GERD for 10 years. The doctor informs the patient of the new development of columnar epithelium cells in your esophagus, The nurse understands esophagus columnar epithelium cells are identified as _____.

<p>Barrett's esophagus (B)</p> Signup and view all the answers

The nurse on the medical-surgical floor cares for a patient diagnosed with Urolithiasis. When the nurse walks into the patient's room the patient state "I have sudden excoriating flank pain 20/20 and I feel nauseated." Upon assessment, the nurse identified signs and symptoms of pallor, sweating, and pubis area distended. The nurse notes it has been 6 hours since the patient has urinated in the toilet hat. Which intervention would the nurse perform first?

<p>Bladder scan (A)</p> Signup and view all the answers

A patient has been diagnosed with systemic lupus erythematosus. Which of the following is a characteristic of this diagnosis?

<p>A scaly butterfly facial rash (A)</p> Signup and view all the answers

Microscopic crystals in the urinary tract aggregate together causing stones (calculus) that can cause which signs and symptoms?

<p>Hematuria and pain (C)</p> Signup and view all the answers

The nurse provides care for a newly admitted patient diagnosed with urolithiasis, and the computed tomography scan (CT) shows kidney stones in the urinary tract. What statement is most important when giving instructions to the patient?

<p>&quot;You must strain all of your urine.&quot; (D)</p> Signup and view all the answers

The nurse is performing an abdomen assessment and hears high-[itches bowel sounds. The nurse recognizes this as ____.

<p>Borborygmi (B)</p> Signup and view all the answers

A patient has had an esophagogastroduodenoscopy (EGD) procedure, and the nurseis providing post-pocedural care. Which intervention is a priority for the nurse to perform?

<p>Monitor for aspiration (B)</p> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

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