Postpartum Complications and Medications Quiz

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Questions and Answers

What is a common symptom of Crohn's disease mentioned in the text?

  • Frequent headaches
  • Severe diarrhea and abdominal cramping (correct)
  • Severe chest pain
  • Pain in the left lower quadrant of the abdomen

What is the recommended dietary instruction for a client with Crohn's disease?

  • Low calorie, high fiber
  • High protein, high calorie, low fiber (correct)
  • Low protein, high fiber
  • Avoiding small, frequent meals

Which action should a nurse take following a tonic-clonic seizure?

  • Place the client in a side-lying position (correct)
  • Administer oxygen through a face mask
  • Ensure the client is seated upright
  • Immediately offer food to the client

What is the best choice for managing osteoarthritis according to the text?

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

Which symptom can indicate a bowel obstruction in Crohn's disease?

<p>Vomiting and severe abdominal pain (D)</p> Signup and view all the answers

What is a key strategy to reduce stress on joints for clients with arthritis?

<p>Engaging in consistent exercise (A)</p> Signup and view all the answers

Which medication is recommended for managing rheumatoid arthritis according to the text?

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

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Study Notes

Complications of Postpartum Period

  • Mastitis and Endometritis are potential complications during postpartum period

GI Structural Disorders

  • Identify potential post-op complications in GI structural disorders

Medications for Depressive Disorders

  • Adverse effects of medications for depressive disorders should be identified

Pancreatitis

  • Recognize manifestations of pancreatitis to report to the provider immediately

Psychotic Disorders

  • Interpret data collection findings in psychotic disorders
  • Identify alterations in perception in psychotic disorders

Pulmonary Embolism

  • Care for a client with A-fib and pulmonary embolism

Rheumatoid Arthritis

  • Manifestations of joint disease in rheumatoid arthritis

Noninflammatory Bowel Disease

  • Inflammation and ulceration in the GI tract, including the mouth, in Crohn's disease
  • Severe diarrhea, abdominal pain, and cramping that is relieved by defecation are common manifestations
  • Diagnostic procedures: endoscopy, barium enema, and stool tests
  • Identify foods that trigger manifestations and monitor I&O to check for dehydration
  • Seek emergency care for indications of bowel obstruction, such as fever, severe abdominal pain, and vomiting
  • NPO for extreme exacerbations and total parenteral nutrition may be necessary
  • Avoid caffeine, alcohol, and lactose, and eat high-protein, high-calorie, low-fiber foods
  • Rest bowel, weigh 1-2 times weekly, and consider vitamin B12 injections if necessary

Osteoarthritis & Lower Back Pain

  • Balance activity with rest to manage osteoarthritis
  • Heat can help with joint tenderness and muscle stiffness, but avoid high temperatures
  • Use hot baths and showers, hot packs, and moist heat pads
  • Maintain a healthy weight to reduce stress on joints and exercise consistently
  • Aerobic and isometric exercises are okay, but massage therapy can help with pain relief
  • Acetaminophen is the best choice for managing osteoarthritis
  • Monitor liver function tests and risk factors, such as obesity, family history, aging, and regular exercise

Pressure Injury, Wounds, & Wound Management

  • Perform wet-to-dry dressing change by cleaning the wound with gauze and normal saline
  • Change gloves and soak gauze before putting a new dressing

Seizures

  • Care for a client following a tonic-clonic seizure by placing them in a side-lying position
  • Check vital signs, look for injuries, and perform neurological checks
  • Allow the client to rest and reorient them if they are agitated or confused
  • Determine if the client experienced an aura before the seizure

Respiratory Syncytial Virus (RSV)

  • Take contact precautions, practice hand hygiene, and use droplet precautions
  • Encourage fluids, such as oral rehydration for infants and sports drinks for children
  • Use a humidifier with cool air vapor and rest the client
  • Wear a gown, mask, gloves, and goggles

Airway Management: Providing Tracheostomy Care

  • Keep extra trach tubes, an obturator, oxygen source, suction catheter, and BVM at the bedside
  • Provide oral care every 2 hours and trach care every 8 hours
  • Use sterile suctioning supplies and apply oxygen source loosely
  • Clean the stoma site and trach plate, and replace trach ties if wet or soiled
  • Minimize dust in the room

GI Therapeutic Procedures: Ascending Colostomy

  • If the client is permitted to eat, position them upright and tip their chin to their chest
  • No more than 10 seconds during suctioning, and no more than 3 times
  • Use 1-2 fingers between neck ties

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