Nokea
A patient with Crohn's disease is admitted after 4 days of diarrhea. Which of the following urine specific gravity values do you expect to find in this patient?
- A. 1.005
- B. 1.011
- C. 1.02
- D. 1.03
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?
- A. Restrict fluids
- B. Encourage ambulation
- C. Increase sodium in the diet
- D. Give antacids as prescribed
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care?
- A. Low-fiber diet and fluid restrictions.
- B. Total parenteral nutrition and bed rest.
- C. High-fiber diet and administration of psyllium.
- D. Administration of analgesics and antacids.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Brenda, a 36 y.o. patient is on your floor with acute pancreatitis. Treatment for her includes:
- A. Continuous peritoneal lavage.
- B. Regular diet with increased fat.
- C. Nutritional support with TPN.
- D. Insertion of a T tube to drain the pancreas.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're caring for a 28 y.o. woman with hepatitis B. She's concerned about the duration of her recovery. Which response isn't appropriate?
- A. Encourage her to not worry about the future.
- B. Encourage her to express her feelings about the illness.
- C. Discuss the effects of hepatitis B on future health problems.
- D. Provide avenues for financial counseling if she expresses the need.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
- A. The stoma is slightly edematous
- B. The stoma is dark red to purple
- C. The stoma oozes a small amount of blood
- D. The stoma does not expel stool
Correct Answer: B
Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.