Nokea
Leigh Ann is receiving pancrelipase (Viokase) for chronic pancreatitis. Which observation best indicates the treatment is effective?
- A. There is no skin breakdown.
- B. Her appetite improves.
- C. She loses more than 10 lbs.
- D. Stools are less fatty and decreased in frequency.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Your patient, Christopher, has a diagnosis of ulcerative colitis and has severe abdominal pain aggravated by movement, rebound tenderness, fever, nausea, and decreased urine output. This may indicate which complication?
- A. Fistula.
- B. Bowel perforation.
- C. Bowel obstruction.
- D. Abscess.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You promote hemodynamic stability in a patient with upper GI bleeding by:
- A. Encouraging oral fluid intake.
- B. Monitoring central venous pressure.
- C. Monitoring laboratory test results and vital signs.
- D. Giving blood, electrolyte and fluid replacement.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?
- A. Irrigate the wound & organs with Betadine.
- B. Cover the wound with a saline soaked sterile dressing.
- C. Apply a dry sterile dressing & binder.
- D. Push the organs back & cover with moist sterile dressings.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant?
- A. Assessing the client's bowel sounds
- B. Providing skin care following bowel movements
- C. Evaluating the client's response to antidiarrheal medications
- D. administration of pain medication every 4 hours
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Sitty, a 66 y.o. patient underwent a colostomy for ruptured diverticulum. She did well during the surgery and returned to your med-surg floor in stable condition. You assess her colostomy 2 days after surgery. Which finding do you report to the doctor?
- A. Blanched stoma
- B. Edematous stoma
- C. Reddish-pink stoma
- D. Brownish-black stoma
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.