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Nurse Nancy also gives a lecture at the community health center about the diet for patients with ulcerative colitis. Which one is appropriate?
- A. high calorie, low protein
- B. low fat, high fiber
- C. high protein, low residue
- D. low sodium, high carbohydrate
Correct Answer: C
Rationale: Patients with ulcerative colitis usually benefit from a high protein, low residue diet. A high protein diet helps promote tissue healing and repair. Low residue foods are preferred to reduce mechanical irritation to the inflamed colon. This combination can help manage symptoms and promote overall gut health for individuals with ulcerative colitis. High calorie, low protein (Option A) may not provide adequate nutrient density and healing support. Low fat, high fiber (Option B) may exacerbate symptoms and increase gastrointestinal discomfort. Low sodium, high carbohydrate (Option D) may not address the specific needs of patients with ulcerative colitis.
You may also like to solve these questions
As part of primary cancer prevention program, an oncology nurse answers questions from the public at health fair. When someone asks about the laryngeal cancer, the nurse should explain that:
- A. Laryngeal cancer is one of the most preventable types of cancer
- B. Inhaling polluted air isn't a risk factor for laryngeal cancer
- C. Laryngeal cancer occurs primarily in women
- D. Adenocarcinoma accounts for most cases of laryngeal cancer
Correct Answer: A
Rationale: Laryngeal cancer is indeed one of the most preventable types of cancer. The primary risk factors for laryngeal cancer include tobacco use (particularly smoking) and excessive alcohol consumption. Therefore, avoiding tobacco products, moderating alcohol intake, and maintaining a healthy lifestyle can significantly reduce the risk of developing laryngeal cancer. Additionally, early detection through regular check-ups and screenings can help in detecting any precancerous or cancerous changes in the larynx, leading to better treatment outcomes and prognosis.
An adolescent with new-onset diabetes is struggling with 'daytime accidents.' What is this condition called?
- A. Primary enuresis.
- B. Secondary enuresis.
- C. Diurnal enuresis.
- D. Nocturnal enuresis.
Correct Answer: C
Rationale: Secondary enuresis is the recurrence of incontinence in a child who had previously achieved bladder control.
Which of the ff. would the nurse explain to the patient is the triad of symptoms associated with Meniere's disease?
- A. Hearing loss, vertigo, and tinnitus
- B. Nausea, vomiting and pain
- C. Nystagmus, headache and vomiting
- D. Nystagmus, vomiting and pain
Correct Answer: A
Rationale: Meniere's disease is a disorder of the inner ear characterized by the triad of symptoms including hearing loss, vertigo (a spinning sensation), and tinnitus (ringing in the ear). These symptoms can occur episodically and may be associated with a feeling of fullness in the affected ear. Other symptoms such as nausea and vomiting may sometimes accompany the episodes of vertigo, but the classic triad of Meniere's disease consists of hearing loss, vertigo, and tinnitus. Nystagmus, headache, and pain are not typically part of the classic presentation of Meniere's disease.
A child with thalassemia was given deferoxamine (Desferal); which of the following should alert the nurse to notify the physician?
- A. Decreased hearing
- B. Hypertension
- C. Red urine
- D. Vomiting
Correct Answer: A
Rationale: Deferoxamine is a chelating agent used to treat iron overload in patients such as those with thalassemia. One of the serious side effects of deferoxamine is ototoxicity, which can manifest as decreased hearing or ringing in the ears. Therefore, if a child with thalassemia who is taking deferoxamine experiences a decrease in hearing, the nurse should promptly notify the physician for further evaluation and possible adjustment of the treatment plan to prevent further hearing damage. Hypertension, red urine, and vomiting are possible side effects of deferoxamine, but decreased hearing is the most concerning side effect that requires immediate attention due to the risk of permanent damage.
which of the following is a characteristic in a child with acute lymphocytic leukemia?
- A. fatigability
- B. persistent fever of unknown cause
- C. tendency to bruise easily
- D. all of the above are correct
Correct Answer: D
Rationale: Children with acute lymphocytic leukemia commonly present with a combination of symptoms which can include fatigability, persistent fever of unknown cause, and a tendency to bruise easily. Fatigue is a common complaint in children with leukemia due to anemia caused by decreased production of healthy red blood cells. Persistent fevers can be a sign of infection, anemia, or other complications related to leukemia. Additionally, children with leukemia may have a low platelet count, leading to easy bruising or bleeding tendencies. Therefore, all of the characteristics mentioned in the options are correct for a child with acute lymphocytic leukemia.