Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He's jaundiced and reports weakness. Which intervention will you include in his care?
- A. Regular exercise.
- B. A low-protein diet.
- C. Allow patient to select his meals.
- D. Rest period after small, frequent meals.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?
- A. Now I can never get hepatitis again.
- B. I can safely give blood after 3 months.
- C. I'll never have a problem with my liver again, even if I drink alcohol.
- D. My family knows that if I get tired and start vomiting, I may be getting sick again.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
- A. Barium Swallow.
- B. Stool examination.
- C. Gastric analysis.
- D. Sigmoidoscopy.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An intubated patient is receiving continuous enteral feedings through a Salem sump tube at a rate of 60ml/hr. Gastric residuals have been 30-40ml when monitored Q4H. You check the gastric residual and aspirate 220ml. What is your first response to this finding?
- A. Notify the doctor immediately.
- B. Stop the feeding, and clamp the NG tube.
- C. Discard the 220ml, and clamp the NG tube.
- D. Give a prescribed GI stimulant such as metoclopramide (Reglan).
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear:
- A. Pale, pink and moist
- B. Red and moist
- C. Dark or purple colored
- D. Dry and black
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Nathaniel has severe pruritus due to having hepatitis B. What is the best intervention for his comfort?
- A. Give tepid baths.
- B. Avoid lotions and creams.
- C. Use hot water to increase vasodilation.
- D. Use cold water to decrease the itching.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.