Nokea
The nurse explains to the patient with Crohn disease that the tube feedings are placed for which reason?
- A. rapid absorption in the upper GI tract.
- B. decompression of the stomach.
- C. reduction of diarrheic episodes.
- D. a permanent nutritional support.
Correct Answer: A
Rationale: The tube feedings allow for rapid absorption of the nutrients in the upper GI tract. The tube feedings are not permanent and will be followed by oral intake of a low-residue, high-protein, high-calorie diet.
You may also like to solve these questions
Which will be the most helpful nursing intervention to increase the comfort of a patient with appendicitis?
- A. Applying of ice bag
- B. Administration of small tap water enema
- C. Warm compress over entire abdomen
- D. Ambulate for short periods in the room
Correct Answer: A
Rationale: Applying of an ice bag will decrease the flow of blood to the area and impede the inflammatory process.
To assist a family with a bowel-training program to reduce fecal incontinence, the nurse would suggest the use of which item at an optimal time to stimulate defecation?
- A. warm bath
- B. a tap water enema
- C. glycerin suppository
- D. large glass of warm lemonade
Correct Answer: C
Rationale: The use of a glycerin suppository for fecal stimulation is a helpful aid in a bowel-training program. The suppository is administered at what the family and patient have determined is the optimal time for a bowel movement.
Which will the nurse reinforce in the patient teaching of a patient who had a gastrectomy to treat a severely bleeding peptic ulcer?
- A. Introducing irritating foods in minute amounts to desensitize the stomach
- B. Restricting fluid to 1000 mL per day
- C. Eating 6 small meals a day
- D. Drinking alcohol and caffeine in moderation
Correct Answer: C
Rationale: The patient who had a gastrectomy to treat a bleeding peptic ulcer should eat small meals daily. Restriction of fluid is not necessary and irritating foods, alcohol, and caffeine should be discouraged.
How will the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine for Crohn disease?
- A. Expose her to sunlight at least 30 minutes a day for vitamin D synthesis.
- B. Tell her to drink at least 1500 mL of fluid a day.
- C. Advise assessing self for rash.
- D. Use alternate birth control methods to oral contraception.
- E. Take drug on an empty stomach.
Correct Answer: B,C,D
Rationale: Cautionary information about sulfasalazine include having adequate fluid intake to prevent crystallization in the kidneys, avoiding exposure to the sun, and using alternate birth control methods as oral contraception is made unreliable by this drug. The drug should be taken with meals and the patient should be assessing for rash.
A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats, but pain does not waken him. The nurse recognizes a diagnostic sign of which condition?
- A. Duodenal ulcer
- B. Gastritis
- C. Achalasia
- D. Peptic ulcer
Correct Answer: D
Rationale: A significant subjective data assessment for a peptic ulcer is the patient report that pain is associated with eating. With duodenal ulcers the patient often complains of pain 1 to 2 hours after eating.