Nokea
The student nurse is teaching the family of a patient with liver failure. You instruct them to limit which foods in the patient's diet?
- A. Meats and beans.
- B. Butter and gravies.
- C. Potatoes and pastas.
- D. Cakes and pastries.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Findings during an endoscopic exam include a cobblestone appearance of the colon in your patient. The findings are characteristic of which disorder?
- A. Ulcer
- B. Crohn's disease
- C. Chronic gastritis
- D. Ulcerative colitis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're caring for Jane, a 57 y.o. patient with liver cirrhosis who develops ascites and requires paracentesis. Before her paracentesis, you instruct her to:
- A. Empty her bladder.
- B. Lie supine in bed.
- C. Remain NPO for 4 hours.
- D. Clean her bowels with an enema.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
A patient has a severe exacerbation of ulcerative colitis. Long-term medications will probably include:
- A. Antacids.
- B. Antibiotics.
- C. Corticosteroids.
- D. Histamine2-receptor blockers.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Jerod is experiencing an acute episode of ulcerative colitis. What is the priority for this patient?
- A. Replace lost fluid and sodium.
- B. Monitor for increased serum glucose levels from steroid therapy.
- C. Restrict dietary intake of foods high in potassium.
- D. Note any change in the color and consistency of stools.
Correct Answer: A
Rationale: The correct answer is to replace lost fluid and sodium. During an acute episode of ulcerative colitis, the priority is to manage the patient's fluid and electrolyte balance. This is crucial due to the potential for dehydration and electrolyte imbalances resulting from diarrhea and inflammation in the colon. Monitoring serum glucose levels (Choice B) may be important for patients on steroid therapy, but in this scenario, fluid and electrolyte balance take precedence. Restricting dietary intake of foods high in potassium (Choice C) is not a priority in the acute phase of ulcerative colitis. While noting changes in stool color and consistency (Choice D) is important for assessing the patient's gastrointestinal status, it is not the priority when managing acute ulcerative colitis.