Nokea
Which goal of the client's care should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis?
- A. Promoting self-care and independence
- B. Managing diarrhea
- C. Maintaining adequate nutrition
- D. Promoting rest and comfort
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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.
Your teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?
- A. 1/16"
- B. 1/4″
- C. 1/2"
- D. 1"
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Michael, a 42 y.o. man is admitted to the med-surg floor with a diagnosis of acute pancreatitis. His BP is 136/76, pulse 96, Resps 22 and temp 101. His past history includes hyperlipidemia and alcohol abuse. The doctor prescribes an NG tube. Before inserting the tube, you explain the purpose to patient. Which of the following is a most accurate explanation?
- A. It empties the stomach of fluids and gas.
- B. It prevents spasms at the sphincter of Oddi.
- C. It prevents air from forming in the small intestine and large intestine.
- D. It removes bile from the gallbladder.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
- A. The stoma is slightly edematous
- B. The stoma is dark red to purple
- C. The stoma oozes a small amount of blood
- D. The stoma does not expel stool
Correct Answer: B
Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.
Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?
- A. Restrict intake of high-carbohydrate foods.
- B. Increase fluid intake with meals.
- C. Increase fat intake.
- D. Eat three regular meals a day.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.