A patient with irritable bowel syndrome has received a prescription for a tricyclic antidepressant (TCA). When asked about the rationale for this drug, the nurse should explain that
a. TCAs effectively relieve constipation.
b. these agents can effectively reduce abdominal pain.
c. lifting depression is the goal for this condition.
d. TCAs alter the dopaminergic effects in the gastrointestinal (GI) tract.
B
The nurse should explain that these agents can effectively reduce abdominal pain. Depression is not associated with diarrhea.
TCAs do not relieve constipation.
Lifting depression does not alter the symptoms of IBS (ie, abdominal pain, constipation, and/or diarrhea).
TCAs do not alter dopaminergic effects in the GI tract.
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Which of the following is the best use of the nurse's time while en route to the client's home?
a. Assess the surrounding neighborhood and the exterior of the client's home b. Begin the client record using a computer or oral recording device c. Look for appropriate places to obtain food, fuel, or rest stops for the nurse d. Consider if another home health agency would be closer to the client's home
You note mild inflammation and injection (redness around the cornea) of your patient's conjunctiva, with the presence of follicles. This finding most likely indicates
a. allergic conjunctivitis. c. infectious pinguecula. b. bacterial conjunctivitis. d. viral conjunctivitis.
A common heart defect noted in children with Trisomy 18 is:
1. Coarctation of the aorta. 2. A one ventricle heart. 3. An ASD and a VSD are present. 4. Obstruction on the right side of the heart.
An adolescent client reports recurrent abdominal pain with diarrhea and bloody stools. Which type of inflammatory bowel disease does the nurse suspect based on these data?
1. Necrotizing enterocolitis (NEC) 2. Ulcerative colitis (UC) 3. Crohn disease 4. Appendicitis