An adolescent client is experiencing abdominal pain with diarrhea and bloody stools. Based on this data, which specific type of inflammatory bowel disease does the nurse suspect the client is experiencing?
A) Appendicitis
B) Ulcerative colitis
C) Crohn's disease
D) Necrotizing enterocolitis
Answer: B
Diarrhea and bloody stools are typical symptoms of ulcerative colitis. Appendicitis is not associated with bloody stools, and usually not with diarrhea. The teen with Crohn disease might have abdominal pain and diarrhea, but stools usually do not have blood in them. Necrotizing enterocolitis is usually seen in premature infants and not generally in an adolescent client.
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The nurse is caring for a male patient who will be performing intermittent self-catheterization at home. Which actions by the patient indicate the need for additional teaching about this procedure? (Select all that apply.)
a. Patency of the balloon is tested prior to insertion of the catheter. b. The catheter is inserted another 2 inches after urine is seen in the tubing. c. The catheter is carefully secured to the leg to prevent accidental removal. d. The foreskin is returned to its natural position after the catheter is removed. e. Catheterization is performed regularly before the bladder becomes distended. f. Water-soluble lubricant is generously applied along the length of the catheter.
A nurse is utilizing the provisions created by the Ryan White HIV/AIDS Treatment Extension Act. Which of the following interventions is the nurse most likely performing?
a. Increasing AIDS awareness in the com-munity b. Determining available health care services for HIV-infected individuals c. Preventing the transmission of AIDS to children from their mothers d. Allowing persons in the final stages of HIV to die with dignity
A client from a non-English speaking country is admitted to a care area. Which nursing behavior exemplifies cultural competence?
1. Asks the family to wait in the visitor's lounge during the assessment 2. Realizes that teaching cannot be completed because of a language barrier 3. Contacts an interpreter to assist with data collection and goal identification 4. Documents "no response" when the client does not answer assessment questions
Where in the health history should the nurse describe all details related to the chief complaint?
a. Past history b. Chief complaint c. Present illness d. Review of systems