The nurse is caring for four clients with diarrhea. Which client is most likely to be diagnosed with Crohn's disease?
A) A 24 year-old Caucasian eastern European Jewish female
B) A 46 year-old African American male
C) A 32 year-old female from Vietnam
D) A 63 year-old Hispanic female with a history of cancer of the vulva
A
Feedback:
Clients who are more prone to this disorder include those with a family history of the disease, those who are white with a European and/or Jewish ancestry, and those who smoke. The other client's listed do not have these risk factors.
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A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect?
A) By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa B) By inhibiting the action of vitamin K at its sites of action C) By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis D) By inactivating clotting factors and thus stopping the coagulation cascade
A nursing student is writing a teaching plan for a patient with venous insufficiency. The student covers measures to prevent complications from venous insufficiency. What is one measure the student should include in the plan?
A) Avoiding tight-fitting socks B) Reducing activity C) Sleeping with legs dependent D) Avoiding pressure stockings
Based upon the toddler's developmental stage, the nurse giving medications to a toddler would most likely say:
a. "You must take this medicine right now." b. "Would you like me to give you your medicine, or would you like your mommy to give it to you?" c. "I have to give you this medicine on time because the health care practitioner ordered it." d. "Be a good child and take your medicine, as it will make your mommy and daddy very happy."
An adult female says, "I don't need contraceptives, because my cycles are as regular as clockwork. I know when I should abstain from intercourse, because I do not want to get pregnant." Select the nurse's best response
a. "You are fortunate that your cycles are so regular. Most women are unable to rely on this approach to contraception." b. "You are still at risk for getting a sexually transmitted disease. Let's discuss contraceptive options that will prevent disease." c. "Many factors can change the menstrual cycle. You're fortunate to have regular cycles, but an additional method of contraception should be used to prevent pregnancy." d. "You have described the rhythm method of contraception. Women have used that method successfully for thousands of years."