In caring for patients with Crohn's disease, the nurse observes for which complications? Select all that apply
a. Peritonitis
b. Small bowel obstruction
c. Nutritional and fluid imbalances
d. Presence of fistulas
e. Appendicitis
f. Severe nausea and vomiting
Answer:
a. Peritonitis
b. Small bowel obstruction
c. Nutritional and fluid imbalances
d. Presence of fistulas
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The nurse instructs the patient to repeat the letter E, while assessing voice sounds. Upon auscultation, the nurse notes that the voice sounds are distorted and she hears the letter A instead of the letter E
The nurse will document this voice sound as: A) Bronchophony B) Egophony C) Whispered pectoriloquy D) Sonorous wheezes
A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days
Microscopy has confirmed the presence of Trichomonas vaginalis. What are the woman's most likely treatment and prognosis? A) Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy. B) Oral antiprotozoals to the patient and sexual partners to help prevent complications. C) Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection. D) Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism.
Before entering the room of a patient who is angry and yelling, the nurse removes her stethoscope from around her neck. The best rationale for doing so is that the stethoscope:
a. Could be used by the patient to hurt her b. Might cause the patient not to trust her c. Would distract her from focusing on the patient d. Will function as another stressor for the patient
A patient has a peptic ulcer and is placed on a proton pump inhibitor. The patient asks how long he will have to take this medication before it will start to work. What is your best response to this patient?
1. It is a fast-acting drug and will act in 2 days. 2. Most of these medications take 2 to 3 weeks. 3. In 4 weeks you will see a difference and have complete relief. 4. It will take over 6 to 8 weeks for this drug to take effect.