A patient is admitted to the unit you work on with a diagnosis of enterocutaneous fistula. What is this fistula secondary to?
A) Diverticulosis
B) Diverticulitis
C) Crohn's disease
D) IBS
Ans: C
Feedback: The most common type of small bowel fistula caused by Crohn's disease is the enterocutaneous fistula (ie, an abnormal opening between the small bowel and the skin).
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To monitor for potential hemorrhage in the woman who has just had a cesarean birth, the recovery room nurse should:
a. maintain an intravenous infusion at 1 ml/hr. b. assess the abdominal dressings for drainage. c. assess the uterus for firmness every 15 minutes. d. monitor her urinary output.
Avoid tucking the bottom sheet in tightly on the low air loss bed.
Answer the following statement true (T) or false (F)
The nurse reads a client's chart and sees that the health care provider assessed mucosal erythroplasia. What should the nurse understand that this means for the client?
a. Early sign of oral cancer b. Fungal mouth infection c. Inflammation of the gums d. Obvious oral tumor
The nurse plans care for the client receiving nonopioid analgesic drugs based on which benefit these drugs have over opioids?
1. Lower risk of dependency 2. Few or no GI side effects 3. Cost-effectiveness 4. No risk of dizziness or hallucinations