A 22-year-old college student has been diagnosed with Crohn's disease after a diagnostic workup that was prompted by his complaints of recurring abdominal pain and diarrhea
The nurse who is contributing to this patient's care should recognize the possibility of which complications of his disease? Select all that apply.
A) Nutritional deficits
B) Fluid and electrolyte imbalances
C) Intestinal obstruction
D) Viral infection
E) Fistula
A, B, C, E
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Which of the following is the most appropriate goal for a patient with the nursing diagnosis of Deficient Fluid Volume?
a. Electrolyte balance restored, as evidenced by improved levels of alertness and cognitive orientation. b. Electrolyte balance restored, as evidenced by sodium returning to normal range. c. Patient demonstrates effective coughing and deep-breathing techniques. d. Fluid balance restored, as evidenced by moist mucous membranes and urinating every 4 hours.
The charge nurse is reviewing an incident with a staff nurse in which an older client was injured after a fall. Which statement made by the nurse would require immediate intervention by the charge nurse?
1. "The client fell during shift report." 2. "The client fell after getting up from the chair." 3. "The client was instructed to call if they needed help out of bed." 4. "The client was trying to reach for their walker to get to the bathroom."
When assessing the adult heart, the nurse expects to hear which heart sounds?
1. S1, then S2 2. S2, then S3 3. S3, then S4 4. S2, then S1
A 14-year-old male is being evaluated for delayed puberty. Which finding indicates delayed puberty in this child?
a. Androgen deficiency b. Growth hormone deficiency c. Height of 2.5 standard deviations below the mean d. Lack of epiphyseal closure