A 42-year-old patient is newly diagnosed with inflammatory bowel disease (IBD). The patient asks, "Can this be cured?" Which of the following treatment goals are appropriate for a patient with IBD? (Select all that apply.)

Combat infection

Control inflammation

Correct and prevent malnutrition

Increase stress

Cure illness

Answer and Explanation

Correct Answer : B,C

Choice A rationale

While infections can occur in IBD, the primary goal is not to combat infection but to manage the underlying inflammation¹.

Choice B rationale

Controlling inflammation is a key treatment goal in IBD to alleviate symptoms and induce and maintain remission².

Choice C rationale

Correcting and preventing malnutrition is essential in IBD management due to potential nutrient absorption issues¹.

Choice D rationale

Increasing stress is not a treatment goal for IBD. In fact, reducing stress can help manage IBD symptoms².

Choice E rationale

While IBD currently has no cure, the goals are to manage symptoms, induce remission, and improve quality of life².

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Correct Answer is B

Explanation

Choice A rationale

An increasing hemoglobin level does not indicate the resolution of acute pancreatitis. Hemoglobin levels can fluctuate due to various factors, including hydration status and blood loss, but are not directly related to the resolution of pancreatitis.

Choice B rationale

During an episode of acute pancreatitis, serum concentrations of amylase and lipase rise significantly, often within hours of pancreatic injury. These elevated enzyme levels are key components in diagnosing the condition. As the inflammation subsides and the pancreas begins to heal, the levels of these enzymes typically decrease, returning to normal ranges. Therefore, a declining serum amylase level suggests that the acute inflammatory process is resolving.

Choice C rationale

Serum bilirubin levels are indicative of liver function and bile metabolism. Elevated bilirubin may occur if pancreatitis leads to bile duct obstruction or liver involvement. However, a decrease in bilirubin levels addresses biliary system recovery rather than directly reflecting pancreatic inflammation resolution.

Choice D rationale

An increasing serum alkaline phosphatase level is generally associated with bile duct obstruction or bone disease and does not indicate the resolution of acute pancreatitis. This enzyme is found in several tissues throughout the body, including the liver and bones.

A. Apply a new patch at the onset of anginal pain. B. Apply the patch to dry skin and cover the area with plastic wrap. C. Apply a new patch each morning. D. Remove the patch for 10 to 12 hours daily. E. Apply the patch to a hairless area and rotate sites.

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale
Applying a new patch at the onset of anginal pain is not recommended for transdermal nitroglycerin. This medication is used for long-term prevention of angina, not for immediate relief.

Choice B rationale
Covering the patch with plastic wrap is not necessary and is not a standard instruction for the use of transdermal nitroglycerin patches.

Choice C rationale
Applying a new patch each morning ensures that the medication is delivered consistently throughout the day, which is important for the management of stable angina.

Choice D rationale
Removing the patch for 10 to 12 hours daily, typically at night, helps prevent tolerance to the medication, ensuring its effectiveness.

Choice E rationale
Applying the patch to a hairless area and rotating sites helps to prevent skin irritation and ensures better adherence of the patch to the skin.

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A 42-year-old patient is newly diagnosed with inflammatory bowel disease (IBD). The patient asks, "Can this be cured?" Which of the following treatment goals are appropriate for a patient with IBD? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which laboratory finding indicates the resolution of a patient's acute pancreatitis?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

Which finding for a patient with pancreatitis is termed Grey Turner's sign?

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