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A nurse is caring for a client with regional enteritis (Crohn's disease). Which of the following symptoms should the nurse anticipate during assessment?

Jaundice.

Hypertension.

Abdominal pain and cramping.

Weight gain.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Jaundice is not commonly associated with Crohn's disease; it is more related to liver or gallbladder issues.

Choice B rationale

Hypertension is not a common symptom of Crohn's disease. It is generally associated with other conditions such as cardiovascular disease.

Choice C rationale

Abdominal pain and cramping are hallmark symptoms of Crohn's disease due to inflammation in the gastrointestinal tract.

Choice D rationale

Weight loss, rather than weight gain, is typically associated with Crohn's disease due to malabsorption and chronic inflammation.

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Correct Answer is ["A","D"]

Explanation

Choice A rationale

Infusing 10 percent dextrose and water prevents hypoglycemia if TPN is temporarily unavailable. This is a crucial step in maintaining the patient's blood sugar levels.

Choice B rationale

Shaking the TPN bag with fat emulsion can cause the emulsion to break, leading to potential complications. Fat emulsions should be mixed gently.

Choice C rationale

Maintaining the TPN infusion rate when behind schedule is incorrect as it can lead to rapid infusion and complications such as hyperglycemia and fluid overload.

Choice D rationale

Keeping the TPN refrigerated when not in use helps to maintain its stability and prevent bacterial contamination. Proper storage is essential for patient safety. .

A. A. Nausea and vomiting. B. Radiating pain to the left arm. C. Shortness of breath. D. Headache.

Correct Answer is B

Explanation

Choice B rationale

Radiating pain to the left arm is a classic symptom of a myocardial infarction (MI). This pain occurs due to the heart muscle not receiving enough oxygen, often because of a blockage in one or more coronary arteries. The pain can radiate to the left arm, jaw, neck, or back, and is a key indicator for diagnosing an MI.

Choice A rationale

Nausea and vomiting can occur during an MI but are not the most distinctive symptoms for diagnosis. They can also be associated with other conditions, making them less specific indicators of MI.

Choice C rationale

Shortness of breath is a common symptom during an MI, resulting from reduced oxygen supply to the heart. However, while it is an important clinical manifestation, it can also be associated with other cardiac or respiratory conditions.

Choice D rationale

Headache is not a typical symptom of an MI. It is less commonly associated with heart attacks and can be caused by a wide range of other factors, making it an unreliable symptom for diagnosing MI.

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A nurse is caring for a client with regional enteritis (Crohn's disease). Which of the following symptoms should the nurse anticipate during assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home.Which of the following instructions should the nurse include? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

Correct Answer is B

Explanation

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