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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

Explanation

Choice A rationale

Administering a prescribed bronchodilator medication is the priority action for a patient experiencing an acute asthma attack. This helps to open the airways and improve breathing.

Choice B rationale

While checking the patient's vital signs is important, it is not the first action in the acute management of an asthma attack. The immediate priority is to relieve bronchospasm.

Choice C rationale

Collecting a sputum sample for analysis is not the first priority in an acute asthma attack. Stabilizing the patient's breathing is more urgent.

Choice D rationale

Obtaining a detailed health history is essential for comprehensive care but is not the first action during an acute asthma attack. Rapid intervention to improve breathing is the priority.

A. Increase the client's fluid intake to prevent dehydration. B. Administer prescribed diuretics to reduce fluid overload. C. Apply warm compresses to the lower extremities to reduce edema. D. Encourage the client to ambulate to improve circulation.

Correct Answer is B

Explanation

Choice A rationale

Increasing fluid intake is contraindicated in clients with fluid overload, such as those with bilateral lower extremity edema and lung crackles. It can worsen the condition.

Choice B rationale

Administering prescribed diuretics is the priority intervention to reduce fluid overload in clients with heart failure post-STEMI. It helps to decrease edema and pulmonary congestion.

Choice C rationale

Applying warm compresses to the lower extremities may provide temporary relief but does not address the underlying issue of fluid overload.

Choice D rationale

Encouraging ambulation is beneficial for overall health but is not a priority intervention for managing fluid overload in this context. .

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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

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Correct Answer is B

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