A nurse is caring for a client with regional enteritis (Crohn's disease). Which of the following symptoms should the nurse anticipate during assessment?
Abdominal pain and cramping.
Weight gain.
Jaundice.
Hypertension.
The Correct Answer is A
Choice A rationale
Abdominal pain and cramping are hallmark symptoms of Crohn's disease due to inflammation in the gastrointestinal tract.
Choice B rationale
Weight loss, rather than weight gain, is typically associated with Crohn's disease due to malabsorption and chronic inflammation.
Choice C rationale
Jaundice is not commonly associated with Crohn's disease; it is more related to liver or gallbladder issues.
Choice D rationale
Hypertension is not a common symptom of Crohn's disease. It is generally associated with other conditions such as cardiovascular disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Administering packed RBCs is important but is not the highest priority. Stabilizing the client’s hemodynamic status is critical first.
Choice B rationale
Elevating the client's feet can help with blood circulation but does not address the immediate need to stabilize blood pressure and fluid volume.
Choice C rationale
Initiating a dopamine IV infusion can help with hypotension, but it is not the first action. Stabilizing the client with fluids is a higher priority.
Choice D rationale
Increasing the client's IV fluid rate is the highest priority to address hypotension and ensure adequate blood volume before administering blood products or other medications. .
Correct Answer is ["31"]
Explanation
Step 1 is: Convert hours to minutes: 8 hours × 60 minutes/hour = 480 minutes.
Step 2 is: Calculate the drops/minute: (1000 mL ÷ 480 minutes) × 15 gtts/mL.
Step 3 is: Perform the division: 1000 mL ÷ 480 minutes ≈ 2.0833 mL/min.
Step 4 is: Perform the multiplication: 2.0833 mL/min × 15 gtts/mL ≈ 31.25 drops/min.
Step 5 is: Round the answer to the nearest whole number: 31 drops/min.
Final calculated answer: 31 drops/min.
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