The nurse is admitting a patient whose health history is suggestive of inflammatory bowel disease. Which clinical manifestations and diagnostic findings confirm the diagnosis of Crohn's disease? (Select All That Apply)

Ulcers in the descending colon noted on colonoscopy

Absence of narrowing of the colon and mucosal edema on barium studies

Fistulas and perianal involvement

Mild bleeding and abdominal mass

Regional, discontinuous skip lesions noted on the barium studies

Answer and Explanation

Correct Answer : A,C,E

Choice A reason: Ulcers in the descending colon are indicative of Crohn's disease, which affects any part of the gastrointestinal tract.

Choice B reason: Absence of narrowing of the colon and mucosal edema is more indicative of ulcerative colitis rather than Crohn's disease.

Choice C reason: Fistulas and perianal involvement are common complications of Crohn's disease due to the transmural inflammation.

Choice D reason: Mild bleeding and an abdominal mass can be associated with both Crohn's disease and other gastrointestinal disorders, making it less specific.

Choice E reason: Regional, discontinuous skip lesions are a hallmark of Crohn's disease, seen on barium studies, indicating areas of inflammation separated by normal tissue.

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Correct Answer is D

Explanation

Choice A reason: Fever is not a common side effect of albuterol. It may indicate an infection or another underlying condition that should be evaluated separately.

Choice B reason: Bruising is not associated with albuterol use. Bruising may be related to other medications or underlying conditions affecting coagulation.

Choice C reason: Polyuria, or increased urination, is not a typical side effect of albuterol. It is more commonly associated with conditions such as diabetes or diuretic use.

Choice D reason: Palpitations are a known side effect of albuterol due to its stimulating effect on the heart. Patients should be informed about this potential side effect and advised to report any persistent or severe palpitations to their healthcare provider.

A. A post-operative patient after thyroid surgery preparing for discharge with a new medication B. A patient diagnosed with Cushing's disease after insertion of a nasogastric tube C. A patient scheduled for a chest radiograph who is anxious about their treatment D. A patient with chronic obstructive pulmonary disease who requested a breathing treatment during the previous shift

Correct Answer is D

Explanation

Choice A reason: While a post-operative patient preparing for discharge is important, they are stable enough to be considered for discharge and do not require immediate assessment.

Choice B reason: A patient with Cushing's disease after insertion of a nasogastric tube may need monitoring, but this is not as urgent as a patient with potential respiratory distress.

Choice C reason: A patient scheduled for a chest radiograph who is anxious about their treatment does not require immediate intervention compared to a patient experiencing respiratory issues.

Choice D reason: A patient with chronic obstructive pulmonary disease who requested a breathing treatment during the previous shift may be experiencing respiratory distress and requires immediate assessment and intervention to prevent further complications.

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The nurse is admitting a patient whose health history is suggestive of inflammatory bowel disease. Which clinical manifestations and diagnostic findings confirm the diagnosis of Crohn's disease? (Select All That Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching the patient about the medication albuterol for the treatment of chronic obstructive pulmonary disease (COPD). Which medication adverse effect will the nurse teach the patient to monitor for and report?

Correct Answer is D

Explanation

The nurse has just received a change of shift report on four patients. Which patient will the nurse assess first?

Correct Answer is D

Explanation

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