The nurse is assessing a patient who is diagnosed with inflammatory bowel disease and is requiring inpatient treatment at a hospital. What medication will the nurse provide when caring for this patient?

Ondansetron on a PRN basis

Vitamin B12 injections to prevent pernicious anemia

Antidiarrheal medications 30 minutes before a meal

Beta adrenergic blockers to reduce bowel motility

Answer and Explanation

The Correct Answer is A

Choice A reason: Ondansetron is an antiemetic given to control nausea and vomiting, which are common symptoms in patients with inflammatory bowel disease, especially when they have a flare-up.

Choice B reason: Vitamin B12 injections are crucial for preventing pernicious anemia but are not specific treatments for acute management of inflammatory bowel disease symptoms.

Choice C reason: Antidiarrheal medications should be used cautiously in inflammatory bowel disease as they can worsen symptoms or lead to complications like toxic megacolon.

Choice D reason: Beta-adrenergic blockers are not used to reduce bowel motility and are not a part of the standard treatment regimen for inflammatory bowel disease.

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Correct Answer is C

Explanation

Choice A reason: Administering lipid injectable emulsion with TPN every day based on albumin results is not the priority intervention. While lipid emulsions may be part of TPN, the focus should be on maintaining aseptic technique to prevent infection.

Choice B reason: Disconnecting IV tubing and adding regular insulin to the TPN bag based on sliding scale results is not appropriate. Insulin should be administered separately, and aseptic technique must be maintained to prevent contamination.

Choice C reason: Maintaining aseptic technique when changing tubing or the parenteral nutrition bag is crucial for preventing infection. Patients receiving TPN through a central venous access device are at high risk for infections, and strict aseptic technique is essential.

Choice D reason: Administering dextrose infusion through separate tubing three hours before discontinuing TPN is not a standard practice. The focus should be on proper administration and infection control practices.

A. Administer a rapid infusion of fluids. B. Increase the dialysis flow rate. C. Decrease the rate of dialysis. D. Apply ice packs to the patient's head. E. Monitor neurological status closely.

Correct Answer is ["C"]

Explanation

Choice A reason: Administering a rapid infusion of fluids is not appropriate for disequilibrium syndrome. This syndrome results from rapid changes in fluid and electrolyte balance during dialysis, and rapid fluid infusion could worsen the condition.

Choice B reason: Increasing the dialysis flow rate is not appropriate. Decreasing the rate of dialysis can help reduce the symptoms of disequilibrium syndrome by allowing the body to adjust more gradually.

Choice C reason: Decreasing the rate of dialysis helps to minimize the rapid shifts in fluid and electrolytes, which can exacerbate disequilibrium syndrome.

Choice D reason: Applying ice packs to the patient's head is not a standard intervention for disequilibrium syndrome. The focus should be on managing the rate of dialysis and monitoring the patient's neurological status.

Choice E reason: Monitoring neurological status closely is important because disequilibrium syndrome can cause symptoms such as headache, nausea, confusion, and seizures. Close monitoring allows for prompt intervention if symptoms worsen.

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The nurse is assessing a patient who is diagnosed with inflammatory bowel disease and is requiring inpatient treatment at a hospital. What medication will the nurse provide when caring for this patient?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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