The nurse is caring for a client diagnosed with Crohn's Disease who is crying. The client tells the nurse, am so frustrated. I never know when I will get sick and end up in the hospital" which statement would be the nurse's best response?

“I understand how frustrating this must be for you, just be strong.”

"Are you thinking about not continuing treatment.”

"You must keep thinking about the good things in your life."

“I can see that you are upset. I can sit down and we can talk.”

Answer and Explanation

The Correct Answer is D

A. "I understand how frustrating this must be for you, just be strong." : While it acknowledges frustration, it dismisses the client’s emotions and offers an unrealistic solution ("just be strong").

B. "Are you thinking about not continuing treatment?" : This response is inappropriate because the client has not indicated nonadherence. It may also make the client feel defensive rather than supported.

C. "You must keep thinking about the good things in your life." : While positive thinking is beneficial, this statement invalidates the client's distress rather than addressing their concerns.

D. "I can see that you are upset. I can sit down and we can talk.": This is a therapeutic response that acknowledges the client’s feelings and provides an opportunity for open discussion, which is key in supporting clients with chronic illnesses.

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Correct Answer is C

Explanation

A. Ammonia: Ammonia accumulation affects the brain, causing hepatic encephalopathy, but it does not cause itching.

B. Nitrogen: Nitrogenous waste buildup is associated with renal failure (uremic pruritus) rather than liver disease.

C. Bile salts: In liver dysfunction, bile salts accumulate in the skin, leading to pruritus (itching) due to biliary obstruction.

D. Protein: Protein does not cause itching; however, hypoalbuminemia in liver disease can lead to edema, not pruritus.

A. Explain the possible surgical procedures available to treat this disorder B. Discuss coping skills to assist with adaptation to required lifestyle modifications C. Educate on possible medication side effects and when to notify the health care provider. D. Provide information on decreasing protein intake to reduce ammonia levels E. Discuss the risks of fluid volume overload and methods to restrict fluid intake

Correct Answer is ["A","B","C"]

Explanation

A. Explain the possible surgical procedures available to treat this disorder: Clients with IBD, particularly ulcerative colitis, may require surgical interventions such as colectomy or ileostomy if medical management fails. Providing information about surgical options helps clients make informed decisions.

B. Discuss coping skills to assist with adaptation to required lifestyle modifications: IBD significantly affects daily life, including dietary changes, medication adherence, and emotional well-being. Teaching coping strategies helps clients manage stress and improve quality of life.

C. Educate on possible medication side effects and when to notify the healthcare provider: Medications for IBD (e.g., corticosteroids, immunosuppressants, biologics) have side effects such as increased infection risk, osteoporosis, and GI disturbances. Patients should be informed about when to seek medical attention.

D. Provide information on decreasing protein intake to reduce ammonia levels: This advice is more relevant to liver disease, such as cirrhosis, where protein restriction can help manage hepatic encephalopathy. In IBD, adequate protein intake is needed to prevent malnutrition.

E. Discuss the risks of fluid volume overload and methods to restrict fluid intake: Clients with IBD are at risk for dehydration due to diarrhea and malabsorption. Increasing fluid intake, rather than restricting it, is often necessary.

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The nurse is caring for a client diagnosed with Crohn's Disease who is crying. The client tells the nurse, am so frustrated. I never know when I will get sick and end up in the hospital" which statement would be the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client admitted with liver cancer and jaundice. Which of the following skin deposits are related to jaundice and cause itching?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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