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The nurse is caring for a client with cirrhosis, portal hypertension, and esophageal varices. Which of the following is not a potential intervention?

Metoprolol

Famotidine

Mesalamine

Balloon Tamponade

Answer and Explanation

The Correct Answer is C

A. Metoprolol: Beta-blockers reduce portal hypertension and prevent variceal bleeding.

B. Famotidine: H2 blockers reduce gastric acid and help prevent irritation of varices.

C. Mesalamine: Mesalamine is used for inflammatory bowel disease, not cirrhosis.

D. Balloon tamponade: Balloon tamponade is used in severe variceal bleeding.

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Correct Answer is B

Explanation

A. "This condition is correlated to chronic blood loss.” : Chronic inflammation and ulceration in Crohn’s disease can cause occult GI bleeding, leading to iron-deficiency anemia.

B. "Villi within my intestine are damaged.”: Crohn’s disease affects the entire intestinal wall, but it does not damage villi specifically. Villi damage occurs in celiac disease, not Crohn’s disease.

C. "Poor nutrition is a causative factor.": Malabsorption of iron, vitamin B12, and folate due to inflammation contributes to anemia in Crohn’s disease.

D. "The ferrous sulfate prescribed will replace the lost iron.": Iron supplements (ferrous sulfate) are commonly prescribed for anemia in Crohn’s disease due to chronic blood loss.

A. High fiber, low protein diet B. Prednisone to decrease inflammation C. Nasogastric tube to low intermittent suction D. Increase with meals and snacks

Correct Answer is C

Explanation

A. High fiber, low protein diet: A high-fiber diet is contraindicated during an acute episode of diverticulitis because it can exacerbate inflammation. Instead, a low-residue or clear-liquid diet is recommended.

B. Prednisone to decrease inflammation: While corticosteroids like prednisone are used for inflammatory conditions like IBD, they are not the first-line treatment for diverticulitis. Antibiotics and bowel rest are preferred.

C. Nasogastric tube to low intermittent suction: An NG tube is used to decompress the stomach and relieve bowel obstruction symptoms, such as bloating and cramping. This is appropriate if an obstruction is suspected.

D. Increase with meals and snacks: Increasing food intake is not recommended during an acute episode of diverticulitis. The client is typically placed on bowel rest or a clear liquid diet.

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The nurse is caring for a client with cirrhosis, portal hypertension, and esophageal varices. Which of the following is not a potential intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client with a history of Crohn's Disease and a new diagnosis of anemia. Which of the following statements by the client would require farther teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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