The nurse is caring for a patient with multiple sclerosis (MS) who is experiencing changes to their bowel function. What intervention will the nurse implement for this patient?

Implement a fluid restriction of 1500 mL in 24 hours

Provide a bland, low-residue diet

Establish a bowel routine with daily stool softeners

Consult surgeon to discuss colostomy creation

Answer and Explanation

The Correct Answer is C

Choice A reason: Implementing a fluid restriction could worsen constipation and bowel function in patients with multiple sclerosis.

Choice B reason: Providing a bland, low-residue diet is less effective in managing bowel function compared to establishing a regular bowel routine.

Choice C reason: Establishing a bowel routine with daily stool softeners helps maintain regular bowel movements and prevents constipation, which is important for patients with multiple sclerosis.

Choice D reason: Consulting a surgeon for colostomy creation is a more invasive intervention that is not the first line of treatment for changes in bowel function in multiple sclerosis patients.

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

Explanation

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.

A. Bronchoconstriction B. Pulmonary edema C. Hemoptysis D. Pneumothorax

Correct Answer is A

Explanation

Choice A reason: Wheezing is a typical sound heard during bronchoconstriction, which occurs in conditions like asthma and COPD. It indicates that the airways are narrowed, causing the characteristic sound.

Choice B reason: Pulmonary edema typically presents with crackles or rales rather than wheezing. Wheezing would not be the primary indication of this condition.

Choice C reason: Hemoptysis refers to coughing up blood and does not typically present with wheezing. It might present with other sounds if there is an underlying lung issue, but wheezing is not specific to it.

Choice D reason: Pneumothorax generally presents with decreased or absent breath sounds on one side, not wheezing. It occurs when air enters the pleural space, causing lung collapse.

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The nurse is caring for a patient with multiple sclerosis (MS) who is experiencing changes to their bowel function. What intervention will the nurse implement for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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)

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

Explanation

The nurse is assessing a patient with chronic obstructive pulmonary disease (COPD) who is reporting dyspnea. The nurse auscultates the patient's chest and hears wheezing throughout the lung fields. What does this finding indicate to the nurse about this patient?

Correct Answer is A

Explanation

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