Therapeutic management for an adolescent with Crohn's Disease includes which treatment?

Dietary restrictions to reduce calorie and fat intake to lose weight

Keep the child in isolation to prevent spread of the infection.

Control the inflammatory process to reduce or eliminate symptoms.

Restrict foods containing gluten to control the symptoms

Answer and Explanation

The Correct Answer is C

Crohn's Disease is an inflammatory bowel disease that can affect any part of the digestive tract. The goal of treatment is to control inflammation, relieve symptoms, and prevent complications. To achieve this, the healthcare provider may prescribe medication such as anti-inflammatory drugs, immunosuppressants, or biologic therapies that target specific inflammatory pathways.

These medications can help reduce inflammation and improve symptoms.

In addition to medication, nutritional therapy may also be recommended to help manage Crohn's Disease. However, dietary restrictions to reduce calorie and fat intake to lose weight or restrict foods containing gluten to control symptoms are not specific treatments for Crohn's Disease.

Keeping the child in isolation to prevent the spread of the infection is not relevant to Crohn's Disease, as it is not contagious.

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Correct Answer is D

Explanation

Pain and coldness in the fingers following AVG placement can indicate impaired blood flow or compromised circulation to the hand. This may be due to complications such as thrombosis (clot formation), graft malfunction, or decreased arterial perfusion. These symptoms should be taken seriously and promptly communicated to the healthcare provider.
The healthcare provider needs to evaluate the patient's symptoms, assess the AVG, and determine the appropriate course of action. Prompt intervention can help prevent further complications and ensure adequate blood flow to the fingers.

A. Proteinuria B. Hypocalcemia C. Hypoalbuminemia D. Positive for Ketones

Correct Answer is A

Explanation

The signs or symptoms the nurse would observe in a 4-year-old client experiencing a recurrence of minimal change nephrotic syndrome (MCNS) include:

MCNS is characterized by increased glomerular permeability, leading to the loss of protein, particularly albumin, in the urine. Proteinuria is a hallmark feature of MCNS and is usually detected through urine testing.
Due to the excessive loss of protein in the urine, particularly albumin, the client with MCNS may have low levels of albumin in the blood. Hypoalbuminemia can result in various complications, such as edema formation and impaired immune function. However this is not a sign or symptom.
Edema is a common symptom of MCNS and typically presents as swelling in the face, around the eyes, and in the extremities. This is a result of the fluid shifts and fluid retention caused by the altered glomerular function and hypoalbuminemia.

Hypocalcemia and ketones in the urine are not typically associated with MCNS. Hypocalcemia can occur in some types of kidney disease, but it is not a characteristic feature of MCNS. Ketones in the urine are more commonly associated with conditions like diabetic ketoacidosis or inadequate carbohydrate intake.

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Therapeutic management for an adolescent with Crohn's Disease includes which treatment?

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Naxlex Comprehensive Predictor Exams

After the insertion of an arteriovenous graft (AVG) in the right forearm, a patient complains of pain and coldness of the right fingers. Which action should the nurse take?

Correct Answer is D

Explanation

The nurse suspects the 4-year-old client is having a recurrence of minimal change nephrotic syndrome (MCNS). Which signs or symptoms would the nurse observe in the client?

Correct Answer is A

Explanation

What is the priority action the nurse will take for a 4-year old client admitted with minimal change nephrotic syndrome (MCNS) who has hypertension and facial edema?

As a nurse caring for a school-age child, the nurse may anticipate which primary stressor/fear?

The nurse provides education to a female patient diagnosed with iron deficiency anemia. Which patient statements indicate a correct understanding of iron deficiency? SELECT ALL THAT APPLY

The nurse will plan to teach a patient who has pernicious anemia about the need for:

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The nurse is preparing to witness the patient signing the operative consent form when the patient says, "I don't understand what the doctor said about the surgery." Which action should the nurse take next?

An older patient who had knee replacement surgery 2 days ago can only tolerate being out of bed with physical therapy once a day. Which problem should the nurse identify as a priority for this patient?

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