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Upon physical examination, the nurse detects abdominal tenderness, increased bowel sounds accompanied by signs of borborygmi, abdominal distension, and tympany on percussion. Which diagnostic test will confirm Crohn's disease in the client?

an exam used to detect and help your doctor view the inside of your body without having to make an incision or invasion. This can help them diagnose, monitor, and treat many medical conditions

an exam used to detect and help your doctor look for a range of disorders and conditions, screen for diseases and adjust treatments, measures and counts your blood cells.

an exam used to detect and help your doctor view changes or abnormalities in the large intestine and rectum.

an exam used to detect and help your doctor view for things cannot be seen with the naked eye, including red blood cells, white blood cells (or pus cells), bacteria (germs), or crystals.

Answer and Explanation

The Correct Answer is C

Choice A rationale: This is a general description of an imaging test, such as an X-ray, ultrasound, or MRI, which can show the structure of the organs but not the mucosal lining.

Choice B rationale: This is a general description of a blood test, which can show signs of infection, inflammation, or anemia, but not the cause of these problems.

Choice C rationale: This exam is called a colonoscopy, which involves inserting a flexible tube with a camera and light into the anus and advancing it through the colon. A colonoscopy can reveal signs of inflammation, ulcers, bleeding, or narrowing of the intestinal wall that are characteristic of Crohn's disease. A biopsy can also be taken during the procedure to confirm the diagnosis.

Choice D rationale: This is a general description of a urine test, which can show signs of kidney problems, urinary tract infections, or dehydration, but not Crohn's disease.

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Correct Answer is B

Explanation

Choice A rationale: This does not match the peak time of NPH insulin.
Choice B rationale: This does not match the peak time of NPH insulin.
Choice C rationale: This does not match the peak time of NPH insulin.
Choice D rationale: This is because NPH insulin is an intermediate-acting insulin that has an onset of action of 1 to 2 hours, a peak of 6 to 12 hours, and a duration of 18 to 24 hours. Therefore, if Albert is given NPH insulin at 0730, the peak effect will occur between 1330 and 1930, which means that his blood glucose level will be lowest during this time.

A. the patient must receive insulin therapy to prevent ketoacidosis B. the patient has islet cell antibodies that have destroyed the pancreas's ability to produce insulin C. the patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome D. the patient has minimal or absent endogenous insulin secretion and requires daily insulin injections

Correct Answer is C

Explanation

Choice A rationale: The patient with type 2 diabetes admitted with pneumonia might not necessarily need insulin therapy to prevent ketoacidosis.

Choice B rationale: Type 2 diabetes doesn't typically involve islet cell antibodies destroying the pancreas's ability to produce insulin.

Choice C rationale: In this scenario, the patient might have enough endogenous insulin to prevent ketosis but could be at risk for hyperosmolar hyperglycemic syndrome due to illness-induced stress.

Choice D rationale: Type 2 diabetes often involves some degree of endogenous insulin secretion, and not all patients require daily insulin injections.

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Upon physical examination, the nurse detects abdominal tenderness, increased bowel sounds accompanied by signs of borborygmi, abdominal distension, and tympany on percussion. Which diagnostic test will confirm Crohn's disease in the client?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia?

Correct Answer is C

Explanation

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