Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

To provide essential nutrients while allowing the bowel to rest and heal.

To reduce inflammation and control symptoms of IBD.

To stimulate the bowel and promote regular bowel movements.

To prevent malnutrition and promote weight gain.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Total parenteral nutrition (TPN) provides essential nutrients intravenously, allowing the bowel to rest and heal, which is important in the management of inflammatory bowel disease (IBD).

Choice B rationale

While reducing inflammation and controlling symptoms are important goals in IBD management, TPN is primarily used to provide nutrition and allow the bowel to rest.

Choice C rationale

Stimulating the bowel is not the purpose of TPN. TPN is used to give the digestive tract a break while ensuring the patient receives necessary nutrients.

Choice D rationale

Preventing malnutrition and promoting weight gain are secondary benefits of TPN, but the primary rationale is to provide nutrients while allowing the bowel to rest and heal.

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Correct Answer is A

Explanation

Choice A rationale

A decreased white blood cell count indicates the body's response to infection is improving, showing the effectiveness of the antibiotics.

Choice B rationale

Increased chest pain and shortness of breath would suggest worsening of the condition, not improvement.

Choice C rationale

Adventitious breath sounds and increased cough are signs that pneumonia may be persisting or worsening.

Choice D rationale

Improved appetite and weight gain are positive signs but are not direct indicators of the effectiveness of antibiotic treatment.

A. Nasal congestion. B. Dysuria. C. Shortness of breath. D. Joint pain.

Correct Answer is B

Explanation

Choice A rationale

Nasal congestion is not a symptom associated with acute cystitis. Acute cystitis primarily affects the urinary system.

Choice B rationale

Dysuria, which means painful or difficult urination, is a common symptom of acute cystitis, as it involves inflammation of the bladder and urethra.

Choice C rationale

Shortness of breath is not a typical symptom of acute cystitis. Acute cystitis symptoms are localized to the urinary tract.

Choice D rationale

Joint pain is not associated with acute cystitis. The symptoms of acute cystitis are related to the urinary system.

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Which of the following is a rationale for prescribing total parenteral nutrition (TPN) for a patient with inflammatory bowel disease (IBD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with right lower-lobe pneumonia has been treated with intravenous antibiotics for 3 days.Which assessment data obtained by the nurse indicates that the treatment is effective?

Correct Answer is A

Explanation

A 24-year-old female client comes to the ambulatory care center in moderate distress with a probable diagnosis of acute cystitis.Which symptom should the nurse expect the client to report during the assessment?

Correct Answer is B

Explanation

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