While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:

the onset of the disease at age 19.

intermittent abdominal pain and cramping.

weight loss.

bloody diarrhea 15-20 times per day.

Answer and Explanation

The Correct Answer is D

D. Bloody diarrhea is a hallmark symptom of ulcerative colitis, particularly during disease flares. It typically presents as frequent and urgent bowel movements containing blood, mucus, and pus. Crohn's disease, on the other hand, may present with bloody diarrhea but usually involves less frequent bowel movements.
A. Both ulcerative colitis and Crohn's disease can manifest at various ages, including during adolescence and early adulthood.
B. Abdominal pain and cramping are common symptoms of both ulcerative colitis and Crohn's disease.
C. Weight loss can occur in both ulcerative colitis and Crohn's disease due to factors such as decreased appetite, malabsorption, and inflammation of the gastrointestinal tract.

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Correct Answer is D

Explanation

NPH insulin typically peaks in its action approximately 4 to 8 hours after administration. Given that the client received the insulin at 0730, the peak time for signs of hypoglycemia would likely occur between 1100 and 1500.

A. Urine output 50 mL per hour B. Heart rate 60 beats/minute C. Heart rhythm regular D. Blood pressure 120/90

Correct Answer is B

Explanation

A. While it may have some impact on kidney function indirectly through its effects on blood pressure and heart function, urine output is not the primary parameter used to assess the effectiveness of carvedilol in a patient with a history of unstable angina.
B. Carvedilol, as a beta-blocker, helps reduce heart rate by blocking the effects of adrenaline on the heart. In unstable angina, lowering the heart rate can reduce myocardial oxygen demand, which is beneficial in managing ischemic symptoms
C. Carvedilol primarily affects heart rate and blood pressure but doesn't directly regulate heart rhythm. However, in patients with certain cardiac conditions, like heart failure or left ventricular dysfunction after a heart attack, carvedilol can sometimes help to stabilize heart rhythm indirectly by reducing stress on the heart.
D. Carvedilol is also effective in reducing blood pressure, which is beneficial in patients with unstable angina, as it decreases the workload on the heart and the oxygen demand of the myocardium. A blood pressure reading of 120/90 is within the normal range for an adult and indicates good control of blood pressure.

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While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives 20 units of NPH Insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

Correct Answer is D

Explanation

The nurse is evaluating the medical prescription of carvedilol 6.25 mg PO daily for a client with a history of unstable angina. Which of the following reflects that the medication's action has been effective?

Correct Answer is B

Explanation

The nurse teaches a client newly diagnosed with a peptic ulcer about the prescribed medications famotidine and bismuth subsalicylate. Which statement made by the client indicates that the teaching was effective?

Trimethoprim and sulfamethoxazole BID for 7 days is prescribed for a client who has a UTI caused by E.coli. The nurse instructs the client to:

After successfully losing 0.5 to 1 pound weekly for several months, a client at the clinic has not lost any weight for the last month. The nurse should first:

A client who has a confirmed urinary stone in the proximal left ureter undergoes extracorporeal shock- wave lithotripsy. What Information is most Important for the nurse to collect after lithotripsy?

A client was started on total parenteral nutrition (TPN) ten days ago. The nurse recognizes that the expected effect of TPN is a:

The nurse is caring for a client admitted with an obstruction in the duodenum. Which initial clinical manifestation is associated with this condition?

The nurse evaluates that an overweight client understands the need for a healthy weight loss pattern by Indicating an intention to lose:

The nurse is assessing a client after bariatric surgery. The client complains of chest pain and shortness of breath. What is the priority nursing Intervention at this time?