1
A patient is receiving treatment for ulcerative colitis by taking Azathioprine. Which physician’s order would the nurse question if received? Expalin
A. Ambulate the patient twice day
B. Low-fiber and high-protein diet
C. Administer varicella vaccine intramuscularly
D. Administer calcium carbonate by mouth daily
C. Administer varicella vaccine intramuscularly
Signs and symptoms are associated with appendicitis. SELECT-ALL-THAT-APPLY:
A. Increased white blood Cells
B. Patient has the desire to be positioned in the prone position to relieve pain
C. Umbilical pain that extends in the right lower quadrant
D. Abdominal rebound tenderness
E. Abdominal Flaccidity
F. Increased red blood Cells
Increased white blood Cells
Umbilical pain that extends in the right lower quadrant
Abdominal rebound tenderness
What effective precautions should the nurse use to control the transmission of methicillin-resistant Staphylococcus aureus (MRSA)? Explain
Gloves, gown and handwashing before and after patient contact
Contact Precaution
You’re educating a group of outpatients about signs and symptoms of ulcerative colitis. Which of the following are NOT typical signs and symptoms of ulcerative colitis? SELECT-ALL-THAT-APPLY:
A. Rectal Bleeding
B. Abdominal mass
C. Bloody diarrhea
D. Fistulae
E. Extremely Hungry
F. Anemia
Abdominal mass
Fistulae
Extreme Hungry
Pain location for IBD (Crohn's Disease and Ulcerative Colitis). Explain
Crohn's RLQ
UC Left side of the abdomen
Give Nursing education for SLE
avoid sun exposure
monitor blood, renal and neuro functions
Avoid crowded areas and sick people
Give 5 nursing interventions for patient with MS and Nursing intervention for patient receiving beta interferon. Elaborate your answer
activity and rest
Avoud heat
Clutter free
safety
Avoid sick people
The following are results of diagnostic and imaging studies in a patient with peritonitis except: Explain
A. Elevated WBC.
B. Air and fluid levels on abdominal xray.
C. Leukopenia.
D. Intra-abdominal abscess on MRI.
C. Leukopenia.
Infection= elevated WBC
You’re providing diet teaching to a patient with ulcerative colitis about what types of foods to avoid during a “flare-up”. Which foods below given by the patient should he avoid? SELECT-ALL-THAT-APPLY: Explain
A. Ice cream
B. White Rice
C. Fresh apples and pears
D. Popcorn
E. Cooked carrots
Ice cream
Fresh apples and pears
Popcorn
Type of pain for patients with cholecystitis
Epigastric pain that radiates to the scapula 2 to 4 hours after eating fatty foods and may persist for 4 to 6 hours
A female client is brought to the emergency unit. The client is complaining of abdominal cramps. On assessment, client is experiencing anorexia and weight is reduced. The physician’s diagnosis is colitis. Which of the following symptoms of fluid and electrolyte imbalance should the nurse report immediately?
Psoriasis is not currently curable, give 3 treatments and explain:
Phototherapy
Oral or Injected corticosteroids
Fish oil and aloe vera extract
laser therapy
Give 3 physical assessments for appendicitis and explain.
Rovsing sign
rebound tenderness
obturator sign
psoas sign
A patient is scheduled for appendectomy at noon. While performing your morning assessment, you note that the patient has a fever of 103.8 ‘F and rates abdominal pain 9 on 1-10. In addition, the abdomen is distended and the patient states, “I was feeling better last night but it seems the pain has become worst.” The patient is having tachycardia and tachypnea. Based on the scenario, what complication do you suspect the patient is experiencing? Explain.
Peritonitis
Peritonitis may occur in ruptured appendix and may cause serious problems which is/are: explain
all
Patient Kate has just recovered from cholecystitis, is being discharged home. As a nurse discharging the patient which among in the meal options given by the patient are best for this patient? Explain
a. Broccoli and cheese casserole with gravy and mashed potatoes
b. Broiled chicken with steamed carrots and rice
c. Cheeseburger with fries
d. Boiled potato and roasted chicken in mayo dip
Low fat diet
Which medications are used in the treatment of Crohn’s Disease and ulcerative colitis? SELECT-ALL-THAT-APPLY: Explain
A. Guanylate Cyclase-C agonists
B. Anticholinergics
C. 5-Aminosalicylates
D. Antacids
E. Corticosteroids
F. Immune suppressors
5-Aminosalicylates
Corticosteroids
Immune suppressors
Name 2 common causes of pancreatitis and explain
Alcohol abuse = acinar cell injury
Duct onstruction = Impaired blood flow = ischemia
Acinar cell injury activate powerful enzyme = vasodilation, increased vascular permeability, necrosis, erosion, and hemorrhage = backup flow of enzymes =autodigestion
After sugery (exploratory laparotomy) of the patient, the patient’s abdomen becomes distended and no bowel sounds appreciated, what would be the most suspected complication? Expain
Which statement by the patient requires immediate nursing intervention? Explain.
A. “The pain hurts so much it is making me nauseous.”
B. “I have no appetite.”
C. “The pain seems to be gone now.”
D. “If I position myself on my right side, it makes the pain less intense.”
“The pain seems to be gone now.”
Ruptured AP