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A patient with osteoporosis is going home, where the patient lives alone. What action by the nurse is best?

Arrange a home safety evaluation

Malabsorbtion characteristics

Foul smelling diarrhea containing fat

which drug blocks proteins and the inflammatory process for Crohn's (immunesuppressor)

Infliximab. (drugs ending in -mab)

A patient is undergoing diagnostic testing for a tumor of the small intestine. What are the most likely symptoms that prompted the patient to first seek care?

Intermittent pain and bloody stool

A nurse assesses a patient who has cholecystitis. Which clinical manifestation indicates that the condition is chronic rather than acute?

Light-colored stools

A nurse plans care for a patient with acute pancreatitis. Which intervention would the nurse include in this patient's plan of care to reduce discomfort?

Maintain nothing by mouth (NPO) and administer intravenous fluids.

Pancreatic surgery risks

Malabsorption & hyperglycemia

Spot where pain is located in appendix?

McBurney some point

The nurse caring for patients with gastrointestinal disorders would understand that which category best describes the mechanism of action of sucralfate (Carafate)?

Mucosal barrier fortifier

The nurse is caring for a patient with peptic ulcer disease who reports sudden onset of sharp abdominal pain. On palpation, the patient's abdomen is tense and rigid. What action takes priority?

Notify the health care provider immediately.

If someone has a perforated peptic ulcer what complication will most likelyhappen?

Peritonitis

A client's blood work reveals a platelet level of 17,000/mm3. When inspecting the client's integumentary system, what finding would be most consistent with this platelet level?

Petechiae

A nurse cares for a patient who has cirrhosis of the liver. What action would the nurse take to decrease the presence of ascites?

Provide a low-sodium diet

A client has just been diagnosed with acute gastritis after presenting in distress to the emergency department with abdominal symptoms. Which of the following actions should the nurse prioritize?

Providing the client with physical and emotional support

If pain suddenly stops and someone with appendicitis what does it mean?

Ruptured appendix

A nurse plans care for a patient who is prescribed skeletal traction. Which intervention would the nurse include in this plan of care to decrease the patient's risk for infection?

Schedule for pin care to be provided every shift.

The nurse is assessing four patients with musculoskeletal disorders. The nurse would assess the patient with which laboratory result first?

Serum phosphorus: 2 mg/dL (0.65 mmol/L)

A nurse reviews the chart of a patient who has Crohn's disease and a draining fistula. Which documentation would alert the nurse to urgently contact the provider for additional prescriptions?

Serum potassium of 2.6 mEq/L (2.6 mmol/L)

A nurse assesses a patient who has appendicitis. Which clinical manifestation would the nurse expect to find?

Severe, steady right lower quadrant pain

Where are most diverticula located?

Sigmoid colon

A nurse is completing a health history on a patient whose diagnosis is chronic gastritis. Which of the data should the nurse consider most significantly related to the etiology of the patient's health problem?

Smokes one pack of cigarettes daily.

A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is now stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

Tachycardia, hypotension, and tachypnea

Crohns disease (RLQ)

Terminal ilium mouth ~anus deep into tissue

A nurse cares for a patient who has obstructive jaundice. The patient asks, "Why is my skin so itchy?" How would the nurse respond?

"Bile salts accumulate in the skin and cause the itching."

A nurse cares for a patient who is prescribed lactulose (Heptalac). The patient states, "I do not want to take this medication because it causes diarrhea." How would the nurse respond?

"Diarrhea is expected; that's how your body gets rid of ammonia."

A nurse is caring for a patient who is recovering from an above-the-knee amputation. The patient reports pain in the limb that was removed. How would the nurse respond?

"How would you describe the pain that you are feeling?"

After teaching a patient who has been diagnosed with hepatitis A, the nurse assesses the patient's understanding. Which statement by the patient indicates a correct understanding of the teaching?

"I may have been exposed when we ate shrimp last weekend."

A nurse obtains a patient's health history at a community health clinic. Which statement alerts the nurse to provide health teaching to this patient?

"I take a lot of Tylenol for my arthritis pain."

After teaching a patient who has diverticulitis, a nurse assesses the patient's understanding. Which statement made by the patient indicates a need for additional teaching?

"I will take a laxative nightly at bedtime to avoid becoming constipated."

A nurse is giving a preoperative patient a dose of ranitidine (Zantac). The patient asks why the nurse is giving this drug when the patient has no history of ulcers. What response by the nurse is best?

"It helps prevent ulcers from the stress of the surgery."

A nurse cares for a patient with ulcerative colitis. The patient states, "I feel like I am tied to the toilet. This disease is controlling my life." How would the nurse respond?

"Let's discuss potential factors that increase your symptoms."

A nurse cares for a patient placed in skeletal traction. The patient asks, "What is the primary purpose of this type of traction?" How would the nurse respond?

"Skeletal traction will assist in realigning your fractured bone."

After teaching a patient who is prescribed pancreatic enzyme replacement therapy, the nurse assesses the patient's understanding. Which statement made by the patient indicates a need for additional teaching?

"The best time to take the enzymes is immediately after I have a meal or a snack."

A nurse cares for a patient with hepatitis C. The patient's brother states, "I do not want to contract this infection, so I will not go into his hospital room." How would the nurse respond?

"Viral hepatitis is not spread through casual contact."

A nurse assesses patients at a community health fair. Which patient is at greatest risk for the development of hepatitis B?

A 20-year-old college student who has had several sexual partners

A trauma nurse cares for several patients with fractures. Which patient would the nurse identify as at highest risk for developing deep vein thrombosis?

A 74-year-old man who smokes and has a fractured pelvis

ulcerative colitis characteristics (LLQ)

Colon and mucosa Watery mucus, bloody stools diarrhea (10x more times)

The nurse is caring for a client whose medical history includes chronic fatigue and poorly controlled back pain. These medical diagnoses should alert the nurse to the possibility of what consequent health problem?

Depression

The nurse caring for an older adult client with osteoarthritis is reviewing the client's chart. This client is on a variety of medications prescribed by different care providers in the community. In light of the QSEN competency of safety, what is the nurse most concerned about with this client?

Drug interactions

A morbidly obese patient is admitted to a community hospital that does not typically care for bariatric-sized patients. What action by the nurse is most appropriate?

Ensure adequate staff when moving the patient.

A patient just returned to the surgical unit after a gastric bypass. What action by the nurse is the priority?

Ensure an adequate airway.

A nurse assesses a patient with a fracture who is being treated with skeletal traction. Which assessment would alert the nurse to urgently contact the health provider?

Traction weights are resting on the floor

A nurse develops a plan of care for a patient who has a history of hypocalcemia. What interventions will the nurse include in this patient's care plan? (Select all that apply.)

Use a draw sheet to reposition the patient in bedProvide nonslip footwear for the patient to use when out of bed.

A patient is being taught about drug therapy for Helicobacter pylori infection. What assessment by the nurse is most important?

Willingness to adhere to drug therapy

Complications with obesity?

Wound dehiscence, sleep apnea circulation high risk for blood clots infection with incisions.

Hepatitis E precaution

handwashing

What is a peptic ulcer?

sore that develops on the lining of the esophagus, stomach, or small intestine.Ulcers occur when stomach acid damages the lining of the digestive tract.

Which disorder causes a cobblestone appearance of the colon?

• Crohn's disease• located in the terminal ileum