UC & Crohn's - 20 Question (Thrown out) Quiz

A nurse is performing the physical assessment of a client admitted to the hospital with a diagnosis of cirrhosis. The nurse expects to observe what skin conditions? Select all that apply A: Vitiligo B: Hirsutism C: Melanosis D: Ecchymoses E: Telangiectasis

D: Ecchymoses E: Telangiectasis

A child is diagnosed with hepatitis A. The clients parent expresses concern that the other members of the family may get hepatitis because they all share the same bathroom. What is the nurse's best reply? A: I suggest that you buy a commode exclusively for your child's use B: Your child may use the bathroom, but you need to use disposable toilet covers C: You will need to clean the bathroom from top to bottom every time a family member uses it D: All family members, including your child, need to wash their hands after using the bathroom

D: All family members, including your child, need to wash their hands after using the bathroom

The registered nurse determines that the new graduate understands the type(s) of hepatitis that generally develop into a chronic hepatitis infection if the graduate identifies which disease(s)? Select all that apply A: Hepatitis A B: Hepatitis B C: Hepatitis C D: Hepatitis D E: Hepatitis E

B: Hepatitis B C: Hepatitis C D: Hepatitis D

A client with jaundice associated with Hepatitis expresses concern over the change in skin color. What does the nurse explain is the cause of this color change? A: Stimulation of the liver to produce an excess quantity of bile pigments B: Inability of the liver to remove normal amounts of bilirubin from the blood C: Increased destruction fo red blood cells during the acute phase of the disease D: Decreased prothrombin levels leading to multiple sites of intradermal bleeding

B: Inability of the liver to remove normal amounts of bilirubin from the blood

The nurse is providing care to a client with ascites secondary to liver failure. What is appropriate in this client's care? Select all that apply A: High protein diet B: Low sodium diet C: Daily abdominal girth measurements D: Encourage increased by mouth fluid intake E: Daily weights

B: Low sodium diet C: Daily abdominal girth measurements E: Daily weights

A client is admitted to the hospital with a diagnosis of Crohn's disease. What is most important for the nurse to include in the teaching plan for this client? A: Controlling Constipation B: Meeting nutritional needs C: preventing increased weakness D: Anticipating a sexual alteration

B: Meeting nutritional needs

A nurse is teaching a client about prophylactic measures that minimize the risk of contracting Hepatitis B. Which actions should be included in this teaching plan? Select all that apply A: Preventing constipation B: Screening of blood donors C: Avoiding shellfish in the diet D: Limiting hepatotoxic drug therapy E: Maintaining a monogamous sexual relationship

B: Screening of blood donors E: Maintaining a monogamous sexual relationship

A nurse is assessing two clients. One client has ulcerative colitis and the other client has Crohn's disease. Which is more likely to be identified in the client with ulcerative colitis that in the client with Crohn's disease? A: Inclusion of transmural involvement of the small bowel wall B: Higher occurrence of fistulas and abscesses from changes in the bowel wall C: Pathology beginning proximally with intermittent plaques found along the colon D: Involvement starting distally with rectal bleeding that spreads continuously up the colon

D: Involvement starting distally with rectal bleeding that spreads continuously up the colon

A client with hepatitis B asks the nurse "Are there any medications to help me get rid of this problem?" Which is the best response by the nurse? A: Sedatives can be given to help you relax B: We can give you immune serum globulin C: Vitamin supplements are frequently helpful and hasten recovery D: There are medications to help reduce viral load and liver inflammation

D: There are medications to help reduce viral load and liver inflammation

A client is about to have a blood transfusion and asks the nurse which type of hepatitis is most frequently transmitted through food. Which type of hepatitis should the nurse teach the client about being most associated with food? A: Hepatitis A B: Hepatitis B C: Hepatitis C D: Hepatitis D

A: Hepatitis A

A client with Crohn's disease is admitted to the hospital with abdominal pain, fever, poor skin turgor and diarrhea, with 10 stools in the past 24 hours. Which signs are evidence that the client most likely is dehydrated? Select all that apply A: Moist skin B: sunken eyes C: Decreased apical pulse D: Dry mucous membranes E: Increased blood pressure

B: Sunken eyes D: Dry mucous membranes

A nurse is reviewing discharge plans with a client who is hospitalized with Hepatitis A. The nurse concludes that the client understands preventative measures to reduce the risk of spreading the disease when the client makes what statement? A: I should wash my hands frequently B: I should launder my clothes separately C: I should put used tissues in the garbage D: I should wear a mask when leaving the house

A: I should wash my hands frequently

A client is admitted to the hospital with a diagnosis of cirrhosis of the liver. For which assessment signs of hepatic encephalopathy should the nurse assess this client? Select all that apply A: Mental confusion B: Increased cholesterol C: Brown-colored stools D: Flapping hand tremors E: Musty, sweet breath odor

A: Mental confusion D: Flapping hand tremors E: Musty, sweet breath odor

A client is diagnosed with Crohn's disease, and parenteral vitamins are prescribed. The client asks why the vitamins have to be given intravenously (IV) rather than by mouth. What rationales for this rout should the nurse include in a response to this question? Select all that apply A: More rapid action results B: They decrease colon irritability C: Oral vitamins are less effective D: Intestinal absorption may be inadequate E: Allergic responses are less likely to occur

A: More rapid action results C: Oral vitamins are less effective D: Intestinal absorption may be inadequate

A client with the diagnosis of Crohn's disease tells the nurse that her boyfriend dates other women. She believes that his behavior causes an increase in her symptoms. What should the nurse do first when counseling this client? A: Help the client explore attitudes about herself B: Educate the clients boyfriend about her illness C: suggest the client should not see her boyfriend for awhile D: Schedule the client and her boyfriend for a counseling session

A: help the client explore attitudes about herself

A nurse is providing discharge instructions to a client diagnosed with cirrhosis and varices. Which information should the nurse include in the teaching session? Select all that apply A: Adhering to a low-carbohydrate diet B: Avoiding aspirin and aspirin-containing products C: Limiting alcohol consumption to two drinks weekly D: Avoiding acetaminophen and products containing acetaminophen E: Avoiding coughing, sneezing, and straining to have a bowel movement.

B: Avoiding aspirin and aspirin-containing products D: Avoiding acetaminophen and products containing acetaminophen E: Avoiding coughing, sneezing, and straining to have a bowel movement.

The primary health care provider prescribes contact precautions for a client with Hepatitis A. What nursing interventions are required for contact precautions? A: Private room with the door closed B: Gown, mask, and gloves for all persons entering the room C: Gown and gloves when handling articles contaminated by urine or feces D: Gowns and gloves only when handling the client's soiled linen, dishes, or utensils

C: Gown and gloves when handling articles contaminated by urine or feces

A nurse is evaluating a client who has been receiving medical intervention for the diagnosis of Crohn's disease. Which expected outcome is most important for this client? A: Does skin care B: Takes oral fluids C: Experiences less abdominal cramping D: Gains a half pound (0.2 kilograms) per week

D: Gains a half pound (0.2 kilograms) per week

What intervention should be included in the nursing plan of care to help a 10-year old girl live with Crohn's disease? A: Recommending several rest periods throughout the day B: emphasizing that high-residue foods be included in the diet C: Assuring her that when she reaches puberty she may discontinue her medication D: Encouraging her to express feelings while focusing on the ways she is like her friends

D: Encouraging her to express feelings while focusing on the ways she is like her friends

A nurse is eliciting a health history form a client with ulcerative colitis. Which factor does the nurse consider to be most likely associated with the clients colitis? A: Food allergy B: Infection agent C: Dietary components D: Genetic predisposition

D: Genetic predisposition