ATI ch52

A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching? A. Decrease intake of calorie‐dense foods. B. Drink canned protein supplements. C. Increase intake of high fiber foods. D. Take a bulk‐forming laxative daily.

A. A high‐protein diet is recommended for the client who has Crohn's disease. B. CORRECT: A high‐protein diet is recommended for the client who has Crohn's disease. Canned protein supplements are encouraged. C. A low‐fiber diet is recommended for the client who has Crohn's disease to reduce inflammation. D. Bulk‐forming laxatives are recommended for the client who has diverticulitis.

A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching? A. "I will plan to limit fiber in my diet." B. "I will restrict fluid intake during meals." C."I will switch to black tea instead of drinking coffee." D."I will try to eat three moderate to large meals a day."

A. CORRECT: A low‐fiber diet is recommended for the client who has ulcerative colitis to reduce inflammation. B. A client who has dumping syndrome should avoid fluids with meals. C. Caffeine can increase diarrhea and cramping. The client should avoid caffeinated beverages, such as black tea. D. Small, frequent meals are recommended for the client who has ulcerative colitis.

A nurse is reviewing the serum laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following laboratory tests should the nurse expect to be elevated? (Select all that apply.) A. Hematocrit B. Erythrocyte sedimentation rate C. WBC D. Folic acid E. Albumin

A. Hematocrit is decreased as a result of chronic blood loss. B. CORRECT: Increased erythrocyte sedimentation rate is a finding in a client who has Crohn's disease as a result of inflammation. C. CORRECT: Increased WBC is a finding in a client who has Crohn's disease. D. A decrease in folic acid level is indicative of malabsorption due to Crohn's disease. E. A decrease in serum albumin is indicative of malabsorption due to Crohn's disease.

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching? A. "Take the medication 2 hr after eating." B. "Discontinue this medication if your skin turns yellow‐orange." C."Notify the provider if you experience a sore throat." D."Expect your stools to turn black."

A. Sulfasalazine should be taken right after meals and with a full glass of water to reduce gastric upset and prevent crystalluria. B. yellow‐orange coloring of the skin and urine is a harmless effect of sulfasalazine. C. CORRECT: Sulfasalazine can cause blood dyscrasias. The client should monitor and report any manifestations of infection, such as a sore throat. D. Sulfasalazine can cause thrombocytopenia and bleeding. Black stools are a manifestation of gastrointestinal bleeding, and the client should report this to the provider.

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority? A. Client reports difficulty sleeping. B. The client's urine is positive for glucose. C. Client reports having an elevated body temperature. D. Client reports gaining 4 lb in the last 6 months.

A. The client is at risk for sleep deprivation because prednisone can cause anxiety and insomnia. However, another finding is the priority. B. The client is at risk for hyperglycemia because prednisone can cause glucose intolerance. However, another finding is the priority. C. CORRECT: The greatest risk to the client is infection because prednisone can cause immunosuppression. Therefore, the nurse should identify indications of an infection, such as an elevated body temperature, as the priority finding. D. The client is at risk for weight gain because prednisone can cause fluid retention. However, another finding is the priority.