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IGGY GI CHAPTER 56,57 EXAM QUESTIONS AND ANSWERS
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IGGY GI CHAPTER 56,57 EXAM QUESTIONS AND ANSWERS...
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IGGY GI CHAPTER 56,57 EXAM QUESTIONSAND ANSWERS
A nurse assesses a client who is hospitalized with an exacerbation of
Crohn's disease. Which clinical manifestation should the nurse expect to
find?
a. Positive Murphy's sign with rebound tenderness to palpitation
b. Dull, hypoactive bowel sounds in the lower abdominal quadrants
c. High-pitched, rushing bowel sounds in the right lower quadrant
d. Reports of abdominal cramping that is worse at night - ANSWER
ANS: C
The nurse expects high-pitched, rushing bowel sounds due to
the narrowing of the bowel lumen in Crohn's disease. A positive
Murphy's sign is indicative of gallbladder disease, and rebound
tenderness often indicates peritonitis. Dullness in the lower abdominal
quadrants and hypoactive bowel sounds are not commonly found with
Crohn's disease. Nightly worsening of abdominal cramping is not
consistent with Crohn's disease.
DIF: Applying/Application REF: 1182
KEY: Crohn's disease| assessment/diagnostic examination
MSC: Integrated Process: Nursing Process: Analysis
NOT: Client Needs Category: Physiological Integrity: Physiological
Adaptation
After teaching a client who is prescribed adalimumab (Humira) for
severe ulcerative colitis, the nurse assesses the client's understanding.
Which statement made by the client indicates a need for additional
teaching?
a. "I will avoid large crowds and people who are sick."
b. "I will take this medication with my breakfast each morning."
c. "Nausea and vomiting are common side effects of this drug."
d. "I must wash my hands after I play with my dog." - ANSWER ANS: B
Adalimumab (Humira) is an immune modulator that must be given via
subcutaneous injection. It does not need to be given with food or milk.
Nausea and vomiting are two common side effects. Adalimumab can
, cause immune suppression, so clients receiving the medication should
avoid large crowds and people who are sick, and should practice good
handwashing.
DIF: Applying/Application REF: 1183
KEY: Ulcerative colitis| medication safety
MSC: Integrated Process: Nursing Process: Evaluation
NOT: Client Needs Category: Physiological Integrity: Pharmacological
and Parenteral Therapies
A nurse cares for a client who is prescribed mesalamine (Asacol) for
ulcerative colitis. The client states, "I am having trouble swallowing this
pill." Which action should the nurse take?
a. Contact the clinical pharmacist and request the medication in
suspension form.
b. Empty the contents of the capsule into applesauce or pudding for
administration.
c. Ask the health care provider to prescribe the medication as an enema
instead.
d. Crush the pill carefully and administer it in applesauce or pudding. -
ANSWER ANS: C
Asacol is the oral formula for mesalamine and is produced as an
enteric-coated pill that should not be crushed, chewed, or broken.
Asacol is not available as a suspension or elixir. If the client is unable to
swallow the Asacol pill, a mesalamine enema (Rowasa) may be
administered instead, with a provider's order.
DIF: Applying/Application REF: 1176
KEY: Ulcerative colitis| medication safety
MSC: Integrated Process: Nursing Process: Implementation
NOT: Client Needs Category: Physiological Integrity: Pharmacological
and Parenteral Therapies
A nurse assesses a client who has ulcerative colitis and severe diarrhea.
Which assessment should the nurse complete first?
a. Inspection of oral mucosa
b. Recent dietary intake
c. Heart rate and rhythm
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