Iclickers Flashcards
\_\_\_\_\_ is an inflammatory bowel disease known for its cobblestone appearance. A. Ulcerative Colitis B. Irritable Bowel Syndrome C. Crohns D. Inflammatory Bowel Disease
C Crohns
- ___ Aminosalicylates A. Fast-acting anti-inflammatory drugs
used to treat flare-up; intended for
short term use. - ___ Antibiotics B. Newest IBD drugs; target proteins that play a role
in inflammation; intended for long term use; can help
maintain remission. - ___ Corticosteroids C. May reduce intestinal bacteria; can be
effective in long-term use, particularly with Crohn’s
disease; may help maintain remission. - ___ Immunomodulators D. Contains the compound 5-aminosalicylic acid (5-
ASA) which helps control inflammation; may help
maintain remission - ___ Biologic therapies E. Weaken the activity of the immune system to
reduce inflammation; may help patients maintain
remission and get off corticosteroids.
1) D
2) c
3) A
4) E
5) B
7
The nurse is teaching a patient with a new
diagnosis of Crohn’s disease about prednisone.
Which of the following patient statements
indicates teaching was effective?
A. “This medication decreases movement of the
gastrointestinal tract.”
B. “This medication decreases inflammation of
the gastrointestinal tract.“
C. “This medication may reduce intestinal
bacteria.“
D. “This medication reduces proteins that are
part of the inflammation process.”
B “This medication decreases inflammation of
the gastrointestinal tract.“
You identify that your patient with a new
diagnosis of inflammatory bowel disease needs
further instruction about the action of one of her
medications when the patient says:
A. Mesalamine (Pentasa) decreases GI
inflammation.
B. Metronidazole (Flagyl) can prevent secondary
infections.
C. Corticosteroids decrease inflammation.
D. Loperamide (Imodium) increases
gastrointestinal motility.
D. Loperamide (Imodium) increases
gastrointestinal motility.
A patient who is quite thin reports that she has lost 12
pounds since exacerbation of her Crohn’s disease. The
physician orders hyperalimentation (TPN),
sulfasalazine, strict NPO status and IV corticosteroids.
The nurse recognizes that the NPO order is important
to:
A. prevent nausea and vomiting.
B. decrease abdominal distention.
C. promote bowel rest and healing.
D. allow for diagnostic tests to be completed.
C. promote bowel rest and healing.
\_\_\_\_\_ is an inflammatory bowel disease with bloody diarrhea as a classic symptom A. Crohns B. Inflammatory Bowel Disease C. Irritable Bowel Syndrome D. Ulcerative Colitis
D. Ulcerative Colitis
The nurse is teaching a patient with a new
diagnosis of ulcerative colitis about
sulfasalazine. Which of the following patient
statements indicates teaching was effective?
A. “The medication will prevent infections that
cause diarrhea.“
B. “The medication helps suppress the
inflammation in my large intestine.“
C. “The medication reduces proteins that are part
of the inflammation process.“
D. “I will need lab tests done to be sure that I can
still fight infections.”
B. “The medication helps suppress the
inflammation in my large intestine.“
A patient has a newly formed ileostomy. Which
instruction is appropriate concerning the care of
an ileostomy?
A. Restrict fluid intake to prevent constant liquid
drainage from the stoma.
B. Change the wafer every day to prevent
leakage of contents onto the skin.
C. Avoid foods that cause gas, diarrhea or
obstruction.
D. Irrigations should be done daily or every
other day to avoid having to wear a
drainage appliance.
C. Avoid foods that cause gas, diarrhea or
obstruction.
A patient has just returned from the operating
room following the creation of a colostomy. The
nurse assesses the drainage in the pouch attached
to the colostomy and notes sero-sanguinous
drainage. Which action is most appropriate based
on this assessment?
A. Notify the physician.
B. Document the amount and characteristics of
the drainage.
C. Apply ice to the stoma site.
D. Apply pressure to the stoma site.
B. Document the amount and characteristics of
the drainage.
What question can the nurse ask to determine if the patient is experiencing stable or unstable angina? A. “Where is your pain located?” B. “Can you rate your pain on a scale of 1-10?” C. “What were you doing when the pain started?” D. “Do you also feel short of breath?”
C. “What were you doing when the
pain started?”
When the ER nurse gave Lasix to Mr. Fullheart, which of the following was she trying to reduce? A.Heart rate B.Preload C.Contractility D.Blood pressure
B.Preload
According to Frank Starling’s law, when preload is increased, what is the initial response of the heart? A. Blood pressure decreased B. Contractility decreased C. Heart rate increased D. Contractility increased
D. Contractility increased
Your patient with heart failure asks you why
she is so short of breath. Which of the
following is the best response?
A. Because your heart is not squeezing as
effectively, fluid often backs up in the little
pockets of your lungs making it harder to get
the oxygen you need.
B. Your blood pressure is very high and this
makes you feel tired.
C. As a result of your heart failure, you have
less circulating red blood cells to carry
oxygen
D. The edema in your legs makes it harder to lift
them when you walk
A. Because your heart is not squeezing as
effectively, fluid often backs up in the little
pockets of your lungs making it harder to get
the oxygen you need.
Mr. Johnson was just diagnosed with heart
failure and has an ejection fraction of 30%. He
is very concerned and asks you, “What is
HEART FAILURE and how did I get it?” What
would be your best response?
A. You just haven’t been taking care of
yourself and this is what happens.
B. Heart failure is when your heart fails to
beat properly.
C. There are multiple causes of heart failure
but the most common is a result of years
of high blood pressure putting too much
strain on the heart.
D. You have a weak heart and will need to
take medications the rest of your life.
C. There are multiple causes of heart failure
but the most common is a result of years
of high blood pressure putting too much
strain on the heart.
Which of the following would not be an indicator of pulmonary edema? A.Crackles upon auscultation B.BNP of 800 pg/ml C.Rhonchi upon auscultation D.Pink frothy sputum
B.BNP of 800 pg/ml
