Question 1

A nurse is receiving a client from the emergency department who was diagnosed with an acute exacerbation of ulcerative colitis.The nurse anticipates that the client may present with which clinical characteristics? Select all that apply.
A)Between 5 and 30 diarrhea stools per day with blood and mucus
B)Steady right lower quadrant or periumbilical pain
C)Cramping in the left lower quadrant that is relieved by defecation
D)Tenderness and a mass in the right lower quadrant
E)Fever,malaise,and fatigue

Accepted Answer

A)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.
B)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.
C)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.
D)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.
E)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.

Question 2

The nurse is caring for an African American client with nephritis.When planning this client's care,the nurse should include interventions aimed at preventing which of the following long-term complications?
A)Congestive heart failure
B)Diabetes mellitus
C)End-stage renal disease
D)Hypertension

Accepted Answer

Nephritis is an inflammation of the kidneys that can lead to scarring and irreversible damage. This can result in end-stage renal disease (ESRD), where the kidneys are no longer able to function properly. African Americans are at a higher risk for developing ESRD compared to other ethnic groups. Therefore, the nurse should focus on interventions that can prevent or delay the progression of nephritis to ESRD.

Question 3

The nurse is caring for a client who receives H₂-receptor antagonists for the treatment of peptic ulcer disease.Based on the nursing diagnosis Risk for Bleeding,which assessment finding should the nurse report immediately to the healthcare provider? A)The client reports pain after 24 hours of treatment. B)The client reports episodes of melena. C)The client reports that he is constipated. D)The client reports that he took Tums antacids with his H₂-receptor antagonist.

Accepted Answer

Melena, or black tarry stools, indicates gastrointestinal bleeding, which is a serious complication that should be reported immediately.

Question 4

A nurse caring for a pediatric client with inflammatory bowel disease (IBD)understands that there are variances in the presentation of IBD between children and adults.Which variances should the nurse anticipate for this pediatric client? Select all that apply.
A)Children suffer from Crohn disease more frequently than ulcerative colitis.
B)Pediatric clients often present with fistulizing or stricturing disease.
C)Pediatric clients usually have colonic involvement.
D)Pediatric clients more often present with left-sided colitis.
E)In the pediatric population,IBD is more common in females than males.

Accepted Answer

A)The pediatric etiology of IBD differs from that of adult-onset IBD. For example, IBD is more common in males than females in the pediatric population, whereas equal numbers of adult males and females have IBD. In addition, children suffer from Crohn disease more frequently than ulcerative colitis; the opposite is true of adults. Adults with Crohn disease usually present with terminal ileal disease without colonic involvement, whereas the majority of pediatric clients have ileocolonic or colonic disease. Children with Crohn disease usually present with inflammatory disease; adults often present with fistulizing or stricturing disease. Similarly, children with ulcerative colitis usually present with pancolitis, whereas adults more often present with left-sided colitis.
B)The pediatric etiology of IBD differs from that of adult-onset IBD. For example, IBD is more common in males than females in the pediatric population, whereas equal numbers of adult males and females have IBD. In addition, children suffer from Crohn disease more frequently than ulcerative colitis; the opposite is true of adults. Adults with Crohn disease usually present with terminal ileal disease without colonic involvement, whereas the majority of pediatric clients have ileocolonic or colonic disease. Children with Crohn disease usually present with inflammatory disease; adults often present with fistulizing or stricturing disease. Similarly, children with ulcerative colitis usually present with pancolitis, whereas adults more often present with left-sided colitis.
C)The pediatric etiology of IBD differs from that of adult-onset IBD. For example, IBD is more common in males than females in the pediatric population, whereas equal numbers of adult males and females have IBD. In addition, children suffer from Crohn disease more frequently than ulcerative colitis; the opposite is true of adults. Adults with Crohn disease usually present with terminal ileal disease without colonic involvement, whereas the majority of pediatric clients have ileocolonic or colonic disease. Children with Crohn disease usually present with inflammatory disease; adults often present with fistulizing or stricturing disease. Similarly, children with ulcerative colitis usually present with pancolitis, whereas adults more often present with left-sided colitis.
D)The pediatric etiology of IBD differs from that of adult-onset IBD. For example, IBD is more common in males than females in the pediatric population, whereas equal numbers of adult males and females have IBD. In addition, children suffer from Crohn disease more frequently than ulcerative colitis; the opposite is true of adults. Adults with Crohn disease usually present with terminal ileal disease without colonic involvement, whereas the majority of pediatric clients have ileocolonic or colonic disease. Children with Crohn disease usually present with inflammatory disease; adults often present with fistulizing or stricturing disease. Similarly, children with ulcerative colitis usually present with pancolitis, whereas adults more often present with left-sided colitis.
E)The pediatric etiology of IBD differs from that of adult-onset IBD. For example, IBD is more common in males than females in the pediatric population, whereas equal numbers of adult males and females have IBD. In addition, children suffer from Crohn disease more frequently than ulcerative colitis; the opposite is true of adults. Adults with Crohn disease usually present with terminal ileal disease without colonic involvement, whereas the majority of pediatric clients have ileocolonic or colonic disease. Children with Crohn disease usually present with inflammatory disease; adults often present with fistulizing or stricturing disease. Similarly, children with ulcerative colitis usually present with pancolitis, whereas adults more often present with left-sided colitis.

Question 5

A client is being treated with blood transfusions for a large peptic ulcer in the duodenum.Which information in the client's history should the nurse suspect as a potential cause of this health problem?
A)Allergies to penicillin and morphine sulfate
B)History of chronic atrial fibrillation
C)Daily medications include naproxen sodium and aspirin
D)History of recent cataract extraction with lens implant

Accepted Answer

Daily use of NSAIDs such as naproxen sodium and aspirin can increase the risk of peptic ulcers by irritating the lining of the stomach and duodenum, and reducing the stomach's ability to protect itself from stomach acid. Allergies to penicillin and morphine sulfate, history of chronic atrial fibrillation, and history of recent cataract extraction with lens implant are not directly related to the development of peptic ulcers.

Question 6

A home health nurse is evaluating a client who had a colostomy placed 6 weeks ago for the treatment of ulcerative colitis.Which assessment would cause the nurse to conclude that teaching goals for this client have been met?
A)The client's colostomy pouch is clean and dry.
B)The client's vital signs reveal a normal temperature.
C)The client's stoma is pink and intact.
D)The client experiences pain with certain types of food.

Accepted Answer

The assessment indicating that the teaching goals have been met for a client with a colostomy is a pink and intact stoma. This indicates that the client is taking care of the ostomy site properly and avoiding any potential complications or infections. A clean and dry pouch and normal vital signs are important aspects of overall health management but do not necessarily indicate successful teaching regarding colostomy care. Pain with certain types of food may be a normal part of adjusting to the colostomy but does not indicate successful teaching goals have been met.

Question 7

The nurse conducts an evaluation after completing a training session for community members on ways to prevent nephritis.When evaluating the success of this session,what responses from the community members would indicate that learning has been successful? Select all that apply.
A)"Practicing good hygiene can help prevent nephritis."
B)"One way to help avoid nephritis is by not smoking."
C)"Maintaining a healthy body weight helps promote kidney health."
D)"I should limit my alcohol intake to reduce the risk of nephritis."
E)"Controlling high blood pressure is important in the prevention of nephritis."

Accepted Answer

A)The exact cause of nephritis is unknown, but preventing viral infections through practicing good hygiene habits, not smoking, maintaining a healthy body weight, and controlling high blood pressure reduces the risk of developing this disease. Limiting alcohol intake will not affect the development of nephritis.
B)The exact cause of nephritis is unknown, but preventing viral infections through practicing good hygiene habits, not smoking, maintaining a healthy body weight, and controlling high blood pressure reduces the risk of developing this disease. Limiting alcohol intake will not affect the development of nephritis.
C)The exact cause of nephritis is unknown, but preventing viral infections through practicing good hygiene habits, not smoking, maintaining a healthy body weight, and controlling high blood pressure reduces the risk of developing this disease. Limiting alcohol intake will not affect the development of nephritis.
D)The exact cause of nephritis is unknown, but preventing viral infections through practicing good hygiene habits, not smoking, maintaining a healthy body weight, and controlling high blood pressure reduces the risk of developing this disease. Limiting alcohol intake will not affect the development of nephritis.
E)The exact cause of nephritis is unknown, but preventing viral infections through practicing good hygiene habits, not smoking, maintaining a healthy body weight, and controlling high blood pressure reduces the risk of developing this disease. Limiting alcohol intake will not affect the development of nephritis.

Question 8

A client being discharged after treatment for nephritis is concerned about having adequate stamina to care for her children after discharge.Which statement made by the nurse would be most appropriate to address the client's concern?
A)"Tell your spouse he has to help you."
B)"You will be able to keep up with your family's needs once you return home."
C)"It sounds like you need some help,so I'll contact Social Services for support."
D)"Maybe your children should stay with a relative or neighbor for a few weeks."

Accepted Answer

A)The client will be easily fatigued and will need assistance after treatment for nephritis. The nurse should not assume that the client has a spouse. Also, the client might not have family nearby or neighbors who are available to care for her children for a few weeks. Thus, the nurse should contact Social Services to obtain support for the client.
B)The client will be easily fatigued and will need assistance after treatment for nephritis. The nurse should not assume that the client has a spouse. Also, the client might not have family nearby or neighbors who are available to care for her children for a few weeks. Thus, the nurse should contact Social Services to obtain support for the client.
C)The client will be easily fatigued and will need assistance after treatment for nephritis. The nurse should not assume that the client has a spouse. Also, the client might not have family nearby or neighbors who are available to care for her children for a few weeks. Thus, the nurse should contact Social Services to obtain support for the client.
D)The client will be easily fatigued and will need assistance after treatment for nephritis. The nurse should not assume that the client has a spouse. Also, the client might not have family nearby or neighbors who are available to care for her children for a few weeks. Thus, the nurse should contact Social Services to obtain support for the client.

Question 9

The healthcare provider prescribes misoprostol (Cytotec)for a female client for the treatment of peptic ulcer disease.What should the nurse ask the client prior to administration of this medication?
A)"Is there any chance that you are pregnant?"
B)"Are you currently sexually active?"
C)"Are your menstrual cycles irregular?"
D)"Do you plan on becoming pregnant in the next few months?"

Accepted Answer

Misoprostol is contraindicated in pregnant women and can cause abortion or premature birth. Therefore, it is important to ask the client about the possibility of being pregnant before administering the medication.

Question 10

Which of the following drugs used in the treatment of peptic ulcer disease (PUD)works by both binding to proteins in the ulcer base and stimulating the secretion of mucus?
A)Sucralfate
B)Omeprazole
C)Misoprostol
D)Bismuth

Accepted Answer

Sucralfate works by binding to proteins in the ulcer base and stimulating the secretion of mucus, thereby creating a protective barrier over the ulcer. Omeprazole is a proton pump inhibitor that reduces the amount of acid produced in the stomach. Misoprostol is a prostaglandin analog that stimulates the production of mucus but may also cause uterine contractions, so it is not recommended for use in pregnant women. Bismuth is a metal that has antibacterial properties and can help to kill H. pylori, but it does not have the same protective effects on the ulcer as sucralfate.

Question 11

Which of the following lab values increases in the presence of renal impairment?
A)Creatinine clearance
B)Urine creatinine
C)Serum creatinine
D)Total urine output

Accepted Answer

Serum creatinine, a waste product of muscle breakdown, increases in the bloodstream when the kidneys are not functioning properly and cannot filter it out efficiently. Therefore, an elevated level of serum creatinine indicates renal impairment. Alternatively, creatinine clearance (A) would decrease in the presence of renal impairment, while urine creatinine (B) and total urine output (D) may or may not be affected depending on the underlying cause of renal impairment.

Question 12

The nurse is planning a teaching session for older community members about the risks for peptic ulcer disease (PUD)in this age group.Which of the following pieces of information should the nurse include when teaching this group?
A)PUD causes less bleeding in older clients than in younger clients.
B)Older clients experience more severe abdominal pain than younger clients with PUD.
C)Older clients should undergo colonoscopy when diagnosed with PUD.
D)PUD is likely exacerbated by the bacterium Helicobacter pylori (H.pylori).

Accepted Answer

PUD is likely exacerbated by H. pylori, which can contribute to the development of ulcers in the stomach and small intestine. The other options are incorrect; older clients may be at greater risk for complications from PUD, including bleeding, and may experience less severe pain due to age-related changes in the digestive system. Colonoscopy is not typically indicated for diagnosis or management of PUD.

Question 13

The nurse is assessing an older adult client with suspected acute interstitial nephritis.When gathering this client's health history,the nurse should be sure to ask the client which of the following questions?
A)"When is the last time you had a urinalysis?"
B)"Are you taking any medications for the treatment of indigestion?"
C)"Do you take any ACE inhibitors?"
D)"How much protein do you eat on an average day?"

Accepted Answer

A)The nurse should inquire whether the client is taking any medications for the treatment of indigestion, because many cases of acute interstitial nephritis in older adults are due to use of proton pump inhibitors. Although the client will require urinalysis, the timing of the client's last urine test is not important. Angiotensin-converting enzyme (ACE)inhibitors do not contribute to a client's likelihood of acute interstitial nephritis, and protein intake is also unrelated to this diagnosis.
B)The nurse should inquire whether the client is taking any medications for the treatment of indigestion, because many cases of acute interstitial nephritis in older adults are due to use of proton pump inhibitors. Although the client will require urinalysis, the timing of the client's last urine test is not important. Angiotensin-converting enzyme (ACE)inhibitors do not contribute to a client's likelihood of acute interstitial nephritis, and protein intake is also unrelated to this diagnosis.
C)The nurse should inquire whether the client is taking any medications for the treatment of indigestion, because many cases of acute interstitial nephritis in older adults are due to use of proton pump inhibitors. Although the client will require urinalysis, the timing of the client's last urine test is not important. Angiotensin-converting enzyme (ACE)inhibitors do not contribute to a client's likelihood of acute interstitial nephritis, and protein intake is also unrelated to this diagnosis.
D)The nurse should inquire whether the client is taking any medications for the treatment of indigestion, because many cases of acute interstitial nephritis in older adults are due to use of proton pump inhibitors. Although the client will require urinalysis, the timing of the client's last urine test is not important. Angiotensin-converting enzyme (ACE)inhibitors do not contribute to a client's likelihood of acute interstitial nephritis, and protein intake is also unrelated to this diagnosis.

Question 14

The nurse has identified the diagnosis Excess Fluid Volume as appropriate for a client with acute glomerulonephritis.What should the nurse assess to obtain the most accurate indication of this client's fluid balance?
A)Vital signs
B)Intake and output records
C)Daily weight
D)Serum sodium levels

Accepted Answer

A)Daily weight provides the most accurate indication of fluid balance because of the pathophysiology of acute glomerulonephritis. Albumin is lost, causing decreased osmotic pressure and fluid shifting into the interstitial spaces. Accurate weights will provide data to indicate that treatments are effective in pulling fluids from interstitial spaces into the vascular system and then out via kidneys. Intake and output records, serum sodium levels, and vital signs will all provide data indicating fluid balance; however, they are not as accurate as daily weight for determining fluid balance.
B)Daily weight provides the most accurate indication of fluid balance because of the pathophysiology of acute glomerulonephritis. Albumin is lost, causing decreased osmotic pressure and fluid shifting into the interstitial spaces. Accurate weights will provide data to indicate that treatments are effective in pulling fluids from interstitial spaces into the vascular system and then out via kidneys. Intake and output records, serum sodium levels, and vital signs will all provide data indicating fluid balance; however, they are not as accurate as daily weight for determining fluid balance.
C)Daily weight provides the most accurate indication of fluid balance because of the pathophysiology of acute glomerulonephritis. Albumin is lost, causing decreased osmotic pressure and fluid shifting into the interstitial spaces. Accurate weights will provide data to indicate that treatments are effective in pulling fluids from interstitial spaces into the vascular system and then out via kidneys. Intake and output records, serum sodium levels, and vital signs will all provide data indicating fluid balance; however, they are not as accurate as daily weight for determining fluid balance.
D)Daily weight provides the most accurate indication of fluid balance because of the pathophysiology of acute glomerulonephritis. Albumin is lost, causing decreased osmotic pressure and fluid shifting into the interstitial spaces. Accurate weights will provide data to indicate that treatments are effective in pulling fluids from interstitial spaces into the vascular system and then out via kidneys. Intake and output records, serum sodium levels, and vital signs will all provide data indicating fluid balance; however, they are not as accurate as daily weight for determining fluid balance.

Question 15

The nurse is caring for a client newly admitted to the medical-surgical unit with glomerulonephritis.Which classic manifestations of this disorder should the nurse expect to assess in this client? Select all that apply.
A)Edema
B)Weight loss
C)Hematuria
D)Acute flank pain
E)Proteinuria

Accepted Answer

Glomerulonephritis is a disorder that affects the filtering system of the kidneys. It can cause fluid retention, which leads to edema, and blood in the urine, which causes hematuria. The damaged filters can also result in proteinuria, as the protein leaks from the blood into the urine. Weight loss and acute flank pain are not considered classic manifestations of glomerulonephritis.

Question 16

A child who is hospitalized with acute glomerulonephritis experiences blurred vision and headache while in the playroom.Which action by the nurse is the most appropriate?
A)Reassure the child and encourage bed rest until the headache improves.
B)Obtain the child's blood pressure and notify the physician.
C)Check the child's urine to see if hematuria has increased.
D)Obtain the child's serum electrolytes and send a urinalysis to the lab.

Accepted Answer

Blurred vision and headache may be signs of increased intracranial pressure, which can occur with acute glomerulonephritis. Obtaining the child's blood pressure and notifying the physician is the most appropriate action to take in this situation.

Question 17

A client is being scheduled for diagnostic tests to determine the presence of ulcerative colitis.For which diagnostic tests should the nurse plan to provide teaching? Select all that apply.
A)Barium enema
B)Intravenous pyelogram
C)Colonoscopy
D)Upper endoscopy
E)Barium swallow

Accepted Answer

A) Tests to diagnose irritable bowel syndrome include upper and lower barium studies and a colonoscopy. An intravenous pyelogram is used to diagnose kidney disorders. An upper endoscopy is used to diagnose disorders of the esophagus and stomach.
B) Tests to diagnose irritable bowel syndrome include upper and lower barium studies and a colonoscopy. An intravenous pyelogram is used to diagnose kidney disorders. An upper endoscopy is used to diagnose disorders of the esophagus and stomach.
C) Tests to diagnose irritable bowel syndrome include upper and lower barium studies and a colonoscopy. An intravenous pyelogram is used to diagnose kidney disorders. An upper endoscopy is used to diagnose disorders of the esophagus and stomach.
D) Tests to diagnose irritable bowel syndrome include upper and lower barium studies and a colonoscopy. An intravenous pyelogram is used to diagnose kidney disorders. An upper endoscopy is used to diagnose disorders of the esophagus and stomach.
E) Tests to diagnose irritable bowel syndrome include upper and lower barium studies and a colonoscopy. An intravenous pyelogram is used to diagnose kidney disorders. An upper endoscopy is used to diagnose disorders of the esophagus and stomach.

Question 18

Which of the following is the essential and most reliable diagnostic procedure for glomerular disorders?
A)Kidney scan
B)KUB abdominal x-ray
C)ASO titer
D)Biopsy

Accepted Answer

The most reliable diagnostic procedure for glomerular disorders is a kidney biopsy. This involves removing a small piece of kidney tissue for examination under a microscope to evaluate the presence and extent of glomerular damage. Kidney scans and KUB abdominal X-rays can provide information about the size and shape of the kidneys but do not provide information about glomeruli function. ASO titers are used to diagnose streptococcal infections and are not specific for glomerular disorders.

Question 19

A client is experiencing weight gain and foamy dark urine 4 weeks after being treated with antibiotics for a sore throat.Which client statement,made during the health history assessment,suggests that the nurse should provide the client with further instruction?
A)"I've been trying to get plenty of rest since I've been sick."
B)"I've started eating a more nutritious diet."
C)"I felt better after 1 week of the antibiotics,so I stopped taking them."
D)"I've gained a bit of weight over the last 2 weeks."

Accepted Answer

The client's statement that they stopped taking the antibiotics after feeling better suggests that they did not finish the full course of treatment as prescribed, which could have contributed to the development of further symptoms. The nurse should provide instruction on the importance of completing a full course of antibiotics to prevent recurrence or exacerbation of the initial infection, as well as monitoring for signs of complications such as weight gain and abnormal urine.

Question 20

A client being treated for nephrotic syndrome is a vegetarian and has recently experienced poor oral intake.Which action should the nurse take to meet this client's nutritional needs?
A)Request that the healthcare provider prescribe an appetite stimulant.
B)Request that a dietitian discuss dietary preferences with the client.
C)Encourage the client to eat the food provided on the meal trays.
D)Explain that the client will be returning home soon and can resume a preferred diet.

Accepted Answer

As the client is a vegetarian and has experienced poor oral intake, it is important to involve a dietitian to discuss the client's dietary preferences and provide appropriate recommendations for meeting their nutritional needs. This can include plant-based sources of protein, carbohydrates, and fats that also meet the specific needs of the client's nephrotic syndrome. Requesting an appetite stimulant or encouraging the client to eat the food provided on the meal trays may not address the specific concerns related to the client's vegetarianism and nephrotic syndrome. Additionally, delaying addressing the client's nutritional needs until they return home may result in further deterioration of their condition.

Quiz 10: Inflammation

A nurse is receiving a client from the emergency department who was diagnosed with an acute exacerbation of ulcerative colitis.The nurse anticipates that the client may present with which clinical characteristics? Select all that apply.

The nurse is caring for an African American client with nephritis.When planning this client's care,the nurse should include interventions aimed at preventing which of the following long-term complications?

The nurse is caring for a client who receives H₂-receptor antagonists for the treatment of peptic ulcer disease.Based on the nursing diagnosis Risk for Bleeding,which assessment finding should the nurse report immediately to the healthcare provider?

A nurse caring for a pediatric client with inflammatory bowel disease (IBD) understands that there are variances in the presentation of IBD between children and adults.Which variances should the nurse anticipate for this pediatric client? Select all that apply.

A client is being treated with blood transfusions for a large peptic ulcer in the duodenum.Which information in the client's history should the nurse suspect as a potential cause of this health problem?

A home health nurse is evaluating a client who had a colostomy placed 6 weeks ago for the treatment of ulcerative colitis.Which assessment would cause the nurse to conclude that teaching goals for this client have been met?

The nurse conducts an evaluation after completing a training session for community members on ways to prevent nephritis.When evaluating the success of this session,what responses from the community members would indicate that learning has been successful? Select all that apply.

A client being discharged after treatment for nephritis is concerned about having adequate stamina to care for her children after discharge.Which statement made by the nurse would be most appropriate to address the client's concern?

The healthcare provider prescribes misoprostol (Cytotec) for a female client for the treatment of peptic ulcer disease.What should the nurse ask the client prior to administration of this medication?

Which of the following drugs used in the treatment of peptic ulcer disease (PUD) works by both binding to proteins in the ulcer base and stimulating the secretion of mucus?

Which of the following lab values increases in the presence of renal impairment?

The nurse is planning a teaching session for older community members about the risks for peptic ulcer disease (PUD) in this age group.Which of the following pieces of information should the nurse include when teaching this group?

The nurse is assessing an older adult client with suspected acute interstitial nephritis.When gathering this client's health history,the nurse should be sure to ask the client which of the following questions?

The nurse has identified the diagnosis Excess Fluid Volume as appropriate for a client with acute glomerulonephritis.What should the nurse assess to obtain the most accurate indication of this client's fluid balance?

The nurse is caring for a client newly admitted to the medical-surgical unit with glomerulonephritis.Which classic manifestations of this disorder should the nurse expect to assess in this client? Select all that apply.

A child who is hospitalized with acute glomerulonephritis experiences blurred vision and headache while in the playroom.Which action by the nurse is the most appropriate?

A client is being scheduled for diagnostic tests to determine the presence of ulcerative colitis.For which diagnostic tests should the nurse plan to provide teaching? Select all that apply.

Which of the following is the essential and most reliable diagnostic procedure for glomerular disorders?

A client is experiencing weight gain and foamy dark urine 4 weeks after being treated with antibiotics for a sore throat.Which client statement,made during the health history assessment,suggests that the nurse should provide the client with further instruction?

A client being treated for nephrotic syndrome is a vegetarian and has recently experienced poor oral intake.Which action should the nurse take to meet this client's nutritional needs?