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Author Question: An adolescent client is experiencing abdominal pain with diarrhea and bloody stools. Based on this ... (Read 118 times)

javeds

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on: Jun 25, 2018
An adolescent client is experiencing abdominal pain with diarrhea and bloody stools. Based on this data, which specific type of inflammatory bowel disease does the nurse suspect the client is experiencing?
 
  A) Appendicitis
  B) Ulcerative colitis
  C) Crohn's disease
  D) Necrotizing enterocolitis

Question 2

An older adult client is experiencing a tonic-clonic (grand mal) seizure exceeding 10 minutes in length. Which medication should the nurse prepare to administer to this client?
 
  A) Intramuscular injection of diazepam
  B) 5 dextrose solution IV
  C) Intravenous diazepam slowly over several minutes
  D) Intravenous bolus of 10 dextrose


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cegalasso

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: B

Diarrhea and bloody stools are typical symptoms of ulcerative colitis. Appendicitis is not associated with bloody stools, and usually not with diarrhea. The teen with Crohn disease might have abdominal pain and diarrhea, but stools usually do not have blood in them. Necrotizing enterocolitis is usually seen in premature infants and not generally in an adolescent client.

Answer to Question 2

Answer: C

Grand mal, or tonic-clonic, seizure requires prompt management if it continues after 10 minutes has elapsed. Although IV fluids are indicated, a dextrose solution is not indicated. Diazepam may be administered by an IV slowly over several minutes, but not intramuscularly.


javeds

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Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

blakcmamba

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Reply 3 on: Yesterday
Gracias!

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