A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which

self-care measures should the clinician teach him about to relieve food blockage?

 Drink cold fluids.

 Lie in a supine position.

Correct!

 Massage the peristomal area.

 Take a hot shower or tub bath.

Self-care measures to relieve food blockage in a client with an ileostomy

include massaging the peristomal area, which may stimulate peristalsis and

fecal elimination; assuming a knee-chest position to reduce intra-abdominal

pressure; taking a warm shower or tub bath to relax the abdominal muscles;

and drinking warm fluids or grape juice to produce a mild cathartic effect.

Question 2

1 / 1 pts

A 75-year-old female presents to your office complaining of dizziness and ringing in

both ears for 1 day. She describes the dizziness as feeling like "the room is

spinning". On physical exam, the Rinne test reveals that air conduction is greater

than bone conduction bilaterally. The Weber test reveals lateralization to the left. She

is unable to hear the examiner's whisper on the right side but can hear the whisper

on the left side. What is the next step in helping this patient’s symptoms?

 Start her on high-dose Augmentin.

 Refer the patient to the Emergency Room.

Correct!

 Start the patient on a low-salt diet, prescribe meclizine for vertigo and refer

her to an ENT specialist.

 Order a computed tomography (CT) scan to rule out acoustic neuroma.

Meniere's disease is characterized by vertigo, tinnitus and hearing loss. The

patient self-reports vertigo and tinnitus while the results of the Weber,

Rinne, and whisper test indicate sensorineural hearing loss on the right.

Meniere disease is diagnosed based on history and the exclusion of other

conditions as well. Referral to ENT is warranted to rule out other etiologies.

The treatment for symptoms of Meniere disease is both dietary and

pharmacological. Antibiotics are not indicated, nor is it necessary to send

the patient to the Emergency Room. A CT scan would not help to relieve the

patient's symptoms.

Question 3

1 / 1 pts

In a young child, unilateral purulent rhinitis is most often caused by:

Correct!

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