A nurse is planning to meet with the interprofessional team about the care of a client who has a new diagnosis of ulcerative colitis. Which of the following recommendations should the nurse plan to make during the meeting?

"The client should be referred to pain management."

"The client should be referred to hospice services."

"The client should be referred to a wound, ostomy, and continence nurse."

"The client should be referred to a dietitian."

Answer and Explanation

The Correct Answer is D

D. Diet plays a crucial role in managing ulcerative colitis symptoms. Certain foods may trigger flare-ups, while others may be better tolerated. A dietitian can provide personalized dietary advice to help manage symptoms, ensure adequate nutrition, and optimize overall health.
A. Ulcerative colitis is a chronic inflammatory bowel disease that primarily affects the colon and rectum. While pain management is crucial, it is not a priority at this point.
B. Hospice services are generally provided to individuals who have a terminal illness and are nearing the end of life. While ulcerative colitis can be a serious condition, it is not typically considered a terminal illness in itself.
C. A wound, ostomy, and continence nurse (WOCN) specializes in the care of patients with ostomies (such as those resulting from surgery for ulcerative colitis), wounds, and continence issues. The client does not require the services at this point as the decision for the surgery has not been made.

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Correct Answer is D

Explanation

D. Respite care services provide temporary relief and support for caregivers by offering short-term care for their loved ones. This allows caregivers to take a break, attend to their own needs, and prevent burnout. Recommending respite care services is a proactive approach to addressing the caregiver's exhaustion and ensuring the well-being of both the caregiver and the client with Alzheimer's disease.
A. The caregiver's exhaustion and irritability may be due to the stress of caregiving rather than intentional neglect or abuse.
B. Relying on medication to manage stress and sleep may not be the best long-term solution and can potentially lead to dependence or other adverse effects.
C. Contacting hospice services for end-of-life care is not appropriate for a client with moderate Alzheimer's disease unless the client's condition has progressed to a terminal stage. Hospice care focuses on providing comfort and support for individuals with a terminal illness who have a life expectancy of six months or less.

A. Diphenhydramine B. Ondansetron C. Sertraline D. Methylprednisolone

Correct Answer is B

Explanation

B. Ondansetron is a commonly used medication for preventing nausea and vomiting induced by chemotherapy. It belongs to a class of drugs called serotonin receptor antagonists, which work by blocking serotonin receptors in the brain and gastrointestinal tract, thereby reducing the sensation of nausea and the urge to vomit. Ondansetron is often administered prior to chemotherapy to help prevent these side effects.
A. Diphenhydramine works by blocking histamine receptors in the brain that trigger nausea and vomiting. However, it is not commonly used as a first-line antiemetic for chemotherapy-induced nausea and vomiting.
C. Sertraline is a selective serotonin reuptake inhibitor (SSRI) antidepressant and is not used specifically for preventing chemotherapy-induced nausea and vomiting.
D. Methylprednisolone is a corticosteroid medication that has anti-inflammatory and immunosuppressant effects.

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A nurse is planning to meet with the interprofessional team about the care of a client who has a new diagnosis of ulcerative colitis. Which of the following recommendations should the nurse plan to make during the meeting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

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