A nurse is providing education for a client who has been newly diagnosed with ulcerative colitis. Which of the following statements should the nurse make?
"The condition may cause you to have frequent constipation."
"Your diet should be low in animal fat and sugar."
"Choose nuts such as almonds for a snack."
"The condition is controlled by diet, not treated with medication."
The Correct Answer is B
A. "The condition may cause you to have frequent constipation.": Ulcerative colitis typically causes diarrhea rather than constipation due to inflammation and ulceration of the colon mucosa. Clients often experience frequent, loose, or bloody stools, sometimes with urgency, making constipation an inaccurate expectation.
B. "Your diet should be low in animal fat and sugar.": Diet modifications can help manage symptoms of ulcerative colitis. Diets low in animal fat and refined sugars have been associated with reduced inflammation and fewer flare-ups. High-fat and high-sugar foods can exacerbate diarrhea and abdominal discomfort, making this an important dietary recommendation.
C. "Choose nuts such as almonds for a snack.": Nuts are high in fiber and fat, which can be difficult to digest during active ulcerative colitis and may exacerbate diarrhea or cause intestinal irritation. Soft, low-residue foods are typically recommended during flares to reduce gastrointestinal workload.
D. "The condition is controlled by diet, not treated with medication.": While diet helps manage symptoms, ulcerative colitis is primarily treated with anti-inflammatory medications (e.g., aminosalicylates, corticosteroids) and immunomodulators. Diet alone is insufficient for controlling inflammation or inducing remission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Avoid using a password that contains both letters and numbers: Using a password that is simple or lacks complexity decreases security. Strong, complex passwords containing letters, numbers, and symbols are essential to protect electronic medical records and maintain client confidentiality. Avoiding complex passwords is contrary to best practices.
B. Use a trash can at the nurses' station to dispose of client information sheets: Disposing of client information in unsecured trash can lead to unauthorized access and a breach of confidentiality. Proper disposal requires shredding or using designated secure bins to protect sensitive information.
C. Avoid using a cover sheet when faxing information to the client's provider: Faxes containing client information should always include a cover sheet to identify the sender, the intended recipient, and confidentiality notices. Not using a cover sheet increases the risk of disclosure to unauthorized parties.
D. Use privacy filters for computer screens that are visible to others: Privacy screens or filters prevent unauthorized individuals from viewing electronic health information. This is an effective method to maintain confidentiality when computers are in shared or open areas, aligning with HIPAA and facility policies.
Correct Answer is D
Explanation
A. Lubricate the catheter with water-soluble gel: Lubrication reduces friction and prevents urethral trauma during insertion. However, it is performed after establishing a sterile field and preparing the area. Performing it too early risks contamination of the catheter, compromising aseptic technique.
B. Attach a prefilled syringe to the catheter inflation hub: Preparing the balloon inflation system is important to ensure proper catheter placement once inserted. However, this step is done after sterile field setup and before insertion, not as the initial action in the procedure sequence.
C. Cleanse the client's meatus with antiseptic solution: Cleansing the meatus is a critical step to reduce the risk of introducing pathogens into the urinary tract. However, it must be performed after the sterile field is established to maintain asepsis throughout the procedure.
D. Position the sterile drape leaving the perineum exposed: Establishing a sterile field is the first priority once sterile supplies are opened. Proper placement of the sterile drape creates a controlled environment that prevents contamination during subsequent steps such as cleansing and catheter insertion, ensuring adherence to aseptic technique.
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