A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a
contributing factor to the development of the anemia?

Chronic blood loss

Intestinal malabsorption syndrome

Dietary iron restrictions

Intestinal parasites

Answer and Explanation

The Correct Answer is A

Choice A reason:

Chronic blood loss is a common complication of ulcerative colitis. Inflammation and ulcers in the colon can lead to ongoing bleeding, resulting in iron deficiency anemia.

Choice B reason:

While intestinal malabsorption can occur in some gastrointestinal disorders, it is not a primary mechanism in ulcerative colitis. In ulcerative colitis, the main factor leading to anemia is chronic blood loss.

Choice C reason:

Dietary iron restrictions may exacerbate anemia in individuals with ulcerative colitis, but the primary cause of anemia in this condition is chronic blood loss.

Choice D reason:

Intestinal parasites are not a common factor in ulcerative colitis and are not a primary cause of anemia in this condition. Chronic blood loss is the main contributing factor.

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Correct Answer is B

Explanation

Choice A reason:

Monitoring creatinine levels is important, but it may not be the top priority in this situation.

Choice B reason:

This statement is correct. Given the severe diarrhea associated with Clostridium difficile infection, monitoring potassium levels is crucial to identify and address potential electrolyte imbalances, which can lead to serious complications.

Choice C reason:

Monitoring white blood cell levels is important in the context of infection, but potassium levels are more directly relevant to managing severe diarrhea associated with Clostridium difficile.

Choice D reason:

Hemoglobin levels are important for assessing anemia, but in this context, monitoring potassium levels takes precedence due to the potential for electrolyte imbalances from severe diarrhea.

A. Dinner roll B. Tapioca pudding C. Mashed potatoes D. Fried chicken

Correct Answer is D

Explanation

Choice A reason:

A dinner roll is a generally well-tolerated food option and is unlikely to exacerbate gallbladder inflammation.

Choice B reason:

Tapioca pudding is a soft and easily digestible food, which is suitable for a patient with acute gallbladder inflammation.

Choice C reason:

Mashed potatoes are typically considered a bland and easily digestible food, suitable for a patient with gallbladder inflammation.

Choice D reason:

Fried chicken is high in fat, which can trigger gallbladder symptoms and exacerbate

inflammation. Therefore, it is not an appropriate choice for a patient with acute gallbladder inflammation. The nurse should question this item on the tray.

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A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult who has been experiencing severe Clostridium difficile- related diarrhea. When reviewing the patient's most recent laboratory tests, the nurse should prioritize which of the following?

Correct Answer is B

Explanation

A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a patient admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?

Correct Answer is D

Explanation

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A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a
contributing factor to the development of the anemia?