A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?

Dietary iron restrictions

Intestinal parasites

Chronic bloody diarrhea

Intestinal malabsorption syndrome

Answer and Explanation

The Correct Answer is C

A. Dietary iron restrictions may affect iron intake, but they are not a direct symptom of ulcerative colitis that contributes to anemia.

B. Intestinal parasites can cause anemia but are not a common complication associated with ulcerative colitis.

C. Chronic bloody diarrhea is a significant symptom of ulcerative colitis and leads to iron loss and depletion, contributing to the development of anemia due to the loss of blood and iron.

D. Intestinal malabsorption syndrome can lead to anemia; however, it is not a primary symptom of ulcerative colitis itself, making chronic bloody diarrhea the more direct contributing factor.

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Correct Answer is A

Explanation

A. Ensuring the blood is compatible with the client's blood type is critical in preventing an acute hemolytic reaction, as incompatible blood transfusions can cause serious, potentially life-threatening reactions.

B. Administering the transfusion rapidly can increase the risk of complications and does not prevent hemolytic reactions; transfusions should be given at a safe rate based on the client's condition.

C. Using a blood warmer is not a standard intervention to prevent hemolytic reactions; it's typically used in specific cases such as massive transfusions or hypothermia, but it does not address compatibility.

D. Administering prophylactic antihistamines is not a recommended practice to prevent hemolytic reactions; it is more relevant for preventing allergic reactions associated with transfusions.

A. "I will increase my consumption of protein-rich foods such as baked salmon." B. “I will increase my nutrient consumption by eating raw fruits and vegetables." C. "I will wash my plates and utensils with soap and hot water." D. "I will ask my partner to clean my cat's litter box for me daily."

Correct Answer is B

Explanation

A. Increasing the consumption of protein-rich foods like baked salmon is beneficial for clients with AIDS, as they often require higher protein intake to support their immune system and overall health.

B. Eating raw fruits and vegetables can pose a risk for clients with compromised immune systems, as these foods may harbor pathogens that can lead to infections. This statement indicates a need for further education regarding safe food handling and preparation.

C. Washing plates and utensils with soap and hot water is a proper practice to maintain hygiene and prevent infections, especially for clients with weakened immune systems.

D. Asking a partner to clean the cat's litter box is a good precaution since cat litter can be a source of toxoplasmosis, which can be harmful to immunocompromised individuals.

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A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?

Nursing Test Bank

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Correct Answer is A

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Correct Answer is B

Explanation

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