Á nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?
Obtain a dietary history from the client.
Review the client's electrolyte values.
Investigate the client's emotional concerns.
Check the client's perianal skin integrity.
The Correct Answer is B
A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.
B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.
C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.
D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Osteoarthritis causes joint pain due to the deterioration of cartilage in the joints.
B. Crepitus, a grating sound, can occur in affected joints due to bone rubbing on bone.
C. Osteoarthritis primarily affects weight-bearing joints such as the hips, knees, and spine.
D. Osteoarthritis often affects joints asymmetrically rather than in a bilateral symmetrical pattern, which is more characteristic of rheumatoid arthritis.
E. Joint stiffness, particularly after periods of inactivity, is a common symptom of osteoarthritis.
Correct Answer is C
Explanation
A. Pernicious anemia affects red blood cell production and does not typically cause blood-tinged urine.
B. Prostate enlargement may cause urinary retention or difficulty urinating, but it does not commonly lead to blood-tinged urine in a catheter bag.
C. A bladder infection (cystitis) can lead to hematuria (blood in the urine), especially when the bladder wall is inflamed.
D. Dehydration can cause concentrated urine but does not usually result in blood-tinged urine.
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