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 D
Explanation
A. High-impact activities like jogging or running may worsen symptoms; low-impact exercise is preferred.
B. Increased calcium intake is not specifically recommended for fibromyalgia.
C. Avoiding all exercise during flare-ups is not advised, as gentle stretching or low-impact activities can often help alleviate pain.
D. A regular sleep pattern is essential, as quality sleep can improve symptoms and overall functioning in clients with fibromyalgia.
Correct Answer is D
Explanation
A. Restlessness may indicate incomplete recovery or inadequate sedation reversal.
B. A brisk response to stimulus suggests the client is still in a mildly sedated state and not fully recovered.
C. A sluggish response to stimulus also indicates the client is not yet fully alert and oriented.
D. The client being cooperative and oriented is an indication of full consciousness and recovery from sedation, meeting discharge criteria.
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