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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Lifelong heparin usage is not the standard treatment for DIC, as treatment focuses on addressing the underlying cause and managing symptoms.

B. DIC is a condition characterized by abnormal, excessive coagulation involving the use of clotting factors, particularly fibrinogen, leading to widespread clotting and bleeding.

C. DIC is not a genetic disorder or directly related to vitamin K deficiency.

D. DIC typically leads to a decreased platelet count due to consumption of platelets in widespread clotting, not an elevated count.

A. I will try not to gain weight B. I will sleep with the head of my bed elevated C. I will lie down for one half hour after meals D. I will consume less caffeine and fewer spicy foods E. I will drink less fluid

Correct Answer is ["A","B","D"]

Explanation

A. Maintaining a healthy weight can reduce abdominal pressure, which may alleviate symptoms.

B. Sleeping with the head of the bed elevated helps prevent acid reflux, a common symptom of hiatal hernia.

C. Lying down after meals can worsen reflux, so it should be avoided.

D. Reducing caffeine and spicy foods can help minimize irritation of the stomach lining and reduce reflux symptoms.

E. Reducing fluid intake is unnecessary; fluids do not contribute to hiatal hernia symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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