The client has lived with ulcerative colitis for close to 15 years and has learned to manage it very well. At this point in time, the nurse's discussion with the client about this disease should have a primary focus on which question?

"How are you managing stressful situations?"

"Have you made an appointment for your annual colonoscopy?"

"Are you taking your medications regularly?"

"Are you getting enough rest?"

Answer and Explanation

The Correct Answer is C

C. Medication adherence is vital for controlling inflammation and preventing flare-ups in ulcerative colitis. Therefore, ensuring that the client is taking their medications as prescribed is a primary focus of disease management, regardless of how well they have learned to manage the condition.
A. Stress can exacerbate symptoms of ulcerative colitis and may contribute to flare-ups. Therefore, understanding how the client manages stress is important. However, given that the client has lived with ulcerative colitis for close to 15 years and has learned to manage it well, this question may be less of a primary focus compared to other aspects of disease management.
B. Regular monitoring through colonoscopy is essential for detecting any changes or complications associated with ulcerative colitis, such as inflammation, dysplasia, or colon cancer.
D. While rest and adequate sleep are important for overall health and well-being, they may not be as directly related to ulcerative colitis management as medication adherence, monitoring, and stress management.

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Correct Answer is D

Explanation

NPH insulin typically peaks in its action approximately 4 to 8 hours after administration. Given that the client received the insulin at 0730, the peak time for signs of hypoglycemia would likely occur between 1100 and 1500.

A. Chronic pain B. Impaired urinary elimination C. Risk for bleeding D. Risk for urinary tract injury

Correct Answer is B

Explanation

B. Impaired urinary elimination: This is the priority problem for a client diagnosed with BPH. BPH commonly obstructs the flow of urine out of the bladder, leading to symptoms such as urinary hesitancy, weak urinary stream, incomplete emptying, and urinary retention. Addressing impaired urinary elimination is crucial to prevent complications such as urinary retention, urinary tract infections, and kidney damage.

A. While BPH can cause symptoms such as urinary hesitancy, frequency, urgency, and incomplete emptying, chronic pain is not typically a primary symptom of BPH itself. However, complications of BPH, such as urinary retention or urinary tract infections, may cause discomfort or pain. Addressing pain related to complications of BPH is important but may not be the priority in all cases.
C. While BPH itself does not typically increase the risk of bleeding, procedures used to diagnose or treat BPH, such as transurethral resection of the prostate (TURP), may carry a risk of bleeding. However, this risk is usually managed intraoperatively and postoperatively by healthcare providers. In the absence of specific interventions or procedures with bleeding risks, addressing bleeding may not be the priority for a client with BPH.
D. Urinary tract injury, particularly during surgical procedures to treat BPH, is a potential complication. However, it may not be the priority problem in the absence of planned interventions or procedures.

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The client has lived with ulcerative colitis for close to 15 years and has learned to manage it very well. At this point in time, the nurse's discussion with the client about this disease should have a primary focus on which question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives 20 units of NPH Insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

Correct Answer is D

Explanation

The nurse is providing follow-up care for a client who was recently diagnosed with benign prostatic hypertrophy (BPH). Which problem is the priority for the nurse to include in the client's plan of care?

Correct Answer is B

Explanation

A client is preparing for bariatric surgery. The nurse advises that which form of exercise would be most beneficial for this client?

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A client is admitted with a possible small bowel obstruction. The nurse anticipates that the client's care will include: (SELECT ALL THAT APPLY)

The nurse suspects that the client, hospitalized with severe ulcerative colitis, is experiencing the complication of toxic megacolon. Which assessment finding would support this suspicion?

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