The nurse identifies a client problem of impaired skin integrity related to diarrhea for a client who has ulcerative colitis. The nurse recognizes that teaching about perianal care has been effective when the client:

cleans and dries the perianal area after each diarrheal stool.

uses alcohol compresses to provide relief from anal irritation.

asks for antidiarrheal medication after each stool.

takes an hour-long Sitz bath following each stool.

Answer and Explanation

The Correct Answer is A

A.   Cleans and dries the perianal area after each diarrheal stool: This is the correct option. Effective perianal care for a client with diarrhea, such as ulcerative colitis, involves gentle cleansing and thorough drying of the perianal area after each stool. Proper hygiene helps prevent skin breakdown and irritation caused by prolonged contact with stool.
B.   Alcohol can be irritating to the skin and may exacerbate perianal irritation and discomfort. Therefore, using alcohol compresses is not considered an appropriate perianal care practice.
C.   While antidiarrheal medications may be prescribed for clients with ulcerative colitis to help manage symptoms, asking for medication after each stool is not a typical or recommended approach. The frequency and timing of antidiarrheal medication administration should be based on healthcare provider recommendations and individual symptom management plans.
D.   While Sitz baths can provide relief from perianal discomfort and promote healing, taking an hour-long Sitz bath after each stool may be impractical and excessive. Sitz baths are typically recommended for shorter durations (e.g., 10-20 minutes) and may be used periodically rather than after every stool.

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

Explanation

A. Keeping the client NPO (nothing by mouth) helps to rest the gastrointestinal tract, reduces the risk of further obstruction, and prevents exacerbation of symptoms such as vomiting.
B. Measuring abdominal girth is an important nursing assessment for a client with a possible small bowel obstruction. An increase in abdominal girth can indicate abdominal distension, which is a common sign of bowel obstruction.
C. Severe abdominal pain is a common symptom of bowel obstruction, and opioids may be necessary to manage pain effectively. However, opioids should be used cautiously due to the risk of exacerbating bowel obstruction by reducing bowel motility.
D. Fluid replacement therapy is important for clients with small bowel obstruction, especially if they are vomiting or have fluid loss due to intestinal secretions. Intravenous fluids may be administered to maintain hydration, correct electrolyte imbalances, and prevent dehydration.
E. Radiologic studies, such as abdominal X-rays or computed tomography (CT) scans, are often used to confirm the diagnosis of small bowel obstruction and assess its severity.

A. "Frequency is greater in the northern United States." B. "Fluid excess is implicated in many cases of renal stones." C. "Diet plays a role in the formation of some types of stones." D. "Women have a greater risk overall than men."

Correct Answer is C

Explanation

C. Dietary factors, such as high intake of certain foods (e.g., animal protein, sodium, oxalate-rich foods) and low intake of others (e.g., fluids, calcium), can influence the composition of urine and contribute to the formation of renal stones. For example, calcium oxalate stones can form when there is an imbalance of calcium and oxalate in the urine, while uric acid stones can form in individuals with high purine diets.
A. The frequency of renal stones can vary depending on factors such as climate, dietary habits, and genetic predisposition, but it is not specifically associated with the northern United States.
B. Dehydration and inadequate fluid intake can contribute to the formation of renal stones, particularly calcium-based stones. Insufficient fluid intake can lead to concentrated urine, which increases the risk of stone formation and not vice versa.
D. The risk of renal stones is equal in both men and women.

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The nurse identifies a client problem of impaired skin integrity related to diarrhea for a client who has ulcerative colitis. The nurse recognizes that teaching about perianal care has been effective when the client:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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

Explanation

The nurse educator is speaking with a community group about renal disorders. Which statement is appropriate for the educator to include regarding renal stones?

Correct Answer is C

Explanation

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