The nurse knows that all of the following are features of ulcerative colitis (UC) except which?

Skip lesions and cobblestone appearance

Risk for bowel perforation and toxic megacolon

Diarrhea, possibly containing blood

Increased risk for colorectal cancer

Answer and Explanation

The Correct Answer is A

A. Skip lesions and a cobblestone appearance are characteristic of Crohn's disease, not ulcerative colitis (UC). UC involves continuous inflammation of the colon, without skip lesions.
B. Ulcerative colitis is associated with a risk for bowel perforation and toxic megacolon, which are serious complications of the disease.
C. Diarrhea containing blood is a common symptom of ulcerative colitis, as it primarily affects the colon and rectum, leading to inflammation and ulceration.
D. Increased risk for colorectal cancer is a known complication of ulcerative colitis, especially with long-term disease duration.

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Free Nursing Study Resources

Correct Answer is ["44"]

Explanation

Calculate the flow rate in mL/hour: 400 mL / 3 hours = 133.33 mL/hour (approximately)

Convert the flow rate to mL/minute: 133.33 mL/hour / 60 minutes/hour = 2.22 mL/minute (approximately)

Calculate the drops per minute: 2.22 mL/minute 20 gtt/mL = 44.4 gtt/minute

Round to the nearest whole number: 44 gtt/minute

A. Request a CT scan of the head. B. Assess for Chvostek’s sign. C. Obtain a chest X-ray. D. Obtain a 12-lead ECG.

Correct Answer is D

Explanation

A. A CT scan of the head is not indicated based on the laboratory findings provided. The priority intervention is related to the elevated potassium level.
B. Chvostek’s sign is associated with hypocalcemia (low calcium levels), not hyperkalemia (high potassium levels).
C. A chest X-ray is not the priority intervention for elevated potassium. The primary concern is the potential for cardiac arrhythmias related to the high potassium level.
D. Hyperkalemia (potassium 6.6 mEq/L) can lead to cardiac arrhythmias. The nurse should obtain a 12-lead ECG to assess for any changes in the heart's electrical activity, which could indicate serious complications like arrhythmias or cardiac arrest.

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The nurse knows that all of the following are features of ulcerative colitis (UC) except which?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["44"]

Explanation

The nurse is reviewing laboratory results for a client admitted for renal failure and notes the following: Sodium 144 mEq/L and Potassium 6.6 mEq/L. Which of the following should be the priority intervention?

Correct Answer is D

Explanation

The nurse in a clinic is reviewing laboratory results for a patient suspected of having undiagnosed diabetes mellitus. Which of the following results would be diagnostic for diabetes?

Which of the following signs and symptoms from a client who came to the clinic for an exacerbation of Crohn's Disease is the most concerning?

The nurse is providing education to a client newly diagnosed with gastroesophageal reflux disease (GERD). The nurse knows that the teaching was effective when the client states they should eat which of the following foods?

A client who is recovering from a lower extremity amputation complains of tingling and "shooting" pain in the amputated extremity. The nurse knows that which of the following is true about this type of pain?

The nurse is caring for a pediatric client who experienced a "greenstick" fracture. The client's mother asks the nurse what it means to have this type of fracture. Which of the following statements should the nurse make?

An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of a urinary tract infection. Which response is accurate?

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?