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?

Increased passage of gas and stool

Enlarging abdominal girth

Hyperactive bowel sounds

Afebrile

Answer and Explanation

The Correct Answer is B

B. Toxic megacolon is characterized by severe colonic dilation, leading to a significant increase in abdominal girth. As the colon becomes distended, it can cause visible abdominal swelling and bloating, which may be accompanied by tenderness upon palpation.
A. In the context of toxic megacolon, there may be a reduction or cessation of bowel movements due to colonic dilation and paralysis.
C. In toxic megacolon, bowel sounds may initially be hyperactive due to increased peristalsis as the colon attempts to overcome the obstruction. However, as the condition progresses, bowel sounds may diminish or become absent due to colonic dilation and paralysis.
D. While fever can be present in toxic megacolon due to the underlying inflammatory process, it is not universally seen in all cases.

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Correct Answer is A

Explanation

A. Walking is a low-impact aerobic exercise that can be beneficial for individuals preparing for bariatric surgery. It helps improve cardiovascular health, burn calories, and increase overall physical activity levels. Walking for 30 minutes daily is a reasonable and achievable goal for many individuals, including those preparing for bariatric surgery. It can also help with weight loss and improve overall fitness levels.
B. While HIIT can be effective for improving cardiovascular fitness and burning calories, it may not be suitable for all individuals preparing for bariatric surgery. HIIT can be challenging for individuals who are overweight or have limited mobility, and it may increase the risk of injury if not performed safely.
C. Strength training, including lifting weights helps build muscle mass, improve metabolism, and enhance overall strength and fitness. However, it's essential to ensure that weightlifting exercises are performed safely and under proper supervision.
D. While push-ups and abdominal thrusts are strength-training exercises that can help build muscle strength and improve core stability, this regimen may be too intense or challenging for many individuals preparing for bariatric surgery.

A. 63-year-old female with alcohol addiction, congestive heart failure and a BMI of 30 B. 17-year-old female with severe acne and a BMI of 20 C. 31-year-old male with a history of schizophrenia and a BMI of 33 D. 51-year-old male who has hypertension, gallstones and a BMI of 42

Correct Answer is D

Explanation

D. This candidate has obesity-related comorbidities such as hypertension and gallstones, which may indicate a higher risk of complications from obesity. With a BMI of 42, this individual meets the criteria for bariatric surgery. Additionally, being older than 18 years old and having obesity-related comorbidities make this candidate a potentially suitable candidate for bariatric surgery.
A. Bariatric surgery may not be appropriate for individuals with severe alcohol addiction or unstable cardiovascular conditions like congestive heart failure. Additionally, with a BMI of 30, this candidate is considered overweight but may not meet the criteria for bariatric surgery.
B. Bariatric surgery is not typically recommended for adolescents with a BMI in the normal weight range (18.5 to 24.9), such as this candidate. Furthermore, severe acne alone would not be a sufficient indication for bariatric surgery.
C. Bariatric surgery candidates should be mentally stable and capable of understanding and adhering to the necessary pre- and postoperative guidelines.

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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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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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