Which of the following is a common symptom of ulcerative colitis?

Weight gain

Bloody diarrhea

Blurred vision

Constipation

Answer and Explanation

The Correct Answer is B

B. Ulcerative colitis is a type of inflammatory bowel disease (IBD) characterized by inflammation and ulcers in the inner lining of the colon and rectum. Bloody diarrhea is one of the hallmark symptoms of ulcerative colitis. The inflammation and ulcers in the colon and rectum can lead to rectal bleeding, resulting in bloody stools.
A. Weight gain is not a common symptom of ulcerative colitis.
C. Blurred vision is not a typical symptom of ulcerative colitis. Symptoms of ulcerative colitis primarily involve the gastrointestinal tract, such as abdominal pain, diarrhea (often bloody), urgency to have a bowel movement, and fatigue.
D. Constipation is more commonly associated with other gastrointestinal conditions, such as irritable bowel syndrome (IBS) or certain medications.

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Correct Answer is C

Explanation

C. Decrease the rate to 27.1 mL/hr until the new bag is brought to the unit: This option is a suitable approach to conserve the remaining TPN solution until the new bag arrives. By halving the infusion rate, the remaining volume of TPN will last longer, ensuring the client continues to receive some nutrition and fluid support while awaiting the delivery of the new bag.
A. While it's important to inform the healthcare team about the low volume of TPN remaining, it may not require immediate physician intervention unless the situation worsens or alternative actions need to be taken.
B. Notifying the pharmacy when the bag is empty is a reasonable action, as they can prepare and deliver the next infusion bag promptly. However, it does not address the immediate need for fluid and nutrition replacement.
D. D10W (dextrose 10% in water) can help prevent hypoglycemia and provide some energy, but it does not provide the full nutritional support that TPN does. However, it can be a reasonable short- term measure while waiting for the replacement TPN bag.

A. serum white blood cell count of 16,000/mm3. B. pre-albumin level less than 10 mg/dl C. maintenance of baseline weight or gain of up to 1 kg/day. D. negative nitrogen balance.

Correct Answer is C

Explanation

C. The expected effect of TPN is to maintain or promote weight gain in clients who are unable to meet their nutritional needs orally. TPN provides essential nutrients directly into the bloodstream, allowing for adequate caloric intake to support energy needs and promote tissue repair and growth.
A. A serum white blood cell count of 16,000/mm3 indicates leukocytosis, which may suggest infection or inflammation rather than a direct effect of TPN.
B. Pre-albumin is a marker of nutritional status, and levels below 10 mg/dl typically indicate malnutrition rather than a positive response to TPN.
D. Negative nitrogen balance occurs when the body loses more nitrogen than it gains, typically due to inadequate protein intake or increased protein breakdown. TPN provides amino acids, which are the building blocks of protein, and aims to promote a positive nitrogen balance to support tissue repair and growth.

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Which of the following is a common symptom of ulcerative colitis?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client receiving a TPN Infusion running at 54.2 mL/hr and there is only 25 mL remaining in the bag. The next Infusion bag has not been brought to the unit. Which action would be appropriate?

Correct Answer is C

Explanation

A client was started on total parenteral nutrition (TPN) ten days ago. The nurse recognizes that the expected effect of TPN is a:

Correct Answer is C

Explanation

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