Which of these assessments is the priority for a 14-year-old client diagnosed with ulcerative colitis?

Blood pressure of 110/68 mmHg.

Hemoglobin level of 8 g/dL.

Weight loss of 3 pounds over the past month.

Serum sodium level of 135 mEq/L.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A blood pressure of 110/68 mmHg is within the normal range for a 14-year-old and does not directly relate to the management of ulcerative colitis.

Choice B rationale:

Ulcerative colitis can lead to chronic inflammation and blood loss in the gastrointestinal tract, resulting in anemia. Monitoring the hemoglobin level is crucial to assess the severity of anemia and the need for interventions.

Choice C rationale:

While weight loss is a concern, hemoglobin level provides more direct information about the impact of ulcerative colitis on the client's health.

Choice D rationale:

Serum sodium level of 135 mEq/L is within the normal range and does not take precedence over addressing potential anemia and its impact on the client's well-being.

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Correct Answer is B

Explanation

Choice A rationale:

Failing to regularly wash their hands after eating may contribute to the transmission of various infections, but it's not specifically related to pinworms.

Choice B rationale:

Failing to adequately wipe themselves after toileting can lead to the transfer of pinworm eggs from the anal area to the fingers and under the nails. This behavior increases the risk of ingesting the eggs through hand-to-mouth contact, which can perpetuate the pinworm infection cycle.

Choice C rationale:

Sharing clothing with friends might facilitate the transmission of certain infections like lice or fungal infections, but it's not a common mode of transmission for pinworms.

Choice D rationale:

Engaging in frequent hand-to-mouth activity might increase the risk of ingesting pinworm eggs, but the eggs are more likely to be present on the hands due to inadequate wiping after toileting.

A. "The improvement may indicate a misdiagnosis of insulin-dependent diabetes mellitus.". B. "The improvement is evidence of the creation of new insulin-producing cells in the pancreas.". C. "The improvement is a temporary response of the insulin-producing cells of the pancreas.". D. "The improvement is the beginning of a complete recovery for your child.".

Correct Answer is C

Explanation

Choice A rationale:

Misdiagnosis is unlikely since the glucose levels are improving, indicating a valid diagnosis.

Choice B rationale:

Insulin-producing cells don't regenerate in substantial amounts to normalize glucose levels within a month. This process takes longer.

Choice C rationale:

This choice correctly identifies the situation as a temporary improvement due to the remaining insulin-producing cells functioning better temporarily.

Choice D rationale:

Complete recovery is not likely in such a short time frame.

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Which of these assessments is the priority for a 14-year-old client diagnosed with ulcerative colitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 6-year-old child is brought to the clinic because the mother has noticed the child scratching the anal area frequently. The nurse suspects the child has pinworms. Which childhood behavior enhances the transmission of pinworms?

Correct Answer is B

Explanation

A patient newly diagnosed with insulin-dependent diabetes mellitus comes to the clinic one month after diagnosis. The mother tells the nurse, "My child is getting better. The glucose levels are almost normal and my child requires less insulin.". What is the most appropriate response by the nurse?

Correct Answer is C

Explanation

Which statement made by the caregiver of a 2-year-old child who is scheduled to have a voiding cystourethrogram (VCUG) indicates a correct understanding of the procedure?

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