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 B rationale:

After cleft palate repair, infants should be fed pureed or soft foods to prevent trauma to the surgical site and facilitate healing. These textures minimize the risk of injury and avoid strain on the repaired area.

Choice A rationale:

Allowing the child to self-feed with a spoon can introduce solid textures prematurely and pose a risk of disrupting the surgical repair.

Choice C rationale:

Using a cup with a straw might cause suction that could negatively impact the healing surgical site, increasing the risk of complications.

Choice D rationale:

Restricting breastfeeding is not necessary for cleft palate repair. However, positioning adjustments may be needed to facilitate effective breastfeeding while minimizing stress on the surgical area.

A. Have the child choose a place in his room for the dog where he can see it but it is beyond his reach. B. Tell the mother that it is all right to keep the dog with him. C. Suggest to the mother that she tell the child that she will bring the dog back after taking it home to wash it. D. Suggest to the mother that she choose a replacement from the stuffed animals in the playroom.

Correct Answer is A

Explanation

Choice A rationale:

Allowing the child to have the soiled stuffed dog within sight but out of reach respects his attachment to the comfort object while maintaining hygiene standards of the hospital environment. The child's emotional well-being is crucial, and separation from a beloved item during a hospital stay can be distressing. Placing the dog in view but inaccessible helps strike a balance between comfort and infection control.

Choice B rationale:

While the mother's desire to keep the dog with the child is understandable, infection control is a concern in a hospital setting. Allowing the soiled object to remain in close proximity could compromise the child's health.

Choice C rationale:

Suggesting that the mother take the dog home to wash it and bring it back later might cause unnecessary distress for the child, who may worry about being separated from the comfort object for an extended period.

Choice D rationale:

Choosing a replacement from the playroom's stuffed animals could be unsettling for the child, as his attachment is to his specific dog. The familiarity of his own toy is likely to provide more comfort during the hospitalization. .

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

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Naxlex Comprehensive Predictor Exams

What information should a nurse plan to give the parents of a 9-month-old infant who is to be discharged after a cleft palate repair?

Correct Answer is B

Explanation

A 4-year-old patient with cystic fibrosis is hospitalized with an acute pulmonary exacerbation. When the patient is admitted, he is clutching a soiled, tattered, stuffed dog. His mother says, "He insisted on bringing the dog with him. It really is filthy.". Which nursing action is most appropriate?

Correct Answer is A

Explanation

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