A nurse is attending to a client who has just been admitted due to an acute exacerbation of ulcerative colitis. What should be the nurse’s initial course of action?

Investigate the client’s emotional concerns.

Check the client’s perianal skin integrity.

Obtain a dietary history from the client.

Review the client’s electrolyte values.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While emotional concerns are important to address in a holistic care approach, they are not the initial course of action when a client is admitted due to an acute exacerbation of ulcerative colitis. Emotional concerns are usually addressed once the client’s physical condition is stabilized.
Choice B rationale
Checking the client’s perianal skin integrity is a crucial initial step when a client is admitted due to an acute exacerbation of ulcerative colitis. Ulcerative colitis can cause rectal bleeding and diarrhea, which can lead to skin breakdown in the perianal area. Therefore, assessing for skin integrity helps in early detection and management of potential skin complications.
Choice C rationale
Obtaining a dietary history from the client is important but not the initial course of action in this scenario. Dietary history is usually obtained once the client’s condition is stabilized and when planning for discharge or dietary modifications.
Choice D rationale
Reviewing the client’s electrolyte values is important in managing ulcerative colitis, but it’s not the initial course of action. Electrolyte imbalances can occur due to diarrhea and

malabsorption, which are common in ulcerative colitis. However, this is usually done after initial physical assessments and stabilization of the client.

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Correct Answer is A

Explanation

Choice A rationale
Whole grains are a good source of energy and fiber, which can help regulate bowel movements and maintain a healthy weight. They also contain important nutrients like B vitamins, iron, folate, selenium, potassium, and magnesium, which are beneficial for overall health.
Choice B rationale

While poached eggs are a good source of protein, they do not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Choice C rationale
Baked chicken is a good source of lean protein, but it does not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Choice D rationale
Fresh fruits are a good source of vitamins, minerals, and fiber. They are part of a healthy diet but do not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.

A. Stool. B. Saliva. C. Nasal Mucus. D. Urine.

Correct Answer is A

Explanation

Choice A rationale
The effectiveness of pancreatic enzyme replacement therapy in patients with chronic pancreatitis can be evaluated by observing the patient’s stool. Pancreatic enzyme replacement therapy (PERT) is used to improve digestion and absorption of nutrients in patients with pancreatic insufficiency, a common complication of chronic pancreatitis. One of the primary goals of PERT is to reduce steatorrhea, or fatty stools, which is a common symptom of pancreatic insufficiency. Therefore, observing changes in the patient’s stool, such as a reduction in fat content, can help evaluate the effectiveness of PERT567.
Choice B rationale
While saliva plays a role in the initial stages of digestion, it is not typically used to evaluate the effectiveness of pancreatic enzyme replacement therapy in patients with chronic pancreatitis. PERT is primarily aimed at improving the digestion and absorption of nutrients in the intestines, and changes in saliva are not indicative of the effectiveness of this therapy.
Choice C rationale
Nasal mucus is not typically used to evaluate the effectiveness of pancreatic enzyme replacement therapy in patients with chronic pancreatitis. PERT is primarily aimed at improving the digestion and absorption of nutrients in the intestines, and changes in nasal mucus are not indicative of the effectiveness of this therapy.
Choice D rationale
Urine is not typically used to evaluate the effectiveness of pancreatic enzyme replacement therapy in patients with chronic pancreatitis. PERT is primarily aimed at improving the digestion and absorption of nutrients in the intestines, and changes in urine are not indicative of the effectiveness of this therapy.

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A nurse is attending to a client who has just been admitted due to an acute exacerbation of ulcerative colitis. What should be the nurse’s initial course of action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a patient with hypothyroidism in meal planning. Which foods should the nurse suggest the patient add to their diet?

Correct Answer is A

Explanation

Which body substance should the nurse observe to evaluate the effectiveness of pancreatic enzyme replacement for a patient with chronic pancreatitis?

Correct Answer is A

Explanation

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