Á nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

Obtain a dietary history from the client.

Review the client's electrolyte values.

Investigate the client's emotional concerns.

Check the client's perianal skin integrity.

Answer and Explanation

The Correct Answer is B

A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.

B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.

C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.

D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.

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Correct Answer is A

Explanation

A. A headache is a common complication of spinal anesthesia, resulting from cerebrospinal fluid leakage at the puncture site.

B. Hiccoughs are not typically associated with spinal anesthesia complications.

C. An absence of urge to void may occur post-spinal anesthesia but is generally expected rather than a sign of complication.

D. Numbness in the legs is an anticipated effect post-spinal anesthesia, not necessarily indicating a complication.

A. "Sleep on your left side." B. "Wait to go to bed for 1 hr after eating." C. "Eat four small meals each day." D. "Drink milk to soothe your stomach."

Correct Answer is A

Explanation

A. Sleeping on the left side can reduce acid reflux symptoms because it keeps the stomach below the esophagus, potentially preventing stomach acid from entering the esophagus.

B. Waiting only 1 hour after eating may not be enough; generally, clients with GERD are advised to wait at least 2-3 hours before lying down.

C. Eating four small meals each day may not be sufficient; GERD patients are often advised to eat smaller, more frequent meals to reduce stomach pressure and prevent reflux.

D. Drinking milk may temporarily soothe the stomach but can stimulate acid production and worsen GERD symptoms over time.

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Á nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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