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. Night sweats are a common symptom in clients with AIDS, often related to opportunistic infections like tuberculosis or certain types of cancers.

B. In HIV/AIDS, WBC counts are often decreased due to immune suppression, so an increased WBC count is not typical.

C. Decreased, rather than increased, hemoglobin levels are often seen in AIDS due to anemia of chronic disease.

D. Weight loss, rather than gain, is more commonly associated with AIDS due to malnutrition and wasting syndrome.

A. The client is restless. B. The client shows a brisk response to stimulus. C. The client shows a sluggish response to stimulus. D. The client is cooperative and oriented.

Correct Answer is D

Explanation

A. Restlessness may indicate incomplete recovery or inadequate sedation reversal.

B. A brisk response to stimulus suggests the client is still in a mildly sedated state and not fully recovered.

C. A sluggish response to stimulus also indicates the client is not yet fully alert and oriented.

D. The client being cooperative and oriented is an indication of full consciousness and recovery from sedation, meeting discharge criteria.

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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

Å nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing a client who received IV conscious sedation for a colonoscopy. Which of the following findings indicated that the client is ready for discharge?

Correct Answer is D

Explanation

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