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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
A. An increase in hemoglobin does not indicate infection; it may indicate dehydration or improved oxygenation.
B. The absence of ketones in urine is not related to infection status.
C. An increase in band neutrophils, known as a "left shift," is a sign of infection as the body releases immature neutrophils in response to infection.
D. A negative leukocyte esterase in urine indicates no presence of white blood cells in the urine, suggesting no urinary infection.
E. An elevated erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and can indicate infection or other inflammatory processes.
Correct Answer is D
Explanation
A. High-impact activities like jogging or running may worsen symptoms; low-impact exercise is preferred.
B. Increased calcium intake is not specifically recommended for fibromyalgia.
C. Avoiding all exercise during flare-ups is not advised, as gentle stretching or low-impact activities can often help alleviate pain.
D. A regular sleep pattern is essential, as quality sleep can improve symptoms and overall functioning in clients with fibromyalgia.
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