The nurse is caring for a client and witnesses them begin to have tonic-cionic.seizure. The client has a patent peripheral IV medications would the nurse most likely administer seizure activity

A) Diarrhoea, possibly containing blood: Diarrhea, often accompanied by blood, is a hallmark symptom of ulcerative colitis. The inflammation typically starts in the rectum and extends proximally, causing frequent, bloody diarrhea. This symptom is a defining characteristic of the condition and is indicative of active disease.

B) Increased risk for colorectal cancer: Ulcerative colitis, especially when it is chronic or poorly controlled, significantly increases the risk for colorectal cancer. This is due to long-term inflammation that can cause cellular changes in the colon over time. Regular screenings are recommended for individuals with a history of ulcerative colitis.

C) Skip lesions and cobblestone appearance: This is the exception. Skip lesions and a cobblestone appearance are characteristic of Crohn's disease, not ulcerative colitis. Crohn's disease can affect any part of the gastrointestinal tract and often exhibits areas of healthy tissue interspersed with areas of inflammation, known as skip lesions. Ulcerative colitis, in contrast, involves continuous inflammation that typically starts in the rectum and progresses proximally without the skip pattern.

D) Risk for bowel perforation and toxic megacolon: Both bowel perforation and toxic megacolon are complications associated with ulcerative colitis, particularly during severe flare-ups. Toxic megacolon is a life-threatening condition where the colon becomes massively dilated and can rupture, leading to peritonitis. This is a known risk with severe or poorly managed ulcerative colitis.

A) Obtaining a primary and secondary tubing set:
The primary tubing is used for the intravenous access, and the secondary tubing is attached for administering the blood product. This ensures that the blood transfusion will be delivered effectively, and it is a standard practice to use proper IV tubing for blood products to avoid contamination or complications.

B) Ensuring another licensed personnel is available:
. While it is required that two licensed healthcare professionals verify the blood product before starting the transfusion, this action itself is not contraindicated, it is required. Both individuals should independently check the patient's identification, blood type, and the matching of the blood product before administration. Therefore, the answer to the question should not be about ensuring availability of licensed personnel as this is actually a required safety measure, not contraindicated. The actual contraindications involve actions like using inappropriate fluids for transfusion or mismatching blood.

C) Obtaining 0.9% normal saline solution:
This is appropriate and necessary when preparing for a blood transfusion. Normal saline (0.9%) is the only compatible solution that should be used to flush the IV line before and after the transfusion or to prime the blood tubing. Other solutions, such as lactated Ringer's, can cause clotting when mixed with blood, making saline the only appropriate choice.

D) Checking ABO and Rh status of the donor and recipient:
This is essential and mandatory before administering a blood transfusion. It is critical to ensure that the ABO blood group and Rh factor of the donor and recipient are compatible to prevent hemolytic reactions. This compatibility check must be done every time before administering a transfusion, and it is an integral part of ensuring patient safety.