The nurse knows that all of the following are features of ulcerative colitis (UC) except which?

Skip lesions and cobblestone appearance

Risk for bowel perforation and toxic megacolon

Diarrhea, possibly containing blood

Increased risk for colorectal cancer

Answer and Explanation

The Correct Answer is A

A. Skip lesions and a cobblestone appearance are characteristic of Crohn's disease, not ulcerative colitis (UC). UC involves continuous inflammation of the colon, without skip lesions.
B. Ulcerative colitis is associated with a risk for bowel perforation and toxic megacolon, which are serious complications of the disease.
C. Diarrhea containing blood is a common symptom of ulcerative colitis, as it primarily affects the colon and rectum, leading to inflammation and ulceration.
D. Increased risk for colorectal cancer is a known complication of ulcerative colitis, especially with long-term disease duration.

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Correct Answer is A

Explanation

A. 50% Dextrose in Water (D50W) IV push is the most appropriate intervention for a client with a blood glucose level of 30 mg/dL, indicating severe hypoglycemia. The rapid administration of D50W will quickly raise the blood glucose level and help restore consciousness.
B. Insulin Regular IV push would lower the blood glucose level, which is not appropriate in this situation where the client is hypoglycemic.
C. 0.9% sodium chloride infusion is a general fluid replacement solution, but it will not address the client's low blood glucose level.
D. 5% Dextrose continuous IV infusion is typically used for maintenance, but it would not act as quickly as D50W to correct severe hypoglycemia in an unconscious patient.

A. Administration of IV antibiotics B. Administration of IV diuretics C. Isotonic intravenous fluids D. Lay the client supine with legs elevated

Correct Answer is B

Explanation

A. Administration of IV antibiotics is not appropriate for this client, as there is no indication of an infection. The client's symptoms are consistent with fluid overload due to heart failure, not an infectious process.
B. Administration of IV diuretics is the priority intervention. The client is exhibiting signs of fluid overload, including jugular venous distention, crackles, and a bounding pulse. IV diuretics, such as furosemide, help reduce fluid volume, alleviate pulmonary congestion, and improve breathing.
C. Isotonic intravenous fluids would exacerbate the fluid overload and worsen the client's symptoms. This intervention is contraindicated in this scenario.
D. Laying the client supine with legs elevated is inappropriate for a client with heart failure and fluid overload, as it can increase venous return to the heart and worsen pulmonary congestion. Instead, the client should be positioned upright to improve breathing.

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The nurse knows that all of the following are features of ulcerative colitis (UC) except which?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is diabetic and has a blood glucose level of 30 mg/dL. The client is unconscious and has a 20-gauge peripheral IV in the antecubital area. After securing the client's airway, what medication should the nurse plan to administer first?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following adverse findings would the nurse anticipate?

A nurse is preparing to administer an infusion of intravenous fluids to a client who is at risk for fluid volume overload. Which of the following manifestations would indicate hypervolemia? (Select all that apply)

Which assessment finding is most indicative of hypernatremia?

The nurse should explain that which of the following medications puts a client at risk for developing hyperkalemia?

Which of the following signs and symptoms from a client who came to the clinic for an exacerbation of Crohn's Disease is the most concerning?

A client with hypovolemia is at risk for orthostatic hypotension. Which of the following interventions should the nurse implement in this client?