Which of the following is a common symptom of ulcerative colitis?

Weight gain

Bloody diarrhea

Blurred vision

Constipation

Answer and Explanation

The Correct Answer is B

B. Ulcerative colitis is a type of inflammatory bowel disease (IBD) characterized by inflammation and ulcers in the inner lining of the colon and rectum. Bloody diarrhea is one of the hallmark symptoms of ulcerative colitis. The inflammation and ulcers in the colon and rectum can lead to rectal bleeding, resulting in bloody stools.
A. Weight gain is not a common symptom of ulcerative colitis.
C. Blurred vision is not a typical symptom of ulcerative colitis. Symptoms of ulcerative colitis primarily involve the gastrointestinal tract, such as abdominal pain, diarrhea (often bloody), urgency to have a bowel movement, and fatigue.
D. Constipation is more commonly associated with other gastrointestinal conditions, such as irritable bowel syndrome (IBS) or certain medications.

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Correct Answer is A

Explanation

A. Teach the client to support the surgical site while deep breathing and coughing: This action is appropriate as it helps prevent complications such as atelectasis and pneumonia by promoting lung expansion and clearing secretions. Supporting the surgical site while deep breathing and coughing helps reduce pain and discomfort during these activities.
B. This is an important teaching point for clients using PCA for pain control after surgery. Opioid medications used in PCA can lead to gastrointestinal motility issues, including constipation. However, pain management is central within the first 24 hours post operation.
C. Irrigating and repositioning the NGT frequently can increase the risk of complications such as displacement or irritation of the surgical site. NGT care should be performed as needed based on institutional protocols and the client's condition.

D. The client's diet will likely be advanced gradually, starting with clear fluids and progressing to full liquids and then solid foods as tolerated. Fruit juices may be introduced gradually as part of the liquid diet once the client's gastrointestinal function has recovered sufficiently.

A. assist clients who are unable to eat but have active GI function. B. give short term nutrition after a surgical procedure. C. provide all of the client's nutritional needs in a hypertonic solution. D. prevent complications after a laparotomy for a bowel obstruction.

Correct Answer is C

Explanation

C. TPN does provide all of the client's nutritional needs, including carbohydrates, proteins, fats, vitamins, minerals, and electrolytes, in a hypertonic solution. The hypertonicity of the solution is necessary to prevent fluid overload and ensure compatibility with the vasculature. The hypertonic solution allows for higher nutrient concentrations to be delivered without exceeding vascular capacity.
A. TPN is indicated for clients who are unable to tolerate enteral nutrition (feeding through the gastrointestinal tract) or have impaired absorption, digestion, or utilization of nutrients despite having active GI function.
B. TPN may be used temporarily after a surgical procedure if the client is unable to tolerate oral or enteral feeding or if enteral nutrition is contraindicated due to the surgical site or condition. However, TPN is not limited to short-term use after surgery and may be required for an extended period in clients with chronic conditions or prolonged inability to tolerate enteral nutrition.
D. TPN may be used in some cases after a laparotomy for a bowel obstruction, particularly if enteral nutrition is contraindicated or if the client is unable to tolerate oral intake. However, TPN is not primarily used to prevent complications after surgery but rather to provide nutritional support when enteral feeding is not feasible or sufficient.

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Which of the following is a common symptom of ulcerative colitis?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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