Nokea
The nurse is caring for a client who has ulcerative colitis (UC). The nurse should teach the client to [Select all that apply].
- A. Eat consistent amounts of carbohydrates at mealtimes.
- B. Avoid drinking fluids with meals.
- C. Obtain recommended colon cancer screenings.
- D. Avoid taking anti-diarrheal medication.
- E. Increase the intake of non-caffeinated fluids during exacerbations.
Correct Answer: B,C,E
Rationale: For ulcerative colitis, avoiding fluids with meals (B) aids digestion, regular colon cancer screenings (C) are critical due to increased risk, and increasing non-caffeinated fluids (E) prevents dehydration during exacerbations. Consistent carbohydrates (A) are not specific, and anti-diarrheals (D) may be used cautiously.
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The nurse has provided medication instruction to a client prescribed sucralfate. Which of the following statements, if made by the client, would require further teaching? Select all that apply.
- A. I should take this medication one hour after meals.
- B. I will remain upright for 30 minutes after taking this medicine.
- C. This medication will help with my peptic ulcer disease.
- D. I know this medication works when my nausea and vomiting are gone.
- E. I may dissolve this medication in warm water.
Correct Answer: A,D,E
Rationale: Sucralfate is taken 1 hour before meals, not after; it treats ulcers but does not primarily relieve nausea/vomiting; and it should not be dissolved in water. Remaining upright and ulcer treatment are correct.
The nurse has just finished assisting the physician in performing a paracentesis. What should be the priority nursing intervention following the procedure?
- A. Administer analgesics to control pain
- B. Monitor for signs of infection
- C. Monitor for signs of hypovolemia
- D. Ensure that the ascitic fluid is sent to the lab for analysis
Correct Answer: C
Rationale: Monitoring for hypovolemia (C) is critical after paracentesis due to the risk of fluid shifts from removing large volumes of ascitic fluid.
The nurse is caring for a client with anemia and occult blood in the stool. Which of the following medications should the nurse question?
- A. Iron sucrose
- B. Enoxaparin
- C. Sucralfate
- D. Hydroxyurea
Correct Answer: B
Rationale: Enoxaparin, an anticoagulant, increases bleeding risk, which is concerning in a client with occult blood in the stool. Iron sucrose treats anemia, sucralfate protects the gastric mucosa, and hydroxyurea is not directly related to gastrointestinal bleeding.
The nurse is conducting a health screening at a local health fair. Which of the following should the nurse recognize as risk factors for developing colorectal cancer? Select all that apply.
- A. Ulcerative colitis
- B. Body Mass Index (BMI) of 21
- C. Human Immunodeficiency Virus (HIV) infection
- D. Low-fiber diet
- E. Excessive alcohol consumption
- F. African-American ethnicity
Correct Answer: A,D,E,F
Rationale: Ulcerative colitis (A), low-fiber diet (D), excessive alcohol (E), and African-American ethnicity (F) are risk factors for colorectal cancer. Normal BMI (B) and HIV (C) are not directly linked.
The nurse cares for a client who reports dumping syndrome following gastric bypass surgery. To alleviate the symptoms of dumping syndrome, the nurse should recommend that the client. Select all that apply.
- A. Take a dose of their prescribed proton pump inhibitor immediately before meals.
- B. Stay upright for 30 minutes following eating.
- C. Eat high-fiber foods to decrease late dumping syndrome.
- D. Increase their intake of simple carbohydrates to prevent spikes in blood sugar.
- E. Eat five to six small meals a day to avoid overloading the stomach.
Correct Answer: B,C,E
Rationale: Staying upright (B), eating high-fiber foods (C), and consuming small, frequent meals (E) slow gastric emptying, reducing dumping syndrome symptoms. PPIs (A) are unrelated, and simple carbohydrates (D) worsen symptoms.