Nokea
You're caring for Carin who has just had ileostomy surgery. During the first 24 hours post-op, how much drainage can you expect from the ileostomy?
- A. 100 ml
- B. 500 ml
- C. 1500 ml
- D. 5000 ml
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Jerod is experiencing an acute episode of ulcerative colitis. What is the priority for this patient?
- A. Replace lost fluid and sodium.
- B. Monitor for increased serum glucose levels from steroid therapy.
- C. Restrict dietary intake of foods high in potassium.
- D. Note any change in the color and consistency of stools.
Correct Answer: A
Rationale: The correct answer is to replace lost fluid and sodium. During an acute episode of ulcerative colitis, the priority is to manage the patient's fluid and electrolyte balance. This is crucial due to the potential for dehydration and electrolyte imbalances resulting from diarrhea and inflammation in the colon. Monitoring serum glucose levels (Choice B) may be important for patients on steroid therapy, but in this scenario, fluid and electrolyte balance take precedence. Restricting dietary intake of foods high in potassium (Choice C) is not a priority in the acute phase of ulcerative colitis. While noting changes in stool color and consistency (Choice D) is important for assessing the patient's gastrointestinal status, it is not the priority when managing acute ulcerative colitis.
A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs?
- A. Initiate continuous enteral feedings
- B. Encourage a high protein, high-calorie diet
- C. Implement total parenteral nutrition
- D. Provide six small meals a day.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?
- A. Now I can never get hepatitis again.
- B. I can safely give blood after 3 months.
- C. I'll never have a problem with my liver again, even if I drink alcohol.
- D. My family knows that if I get tired and start vomiting, I may be getting sick again.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant?
- A. Assessing the client's bowel sounds
- B. Providing skin care following bowel movements
- C. Evaluating the client's response to antidiarrheal medications
- D. administration of pain medication every 4 hours
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Annebell is being discharged with a colostomy, and you're teaching her about colostomy care. Which statement correctly describes a healthy stoma?
- A. At first, the stoma may bleed slightly when touched.
- B. The stoma should appear dark and have a bluish hue.
- C. A burning sensation under the stoma faceplate is normal.
- D. The stoma should remain swollen away from the abdomen.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.