A nurse cares for a client with ulcerative colitis. The client states, I feel like I am tied to the toilet. This disease is controlling my life. How should the nurse respond?
a. Let's discuss potential factors that increase your symptoms.
b. If you take the prescribed medications, you will no longer have diarrhea.
c. To decrease distress, do not eat anything before you go out.
d. You must retake control of your life. I will consult a therapist to help.
Question 2A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation should alert the nurse to urgently contact the health care provider?
a. Pale and bluish stoma
b. Liquid stool
c. Ostomy pouch intact
d. Blood-smeared output
Question 3A nurse plans care for a client with Crohn's disease who has a heavily draining fistula. Which intervention should the nurse indicate as the priority action in this client's plan of care?
a. Low-fiber diet
b. Skin protection
c. Antibiotic administration
d. Intravenous glucocorticoids
Question 4A nurse cares for a client who has food poisoning resulting from a Clostridium botulinum infection. Which assessment should the nurse complete first?
a. Heart rate and rhythm
b. Bowel sounds
c. Urinary output
d. Respiratory rate
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