A 13-year-old client with ulcerative colitis says, "I am so glad I will grow out of this disease. It's so embarrassing at school." Which action by the nurse would best address this statement?
a. Ask the client to explain what he/she means.
b. Encourage the client to become active in school activities or sports.
c. Review the pathophysiology of ulcerative colitis.
d. Tell the client about other people who live successfully with the disease.
A
Ulcerative colitis, a progressive inflammatory process involving contiguous portions of the bowel, has remissions and exacerbations, and physical exertion and fatigue can bring on an attack. Clients do not outgrow ulcerative colitis; surgical intervention is the only cure. Exploring the statement further can direct the nurse to provide more helpful information and can elicit coping mechanisms.
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The nurse assesses the incontinent client's perineal skin and notes redness. Which does the nurse include in the client's plan of care to individualize nursing care?
1. Minimize exposure of perineum to soap and water. 2. Apply anti-inflammatory agent to the affected area. 3. Allow adequate time for client to use the bedside commode. 4. Remove incontinence brief and expose skin to air for an hour.
There is a different focus for the client with hospice nursing care. The nurse is aware that client care provided through a hospice is:
1. Designed to meet the client's individual wishes, as much as possible 2. Aimed at offering curative treatment plans intended for client recovery 3. Involved in teaching families and/or caregivers to provide postmortem care 4. Offered primarily for hospitalized clients for whom at-home care is not possible
The nurse assesses a client with abdominal and rectal discomfort, diarrhea, and fever. What initial data source should the nurse use to determine a possible cause of his symptoms?
A) Medical history, for prostatic hypertrophy B) Nutritional record, for the amount of dietary fiber C) Defecation record, for frequency and character of bowel movements D) Medication record, for use of anticholinergic medications