The nurse is teaching a patient newly diagnosed with ulcerative colitis about triggers for exacerbation of the disease. What should the nurse urge the patient to do to prevent a future exacerbation? (Select all that apply.)

a. Do not use tobacco
b. Reduce exposure to stress
c. Restrict fluids to 2 liters per day
d. Read food labels to avoid food additives
e. Avoid ingesting foods sprayed with pesticides


ANS: A, B, D, E
Environmental agents such as pesticides, tobacco, radiation, and food additives may precipitate an exacerbation. Diet or psychological stress may trigger or worsen an attack of symptoms. C, There is no need for the patient to restrict fluids.

Nursing

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A woman asks you if she can take an over-the-counter vitamin during pregnancy rather than her prescription prenatal vitamin. A chief ingredient in prenatal vitamins that makes them important for pregnancy nutrition is

A) folic acid. B) vitamin B12. C) vitamin C. D) potassium.

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The nurse is evaluating the effectiveness of teaching on a client with erectile dysfunction. Which of the following comments made by the client should be addressed by the nurse?

A) "I'm not embarrassed to tell you I'm unable to have an erection." B) "I don't want to upset my wife so I'll share my concerns with you." C) "I know I need to take the sildenafil, Viagra, about an hour before having sex." D) "I know there are surgical options if I can't tolerate the pills."

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The outcome for the client on bed rest is that client has intact skin in 2 weeks. Which rationale justifies the use of a support surface or special mattress?

1. Manages pain and comfort 2. Prevents joint contractures 3. Eliminates need for turning 4. Reduces risks of immobility

Nursing

An appropriate nursing intervention for a hospitalized autistic child would be to:

a. Locate the child where he or she can watch all of the activity on the unit b. Use the child's chronological age as a guide for communication c. Keep all toys out of the child's room d. Organize care with as few disruptions to the routine as possible

Nursing