Surgical NCLEX: Question and Answers- CASE STUDY PN Ulcerative Colitis Practice Exam Questions and Answers (100% Pass)
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Surgical NCLEX
Surgical NCLEX: Question and Answers- CASE
STUDY PN Ulcerative Colitis Practice Exam
Questions and Answers (100% Pass)
Meet the Client: Anna
Anna, a 24-year-old, presents to the emergency department with severe abdominal pain
and complaints of diarrhea. She appears cachectic and advises the he...
Surgical NCLEX: Question and Answers- CASE
STUDY PN Ulcerative Colitis Practice Exam
Questions and Answers (100% Pass)
Meet the Client: Anna
Anna, a 24-year-old, presents to the emergency department with severe abdominal pain
and complaints of diarrhea. She appears cachectic and advises the health care provider
(HCP) that she was diagnosed at age 20 with ulcerative colitis. She states, "I thought I
had gotten over these problems, but now my health is getting worse." - ✔️✔️
Clinical Manifestations
Anna describes her stools to the practical nurse (PN) and expresses that she feels
fatigued daily. - ✔️✔️
How should the PN expect Anna to describe her stools? - ✔️✔️Bloody diarrhea.
Because rectal bleeding is a common finding in ulcerative colitis, which additional
question is important for the PN to ask Anna? - ✔️✔️"Do you feel light-headed?"
Anna has no other GI symptoms at the present time, but she does report that her body
is stiff and aching when she rises in the morning and that she takes a nonsteroidal
medication to help relieve the pain. - ✔️✔️
What is the PN's best response to this information? - ✔️✔️"Ulcerative colitis can cause
problems in areas other than the colon."
The PN provides stool specimen containers and asks Anna to obtain three specimens:
one specimen for 3 consecutive days. - ✔️✔️
Which information is important for the PN to provide Anna regarding food and fluid
intake during the stool specimen collection time frame? - ✔️✔️Avoid red meat.
Anna is scheduled for a flexible sigmoidoscopy and a barium enema. The procedures
were explained to Anna by the HCP, but she tells the PN she is not sure what will
happen during the barium enema. - ✔️✔️
Which explanation of the procedure for the barium enema should the PN provide Anna?
- ✔️✔️X-ray is used to visualize the large intestine after barium is instilled.
The barium enema is completed without incident. - ✔️✔️
Upon completion of the barium enema, about what information should the PN remind
the client? - ✔️✔️To drink extra fluids
The sigmoidoscopy is completed without any apparent complications. - ✔️✔️
Immediately after the sigmoidoscopy, it is important for the PN to monitor for which
manifestation? - ✔️✔️Abdominal guarding.
No increase in guarding or tenderness is noted by the PN. - ✔️✔️
Therapeutic Communication
The diagnostic test results confirm that Anna has acute ulcerative colitis. During the
acute phase, edema and ulceration of the bowel mucosa are seen, with resultant
hemorrhage. A further change in the colon occurs as the disease progresses and
becomes chronic. After the HCP discusses the diagnosis and the necessary treatment
with Anna, the PN observes that Anna is visibly upset and that she is trying to refrain
from crying. When the PN sits down next to her, Anna says, "My life is over. I'll have to
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