CRNE Exam Prep

Category - Changes in Health

Michelle is a 37-year-old female experiencing severe diarrhea that contains blood and mucus. The client is admitted to the facility for treatment. After a series of tests, the client is diagnosed with ulcerative colitis. The nurse caring for the client implements which of the following as the priority intervention during the acute phase of ulcerative colitis?
  1. Restrict the client’s activity
  2. Maintain a clear liquid diet.
  3. Maintain NPO status.
  4. Administer bulk-forming agents.
Explanation
Answer: C - The priority intervention during the acute phase of ulcerative colitis is maintaining the NPO status. Bowel rest prevents the secretion of highly corrosive gastrointestinal fluids, decreasing the severity of pain and other symptoms. A clear liquid diet is maintained after the bowel rest. Restricting the client’s activity can decrease the symptoms by reducing intestinal activity, but it is not the priority action. The most important step is to prevent secretions that can aggravate the condition. The client may consume bulk-forming agents between episodes.
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