The nurse cares for a client with ulcerative colitis who is having abdominal pain and ?10 bloody stools per day. Which of the following interventions should be included in the client's plan of care? Select all that apply.

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NCLEX® CHANGE AS OF 2017 - Please note that select-all-that-apply (SATA) questions on NCLEX can now include any number of correct responses. Only ONE option or up to ALL options may be correct. UWorld questions now reflect this change. Visit NCSBN® NCLEX FAQs for more information. 11ecbb05_c9b1_dd2a_b433_fbf6b9dad8fc_MD0009_00 Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by inflammation and ulceration of the large intestine (colon) that results in abdominal pain, frequent bouts of bloody diarrhea, anorexia, and anemia. The nurse planning care for a client with UC should: Manage pain: Intestinal inflammation often produces severe abdominal pain that limits treatment compliance. Provide prescribed analgesics to promote comfort and treatment adherence (Option A). Address psychosocial needs: Chronic illness may increase the risk of hopelessness and/or depression due to prolonged treatment and frustration over lack of improvement or symptom control. Encourage clients to discuss emotions and feelings (Option B). Assess fluid balance: Diarrhea, blood loss, and poor oral intake contribute to dehydration. Strict intake and output monitoring helps ensure adequate fluid intake and prevent dehydration (Option C). Evaluate treatment adherence: UC exacerbations may be spontaneous or may be precipitated by certain foods or lack of adherence to prescribed treatments (eg, medications). Assess compliance with prescribed treatments and provide education as needed to promote adherence (Option D). Promote nutrition: Pain after eating may lead to anorexia, and intestinal inflammation decreases nutrient absorption; both result in nutritional deficiency. Help clients select nutrient-dense, high-protein foods to promote recovery and meet nutritional needs (Option E). Educational objective: Ulcerative colitis (UC) is a chronic inflammatory bowel disease characterized by bouts of bloody diarrhea, abdominal pain, anorexia, and anemia. Nurses caring for clients with UC should provide pain management, promote adequate nutrition and hydration, address psychosocial needs, and evaluate client compliance with treatment.

The Nurse Cares for a Client with Ulcerative Colitis Who