The nurse is caring for a client with an acute exacerbation of ulcerative colitis having 14-16 bloody stools a day and crampy abdominal pain associated with the diarrhea. Which of the following actions should the nurse take?
A)Place the client on NPO status.
B)Administer IV metoclopramide.
C)Teach the client about total colectomy surgery.
D)Administer cobalamin injections.

Question

Quizplus · Accepted Answer

An initial therapy for an acute exacerbation of inflammatory bowel disease (IBD) is to rest the bowel by making the client NPO. Cobalamin (vitamin B12) is absorbed in the ileum, which is not affected by ulcerative colitis. Although total colectomy is needed for some clients, there is no indication that this client is a candidate. Metoclopramide increases peristalsis and will worsen symptoms.

The Nurse Is Caring for a Client with an Acute