ATI CARE OF PATIENTS WITH PROBLEMS OF THE THYROID AND
PARATHYROID GLANDS EXAM NEWEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
A client has been newly diagnosed with ulcerative colitis (UC).
What does the nurse teach the client about diet and lifestyle
choices?
a. "Raw vegetables and high-fiber foods may help to diminish
your symptoms."
b. "Lactose-containing foods should be reduced or eliminated
from your diet."
c. "Drinking carbonated beverages will help with your abdominal
distress."
d. "It's OK to smoke cigarettes, but you should limit them to ½
pack per day." - ANSWER-b. "Lactose-containing foods should be
reduced or eliminated from your diet."
Rationale: The nurse teaches the newly diagnosed client with
ulcerative colitis that lactose-containing foods are often poorly
tolerated and need to be reduced or eliminated from the diet.
Carbonated beverages are GI stimulants that can cause
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discomfort and must be used rarely or completely eliminated from
the diet. Cigarette smoking is a stimulant that can cause GI
distress symptoms. Nurses would never advise patients that any
amount of cigarette smoking is "OK." Raw vegetables and high-
fiber foods can cause GI symptoms in patients with UC.
A male client with a long history of ulcerative colitis experienced
massive bleeding and had emergency surgery for creation of an
ileostomy. He is very concerned that sexual intercourse with his
wife will be impossible because of his new ileostomy pouch. How
would the nurse respond?
a. "A change in position may be what is needed for you to have
intercourse with your wife."
b. "You must get clearance from your primary health care provider
before you attempt to have intercourse."
c. "What has your wife said about your pouch system?"
d. "Have you considered going to see a marriage counselor with
your wife?" - ANSWER-a. "A change in position may be what is
needed for you to have intercourse with your wife."
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Rationale: The nurse tells the client who had an emergency
ileostomy that a simple change in positioning during intercourse
may alleviate apprehension and facilitate sexual relations with his
wife. Suggesting marriage counseling may address the client's
concerns, but it focuses on the wrong issue. The client has not
stated that he has relationship problems. Asking the client what
his wife has said about the pouch may address some of the
client's concerns, but it similarly focuses on the wrong issue.
The nurse is caring for a client admitted with a long-term
diagnosis of ulcerative colitis (UC). For what potentially life-
threatening complication would the nurse monitor?
a. Chronic kidney disease
b. Lower gastrointestinal (GI) bleeding
c. Metabolic acidosis
d. Hyperkalemia - ANSWER-b. Lower gastrointestinal (GI)
bleeding
Rationale: The client who has UC is at most risk for lower GI
bleeding due to inflammation and diarrhea. The client with UC is
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also at risk for hypokalemia and metabolic alkalosis as a result of
losing intestinal contents through diarrhea.
After teaching a client who is prescribed adalimumab for severe
ulcerative colitis (UC), the nurse assesses the client's
understanding. Which statement made by the client indicates a
need for further teaching?
a. "I will avoid large crowds and people who are sick."
b. "I will take this medication with my breakfast each morning."
c. "Nausea and vomiting are common side effects of this drug."
d. "I should wash my hands after I play with my dog." - ANSWER-
b. "I will take this medication with my breakfast each morning."
Rationale: Adalimumab is an immune modulator that is given via
subcutaneous injection. It does not need to be given with food or
milk. Nausea and vomiting are two common side effects.
Adalimumab can cause immune suppression, so clients receiving
the medication should avoid large crowds and people who are
sick, and should practice good handwashing.