For a client admitted for an exacerbation of ulcerative colitis, what is the first nursing action?

The first nursing action for a client admitted with an exacerbation of ulcerative colitis involves reviewing the client's electrolyte values. This condition often leads to diarrhea, which can result in significant fluid and electrolyte imbalances. Monitoring electrolytes is crucial because imbalances can cause serious complications, such as dehydration, electrolyte disturbances, and cardiac issues.

By assessing electrolyte levels early in the care process, the healthcare team can determine the severity of the exacerbation and implement interventions, such as fluid and electrolyte replacement, as needed. This assessment is central to the immediate safety and stabilization of the patient.

While checking the perianal skin integrity, investigating emotional concerns, and obtaining a dietary history are all important nursing actions, they come into play after ensuring that the patient's physiological stability is prioritized. Addressing the most immediate health risks allows for a more comprehensive approach to the patient's overall care.