A nurse is developing a plan of care for a patient who was admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse contribute to the plan of care?

Choice A reason: Antidiarrheal medications such as loperamide may be used cautiously during acute exacerbations of ulcerative colitis to reduce stool frequency and improve comfort. However, they must be administered under strict medical supervision due to the risk of toxic megacolon. Their use is appropriate when diarrhea is severe and not caused by infection, and when the patient is hemodynamically stable. Choice B reason: Assessing for increased skin turgor is not relevant in this context. In fact, decreased skin turgor would be a more appropriate assessment for dehydration, which is common in ulcerative colitis due to fluid loss from diarrhea. Increased skin turgor is not a typical concern in this condition. Choice C reason: A high-residue diet is contraindicated during acute exacerbations of ulcerative colitis. Such diets increase bowel activity and can worsen symptoms. Instead, a low-residue diet is recommended to minimize bowel stimulation and reduce the frequency of stools. Choice D reason: Dispensing antiemetic medications with meals is not a standard intervention for ulcerative colitis unless the patient is experiencing nausea or vomiting. These symptoms are not primary features of ulcerative colitis and antiemetics are not routinely given with meals in this context.