A nurse is assisting with the care of a client.
For each data collection finding, dick to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.
Abdominal cramping
Diarrhea
Weight loss
Anemia
The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,C"},"C":{"answers":"A,C"},"D":{"answers":"A,C"}}
- Abdominal cramping: Present in ulcerative colitis, diverticulitis, and Crohn's disease due to inflammation of the bowel. Ulcerative colitis affects the colon, diverticulitis involves inflamed diverticula, and Crohn’s disease can cause transmural inflammation anywhere in the GI tract.
- Diarrhea: A hallmark of ulcerative colitis and Crohn’s disease, resulting from mucosal damage and inflammation. Diverticulitis more commonly presents with constipation or alternating bowel habits rather than persistent diarrhea.
- Weight loss: Common in Crohn’s disease due to malabsorption caused by widespread GI involvement. Less likely in ulcerative colitis or diverticulitis unless there is prolonged disease progression or severe complications.
- Anemia: Present in both ulcerative colitis and Crohn’s disease due to chronic inflammation and potential GI blood loss. Less common in diverticulitis unless there is active bleeding from perforation or fistula formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Initiate droplet precautions. Respiratory syncytial virus (RSV) is primarily transmitted through respiratory secretions, requiring contact and droplet precautions to prevent the spread. Isolation measures, including wearing masks and gowns, help protect healthcare workers and other patients.
B. Administer fluconazole to the preschooler. Fluconazole is an antifungal medication, which is not effective against RSV, a viral infection. Treatment for RSV is mainly supportive, focusing on airway management, hydration, and oxygen therapy as needed.
C. Monitor the preschooler's urine for protein. Proteinuria is associated with kidney conditions such as nephrotic syndrome, not RSV. RSV primarily affects the respiratory system, causing bronchiolitis and increased mucus production rather than kidney involvement.
D. Request an x-ray of the preschooler's neck. A neck x-ray is typically used to evaluate airway obstruction from conditions like epiglottitis. RSV affects the lower respiratory tract, leading to bronchiolitis, and does not usually require imaging unless complications arise.
Correct Answer is C
Explanation
A. "Understands that everyone dies eventually." Preschoolers typically do not have a comprehensive understanding of the concept of death and its universality. Their grasp of death is often more concrete, focusing on the specific situation rather than a general concept.
B. "Expresses curiosity about the funeral service." While some preschoolers may show curiosity about the funeral service, many might find the concept of a funeral confusing. Their understanding of death is often limited, and they may not ask questions about such abstract concepts.
C. "Believes the death is punishment for bad behavior." Preschoolers often have egocentric thinking and may associate events with their own actions, leading them to believe that a parent's death is a form of punishment for their behavior. This is a common response in this age group as they struggle to comprehend death and its causes.
D. "Recognizes the parent will never wake up." Preschoolers typically do not fully grasp the permanence of death. They may believe that the deceased parent will wake up or return, reflecting their limited understanding of the finality of death.
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