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A nurse is assisting with the care of a client.

Exhibits

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.

A.

Abdominal cramping

B.

Diarrhea

C.

Weight loss

D.

Anemia

Answer and Explanation

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.


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Related Questions

Correct Answer is D

Explanation

A. Apply intermittent suction for 30 seconds. Suctioning should not exceed 10-15 seconds to minimize hypoxia and irritation to the airway. Continuous suctioning for 30 seconds can lead to discomfort and inadequate oxygenation.
B. Apply suction while inserting the catheter. Suction should not be applied while inserting the catheter. This technique can cause trauma to the mucosa and prevent effective suctioning. Suction should only be applied once the catheter is in the desired position.
C. Insert the catheter 10 cm (4 in). The appropriate insertion depth for nasopharyngeal suctioning is typically 12-15 cm (5-6 in) for adults. Inserting the catheter to the proper depth ensures effective suctioning of secretions while minimizing the risk of injury.
D. Wait 1 min between suctioning attempts. Waiting 1 minute between suctioning attempts is essential to allow for adequate oxygenation and to prevent trauma to the airway. This interval allows the client to recover and ensures the airway is not overly irritated or compromised.

Correct Answer is ["A","B","C","D","E","H","J"]

Explanation

  • WBC count 6,700/mm³ is unchanged from previous readings, remaining within normal limits, indicating no new or worsening infection or inflammatory response.
  • Hemoglobin 12 g/dL represents a significant increase from the previous value of 7.8 g/dL, demonstrating successful red blood cell transfusion and improvement in oxygen-carrying capacity.
  • Hematocrit 36% is also markedly improved from 24%, further confirming correction of anemia following transfusion.
  • Blood pressure 112/74 mm Hg has increased from a low of 76/45 mm Hg, indicating improved circulatory status and perfusion following fluid resuscitation and transfusion.
  • Heart rate 95/min is a decrease from previous tachycardic values (121/min), suggesting stabilization of hemodynamics and resolution of compensatory response to anemia and hypotension.
  • Oxygen saturation 100% on 2 L/min O₂ via nasal cannula confirms adequate oxygenation, demonstrating improved hemoglobin levels and effective oxygen delivery.
  • Respiratory: bilateral breath sounds clear confirms stable respiratory function, showing no complications such as fluid overload or transfusion-related lung injury.

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