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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 {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

The client's vital signs indicate worsening hypotension (BP decreased from 90/50 mmHg to 76/45 mmHg) and tachycardia (HR increased from 118 to 121 bpm), suggesting hypovolemia, possibly due to gastrointestinal (GI) bleeding from a suspected peptic ulcer (positive H. pylori test and hemoccult-positive stool). First Action – Obtain IV Access: The client is at risk for hypovolemic shock, so establishing IV access is the priority to administer fluids or blood products if needed. Second Action – Place the client in a supine position with feet elevated:This helps improve perfusion to vital organs by increasing venous return and cardiac output.

Rationale for Incorrect Options:

Rechecking oxygen saturation is unnecessary at this moment because SpO₂ is already stable at 98%.

Calling the surgical team STAT is premature; stabilization of the client’s circulation should occur first before proceeding with the endoscopy.

Correct Answer is C

Explanation

A. Clear rhinorrhea. Mild respiratory illnesses, such as a common cold with clear nasal discharge, do not contraindicate varicella vaccination. The immunization can still be administered unless the child has a moderate to severe illness with fever.
B. Medications for a cardiac anomaly. Having a congenital heart defect or taking cardiac medications does not typically contraindicate varicella vaccination. However, children on high-dose immunosuppressive therapy for heart conditions may need further evaluation before receiving live vaccines.
C. Chemotherapy treatments. Chemotherapy suppresses the immune system, increasing the risk of severe complications from live vaccines like varicella. Children undergoing chemotherapy should not receive live-virus vaccines until immune function has sufficiently recovered, as determined by a healthcare provider.
D. Two diarrhea stools in the last day. Mild, self-limiting diarrhea does not contraindicate vaccination. Only children with severe acute gastrointestinal illness should have vaccinations postponed until they recover.

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