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A nurse is caring for a client.

Exhibits

For each assessment finding, click 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.

Anemia

B.

Steatorrhea

C.

Diarrhea

D.

Fever

E.

Weight loss

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"C"},"C":{"answers":"A,C"},"D":{"answers":"A,B,C"},"E":{"answers":"A,C"}}

Assessment Findings

Ulcerative Colitis

Diverticulitis

Chron’s Disease

Anemia

✅

✅

✅

Steatorrhea

 

 

✅

Diarrhea

✅

 

✅

Fever

✅

✅

✅

Weight loss

✅

 

✅

Rationale:

Ulcerative Colitis (UC)

Anemia – Chronic blood loss from ulcers in the colon can lead to iron deficiency anemia.

Diarrhea – Frequent, bloody diarrhea is a hallmark of UC due to colonic inflammation and ulceration.

Fever – Systemic inflammation during a flare-up can cause fever.

Weight Loss – Nutritional deficits and decreased oral intake during flares contribute to weight loss.

Diverticulitis

Fever – Infection and inflammation in the diverticula can cause systemic fever.

Anemia (Rarely) – If bleeding diverticula are present, anemia can develop, though it is not a common feature.

Crohn’s Disease

Anemia – Chronic inflammation and malabsorption of iron and vitamin B12 can lead to anemia.

Steatorrhea – Fatty, foul-smelling stool occurs due to small bowel involvement and malabsorption.

Diarrhea – Chronic, non-bloody diarrhea is common due to intestinal inflammation.

Fever – Systemic inflammation during exacerbations can cause fever.

Weight Loss – Malabsorption and decreased appetite contribute to significant weight loss.


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Related Questions

Correct Answer is B

Explanation

A. Rubella (German measles) requires droplet precautions, not airborne precautions.
B. Pregnant staff members should avoid exposure to rubella because it can cause congenital rubella syndrome, leading to serious birth defects.
C. Aspirin should not be administered due to the risk of Reye's syndrome, especially in children and adolescents with viral infections.
D. Koplik spots are associated with measles (rubeola), not rubella.

Correct Answer is A

Explanation

A. APs can remind clients to use the incentive spirometer as part of their role in promoting basic care and client independence.
B. Observing the position of the suspended weight is a nursing responsibility because improper traction can lead to complications.
C. Asking the client to describe their pain requires assessment, which is outside the scope of an AP’s role.
D. Checking the pedal pulse is an assessment task that requires nursing judgment and should not be delegated to an AP.

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