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.

Anemia

Steatorrhea

Diarrhea

Fever

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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Applying pressure below the site will not effectively stop the bleeding.
B. Intermittent pressure is not appropriate; continuous pressure is required to stop active bleeding.
C. Applying pressure below the site will not effectively stop the bleeding.
D. Applying continuous pressure above the catheterization site helps occlude the artery and stop bleeding.

A. Wear clean cotton socks every day. B. Soak feet twice daily. C. Use moisturizing lotion between the toes. D. Round the edges of toenails when trimming.

Correct Answer is A

Explanation

A. Correct – Clean, cotton socks help keep the feet dry and reduce the risk of infection.
B. Incorrect – Soaking the feet can lead to skin breakdown and increase the risk of infection.
C. Incorrect – Moisturizing between the toes can promote fungal growth and infection.
D. Incorrect – Toenails should be trimmed straight across to prevent ingrown nails and infections.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who is 2 hr postoperative following a cardiac catheterization. The nurse observes blood on the child's dressing. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

The nurse reviews the entries in the medical record. Exhibits The nurse is preparing the client for a blood transfusion. Which of the following actions should the nurse take? Select all that apply.

A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?

A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instructions should the nurse include?

A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse include in the hand-off report?

A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter. Which of the following instructions should the nurse include in the teaching?

A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan?

A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?

A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?

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.