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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 D

Explanation

A. The shoulders are not the best place to assess cyanosis, as they may not show noticeable color changes.
B. Areas of trauma may show bruising or discoloration unrelated to cyanosis.
C. The sacrum is not the most visible site for assessing cyanosis in dark-skinned individuals.
D. The palms of the hands, soles of the feet, mucous membranes, and conjunctiva are the best areas to assess cyanosis in dark-skinned clients, as changes in oxygenation are more apparent in these regions.

Correct Answer is C

Explanation

A. Polyhydramnios (excess amniotic fluid) is not associated with placenta previa.
B. Nausea is not a typical symptom of placenta previa.
C. Placenta previa is a condition where the placenta partially or completely covers the cervix, leading to painless vaginal bleeding (spotting or heavy bleeding).
D. Uterine tenderness is more common with placental abruption, not placenta previa.

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