A nurse is caring for a client.

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.

Diarrhea

Steatorrhea

Weight loss

Anemia

Fever

Answer and Explanation

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

Rationale

• Diarrhea: Diarrhea is common in both ulcerative colitis and Crohn's disease because chronic inflammation disrupts absorption and increases motility. UC typically presents with bloody diarrhea, while Crohn’s can present with non-bloody, intermittent diarrhea. Diverticulitis more often presents with left-lower-quadrant pain and constipation rather than chronic diarrhea.

• Steatorrhea: Steatorrhea is strongly associated with Crohn’s disease due to small-bowel involvement leading to fat-malabsorption. UC affects only the colon and does not impair fat absorption, so steatorrhea is not expected. Diverticulitis is a localized colonic infection and does not interfere with digestion or absorption.

• Weight loss: Weight loss occurs in both UC and Crohn’s because chronic inflammation increases metabolic demand and reduces nutritional intake. Malabsorption in Crohn’s disease further contributes to weight loss severity. Weight loss is not typical in diverticulitis unless the condition is prolonged or severe, so it is not strongly associated.

• Anemia: Anemia appears in both UC and Crohn’s disease due to chronic blood loss, reduced intake, and inflammation-driven suppression of erythropoiesis. UC often causes iron-deficiency anemia from recurrent rectal bleeding. Crohn’s may also cause anemia due to B12 or iron malabsorption. Diverticulitis does not typically cause chronic anemia.

• Fever: Fever is a sign of active inflammation and can occur in UC, Crohn’s flares, and acute diverticulitis. UC and Crohn’s involve systemic inflammatory activity during exacerbations. Diverticulitis produces fever due to infection of the diverticulum, making fever consistent across all three in varying degrees.

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Correct Answer is D

Explanation

A. A 14-year-old child who eats small but frequent meals throughout the day: This is an appropriate intervention for gastroesophageal reflux, as smaller, more frequent meals reduce gastric distention and minimize reflux episodes. No revision to the plan of care is needed for this child.

B. A 16-year-old child who takes their proton pump inhibitor 30 min before meals: Administering proton pump inhibitors before meals is correct because these medications are most effective when taken prior to food intake, allowing for optimal acid suppression. The current plan aligns with best practice.

C. A 6-year-old child who underwent a Nissen fundoplication and is tolerating a full liquid diet: Progressing to a full liquid diet after Nissen fundoplication is appropriate and indicates the child is tolerating postoperative dietary advancement. The plan of care is appropriate and requires no changes.

D. A 4-month-old child who is experiencing weight loss: Weight loss in an infant with gastroesophageal reflux is concerning and indicates inadequate nutrition or complications. The plan of care should be revised to address feeding adequacy, possible medical interventions, and close monitoring of growth and hydration status.

A. Tachycardia B. Headache C. Increased appetite D. Pupil constriction

Correct Answer is A

Explanation

A. Tachycardia: Amphetamines are central nervous system stimulants that increase sympathetic nervous system activity. Tachycardia is a common manifestation of acute toxicity, along with hypertension, hyperthermia, and agitation. Monitoring cardiovascular status is essential to prevent complications.

B. Headache: While headaches can occur with amphetamine use, they are not a primary or consistent finding in acute toxicity. More prominent signs are cardiovascular and neurological stimulation rather than mild symptoms like headache.

C. Increased appetite: Amphetamines typically suppress appetite rather than increase it. Clients experiencing acute toxicity are more likely to have decreased hunger due to stimulant effects on the hypothalamus.

D. Pupil constriction: Amphetamines usually cause mydriasis (pupil dilation) due to sympathetic stimulation. Pupil constriction is more characteristic of opioid toxicity rather than amphetamine toxicity.

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A nurse is caring for a client. 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 planning care for multiple children on a pediatric unit who have gastroesophageal reflux. Which of the following children requires a revision to their plan of care?

Correct Answer is D

Explanation

A nurse is assessing a client who is experiencing acute amphetamine toxicity. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client who is 6 hr postoperative following a modified radical mastectomy. The client has a portable wound bulb suction device in place. Which of the following actions should the nurse take?

A nurse is caring for a client who has appendicitis. Which of the following findings should the nurse identify as a manifestation of this condition? (Select all that apply.)

A nurse is caring for a client who has experienced a stroke and is moving in with their adult child. Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles?

A nurse is performing an environmental assessment of a client's home. Which of the following findings should the nurse identify as a safety hazard?

A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following findings should the nurse expect?

A nurse is preparing to administer morphine 30 mg oral suspension to a client. The amount available is morphine 100 mg/5mL oral solution. How many mi should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is performing a gait assessment on a client to evaluate the client's ability to perform ADLs. Which of the following findings indicates a standard gait?

A nurse is caring for a client.

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.