A patient has been diagnosed with ulcerative colitis (UC) for several years. Which assessment finding would alert the nurse of a potential complication from UC?

Moist mucous membranes and good skin turgor

Recent diagnosis of UC in a sibling

Occasional episodes of hematochezia.

A report of stool leaking from the patient's vagina.

Answer and Explanation

The Correct Answer is D

A. Several episodes of black and tarry stools: This indicates melena, which is typically associated with upper gastrointestinal bleeding, not specifically Crohn's disease.

B. Several episodes of hematochezia per day: Hematochezia (fresh blood in stools) can occur in Crohn's disease due to inflammation and ulceration in the intestines.

C. Post-alcohol ingestion epigastric pain: This is more commonly associated with gastritis or peptic ulcer disease, not Crohn's disease.

D. An oral temperature of 102°F: While fever can occur in Crohn's disease during acute flare-ups, it is not a specific or definitive symptom of the condition. The primary symptoms are gastrointestinal in nature, such as abdominal pain and altered bowel habits.

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Correct Answer is A

Explanation

A. The patient is now sleepy and won't wake up: Increased drowsiness or difficulty waking up could indicate worsening of the hemorrhagic stroke, potentially due to increased intracranial pressure or a secondary brain injury.

B. Identification of an elevated serum cholesterol level: Elevated cholesterol is a risk factor for ischemic strokes but is not a direct indicator of complications from a hemorrhagic stroke.

C. The presence of nausea and a headache: This could be a common symptom following a hemorrhagic stroke but is not necessarily a specific indicator of a complication.

D. A complaint of neck pain and light intolerance: These symptoms are less specific to complications of a hemorrhagic stroke and could be related to other issues.

A. The disease is prevalent in certain geographical locations. B. There is a well-defined genetic cause. C. Inflammatory processes are responsible for the signs and symptoms. D. Ischemic lesions in the brain are responsible for the signs and symptoms.

Correct Answer is C

Explanation

A. The disease is prevalent in certain geographical locations: This statement is true but does not explain the etiology of MS. Geographic prevalence does not address the underlying cause.

B. There is a well-defined genetic cause: While genetics may play a role in MS, there is no single well-defined genetic cause for the disease.

C. Inflammatory processes are responsible for the signs and symptoms: MS is an autoimmune disease characterized by inflammation and demyelination of the central nervous system, leading to the signs and symptoms of the disease.

D. Ischemic lesions in the brain are responsible for the signs and symptoms: MS is primarily caused by demyelination rather than ischemic lesions.

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A patient has been diagnosed with ulcerative colitis (UC) for several years. Which assessment finding would alert the nurse of a potential complication from UC?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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