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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Status epilepticus: Status epilepticus is a life-threatening condition where seizure activity is continuous or occurs in rapid succession without recovery between seizures.
B. Anticonvulsant syndrome: This term is not a recognized medical condition.
C. Syphilitic posturing: This term is not associated with seizure disorders and is not a recognized condition.
D. Positive Babinski reflex: This indicates an upper motor neuron lesion but is not related to continuous seizure activity.
Correct Answer is C
Explanation
A. Moon face, buffalo hump, and hyperglycemia: These manifestations are associated with Cushing's disease, not Addison's disease.
B. Hirsutism, fever, and irritability: These symptoms are not characteristic of Addison's disease.
C. Anorexia, fatigue, and hypotension: Addison's disease often presents with symptoms like anorexia, fatigue, hypotension, and hyperpigmentation of the skin.
D. Tachycardia, exophthalmos, and goiter: These symptoms are associated with hyperthyroidism, not Addison's disease.
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