A patient with leukocytosis, fever and left lower quadrant (LLQ) pain will most likely have a diagnosis of
appendicitis
Barrett's esophagus.
diverticulitis
irritable bowel syndrome
The Correct Answer is C
A. Appendicitis: Appendicitis typically presents with right lower quadrant pain, not LLQ pain.
B. Barrett's esophagus: Barrett's esophagus is a condition associated with chronic GERD and does not cause leukocytosis, fever, or LLQ pain.
C. Diverticulitis: Diverticulitis often presents with LLQ pain, fever, and leukocytosis due to inflammation or infection of the diverticula in the colon.
D. Irritable bowel syndrome (IBS): IBS may cause abdominal pain, but it does not cause fever or leukocytosis, and the pain is typically relieved with defecation and not localized to the LLQ.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
A. Colon polyps: Colon polyps are not treated with antibiotics or antacids and are unrelated to Helicobacter pylori infection.
B. Atrophic gastritis: Atrophic gastritis involves chronic inflammation and thinning of the stomach lining and is not typically treated with antibiotics for Helicobacter pylori.
C. Intussusception of the small bowel: Intussusception is a condition where part of the intestine telescopes into itself and is not related to Helicobacter pylori.
D. Peptic ulcer disease: Peptic ulcer disease, especially gastric or duodenal ulcers, is commonly associated with Helicobacter pylori infection, which is treated with antibiotics and antacids.
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