A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the patient's signs and symptoms?
Severe diarrhea
Involvement of the rectal mucosa
An absence of blood in stool
A pattern of distinct exacerbations and remissions
The Correct Answer is D
Choice A reason:
Severe diarrhea can be a symptom of both Crohn's disease and ulcerative colitis and does not specifically indicate one over the other.
Choice B reason:
Involvement of the rectal mucosa is more indicative of ulcerative colitis rather than Crohn's disease, as Crohn's disease can affect any part of the digestive tract.
Choice C reason:
The presence or absence of blood in stool is not a definitive indicator of either Crohn's disease or ulcerative colitis, as both conditions can involve bleeding.
Choice D reason:
This statement is correct. A pattern of distinct exacerbations and remissions is more characteristic of Crohn's disease, whereas ulcerative colitis often presents with continuous, chronic symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. The laxative helps eliminate the barium contrast material from the body after a barium swallow procedure.
Choice B reason:
Simply stating that it is protocol does not provide the client with a clear understanding of the rationale for the laxative.
Choice C reason:
This statement does not accurately explain the purpose of the laxative after a barium swallow.
Choice D reason:
The laxative's primary purpose in this context is to aid in the elimination of barium, not to prevent magnesium absorption.
Correct Answer is ["A","B"]
Explanation
Choice A reason:
Anticholinergic medications: These are not a component of treatment for diverticular disease. Anticholinergic medications can reduce intestinal motility and cause dry mouth, constipation, and urinary retention, which can aggravate the diverticula and increase the risk of complications. The patient should avoid these medications unless prescribed by a doctor for another condition.
Choice B reason:
Increasing fiber intake is a common component of treatment for diverticular disease as it can help prevent constipation and reduce the risk of diverticulitis.
Choice C reason:
Reducing fat intake is also important in the treatment of diverticular disease, as a low-fat diet can help prevent further irritation of the colon.
Choice D reason:
This is not a component of treatment for diverticular disease. On the contrary, adequate fluid intake is essential to prevent dehydration and constipation, which can worsen the condition. The patient should drink at least eight glasses of water per day or more if they have a high-fiber diet.
Choice E reason:
These are not a component of treatment for diverticular disease. Enemas can irritate the colon and increase the pressure in the diverticula, which can lead to perforation or bleeding. The patient should avoid enemas unless instructed by a doctor for a specific reason.
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