The nurse is admitting a patient whose health history is suggestive of inflammatory bowel disease. Which clinical manifestations and diagnostic findings confirm the diagnosis of Crohn's disease? (Select All That Apply)

Ulcers in the descending colon noted on colonoscopy

Absence of narrowing of the colon and mucosal edema on barium studies

Fistulas and perianal involvement

Mild bleeding and abdominal mass

Regional, discontinuous skip lesions noted on the barium studies

Answer and Explanation

Correct Answer : A,C,E

Choice A reason: Ulcers in the descending colon are indicative of Crohn's disease, which affects any part of the gastrointestinal tract.

Choice B reason: Absence of narrowing of the colon and mucosal edema is more indicative of ulcerative colitis rather than Crohn's disease.

Choice C reason: Fistulas and perianal involvement are common complications of Crohn's disease due to the transmural inflammation.

Choice D reason: Mild bleeding and an abdominal mass can be associated with both Crohn's disease and other gastrointestinal disorders, making it less specific.

Choice E reason: Regional, discontinuous skip lesions are a hallmark of Crohn's disease, seen on barium studies, indicating areas of inflammation separated by normal tissue.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: A hard, rigid abdomen and herniation of the umbilicus are not typical findings in ulcerative colitis. These symptoms may indicate other abdominal conditions such as hernia or peritonitis, but are not specific to ulcerative colitis.

Choice B reason: Pallor, anemia, and fatigue are consistent with ulcerative colitis due to chronic blood loss and inflammation. These symptoms indicate the body's response to ongoing disease activity and nutritional deficiencies.

Choice C reason: Abdominal cramping and passing of six or more liquid stools per day are hallmark symptoms of ulcerative colitis. These symptoms reflect active inflammation in the colon, leading to frequent and urgent bowel movements.

Choice D reason: Dehydration, vomiting, and weight loss are also consistent with ulcerative colitis, especially during severe flare-ups. These symptoms result from the body's inability to absorb nutrients and fluids properly due to inflammation.

Choice E reason: Free air in the peritoneum and bowel dilation on abdominal x-ray are more indicative of a perforation or obstruction, which are potential but severe complications of ulcerative colitis. These findings would require immediate medical attention.

A. Foot ulcers and delayed wound healing B. Stroke prevention and cardiac health C. Retinopathy and nephropathy D. Hypertension management and cholesterol control

Correct Answer is C

Explanation

Choice A reason: Foot ulcers and delayed wound healing are related to diabetes but are considered macrovascular complications. Microvascular complications specifically refer to damage to small blood vessels.

Choice B reason: Stroke prevention and cardiac health are important but are related to macrovascular complications of diabetes. The focus here is on microvascular complications.

Choice C reason: Retinopathy and nephropathy are microvascular complications of diabetes. These conditions result from damage to small blood vessels in the eyes and kidneys, respectively. Diabetic retinopathy can lead to vision loss, while diabetic nephropathy can lead to kidney failure. It is important to monitor for these complications and manage blood glucose levels to prevent or slow their progression.

Choice D reason: Hypertension management and cholesterol control are important for overall cardiovascular health but are related to macrovascular complications. The discussion should focus on microvascular complications specific to diabetes.

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The nurse is admitting a patient whose health history is suggestive of inflammatory bowel disease. Which clinical manifestations and diagnostic findings confirm the diagnosis of Crohn's disease? (Select All That Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing student is reviewing the chart of a patient admitted with ulcerative colitis. Which findings will the student identify to the nursing instructor as consistent with the patient's diagnosis? (Select All That Apply)

Correct Answer is ["B","C","D"]

Explanation

The nurse is discussing microvascular complications of diabetes with a patient. What topics will the nurse include in the discussion?

Correct Answer is C

Explanation

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