Which clinical manifestation of inflammatory bowel disease is common to both patients with ulcerative colitis (UC) and Crohn's disease?

Diarrhea stools

Lesions that penetrate the intestine

Strictures are common

Restricted to rectum

Answer and Explanation

The Correct Answer is A

Choice A rationale
Diarrhea is a common symptom in both ulcerative colitis (UC) and Crohn's disease, often presenting with urgency and frequency.

Choice B rationale
Lesions that penetrate the intestine are more characteristic of Crohn's disease, which can affect any layer of the intestinal wall and any part of the gastrointestinal tract.

Choice C rationale
Strictures are more common in Crohn's disease due to its transmural inflammatory nature, which can lead to fibrosis and narrowing of the intestines¹.

Choice D rationale
UC is restricted to the colon and often involves the rectum, but Crohn's disease can affect any part of the gastrointestinal tract from the mouth to the anus and is not restricted to the rectum¹.

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Correct Answer is B

Explanation

Choice A reason: An increasing hemoglobin level does not indicate the resolution of acute pancreatitis. Hemoglobin levels can fluctuate due to various factors, including hydration status and blood loss, but are not directly related to the resolution of pancreatitis.

Choice B reason:A decreasing serum amylase level is indicative of the resolution of acute pancreatitis. Amylase is an enzyme that helps digest carbohydrates and is released in large amounts when the pancreas is inflamed. As the inflammation resolves, amylase levels decrease.

Choice C reason: A falling serum bilirubin level may indicate improvement in liver function but is not a specific indicator of the resolution of acute pancreatitis. Bilirubin levels can be affected by conditions other than pancreatitis, such as bile duct obstruction or liver disease.

Choice D reason:An increasing serum alkaline phosphatase level is generally associated with bile duct obstruction or bone disease and does not indicate the resolution of acute pancreatitis. This enzyme is found in several tissues throughout the body, including the liver and bones.

A. Jaundice of the sclera B. Bluish discoloration of the periumbilical area C. Left abdominal pain that occurs with movement D. Bluish discoloration of the flank area

Correct Answer is D

Explanation

Choice A rationale
Jaundice of the sclera is indicative of hyperbilirubinemia, which can occur in various liver diseases but is not specifically associated with Grey Turner's sign or pancreatitis.

Choice B rationale
Bluish discoloration of the periumbilical area, known as Cullen's sign, is another indicator of severe pancreatitis but is distinct from Grey Turner's sign, which specifically refers to the flank area.

Choice C rationale
Left abdominal pain that occurs with movement may be a symptom experienced by patients with pancreatitis, but it is not referred to as Grey Turner's sign, which is a physical finding rather than a symptom.

Choice D rationale
Grey Turner's sign is characterized by bluish discoloration of the flank area. It is a sign of retroperitoneal hemorrhage, which can occur in severe cases of pancreatitis due to the spread of pancreatic enzymes to surrounding tissues, leading to localized bleeding.

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Which clinical manifestation of inflammatory bowel disease is common to both patients with ulcerative colitis (UC) and Crohn's disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which laboratory finding indicates the resolution of a patient's acute pancreatitis?

Correct Answer is B

Explanation

Which finding for a patient with pancreatitis is termed Grey Turner's sign?

Correct Answer is D

Explanation

A nurse is gathering medical history from a client admitted for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

A nurse is giving a presentation about preventing deep vein thrombosis (DVT). Which of the following should the nurse include as risk factors for this disorder? (Select all that apply.)

A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

After assessing a patient with ulcerative colitis (UC), the nurse concludes that the patient has moderate disease. Which patient symptoms support the nurse's conclusion? (Select all that apply.)

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