Which of the following is a characteristic feature of irritable bowel syndrome?
weight loss and malnutrition
Alteration between constipation and diarrhea
Severe rectal bleeding
Fever and elevated white blood cell count
The Correct Answer is B
A. Weight loss and malnutrition: IBS does not typically cause weight loss or malnutrition. If a client experiences these symptoms, further evaluation is needed to rule out other conditions such as inflammatory bowel disease (IBD) or malignancy.
B. Alteration between constipation and diarrhea: IBS is characterized by a change in bowel habits, which may include alternating episodes of constipation and diarrhea. This is the correct answer.
C. Severe rectal bleeding: IBS does not cause rectal bleeding. If present, conditions such as hemorrhoids, IBD, or colorectal cancer should be considered.
D. Fever and elevated white blood cell count: IBS does not cause systemic inflammation. Fever and leukocytosis are more indicative of infections or inflammatory disorders like ulcerative colitis or Crohn's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Metoprolol: Beta-blockers reduce portal hypertension and prevent variceal bleeding.
B. Famotidine: H2 blockers reduce gastric acid and help prevent irritation of varices.
C. Mesalamine: Mesalamine is used for inflammatory bowel disease, not cirrhosis.
D. Balloon tamponade: Balloon tamponade is used in severe variceal bleeding.
Correct Answer is C
Explanation
A. Dysphagia: Dysphagia (difficulty swallowing) is unrelated to diverticulitis; it is more common in esophageal disorders.
B. Crohn’s disease: Crohn’s disease is a separate chronic inflammatory bowel disease (IBD), not a complication of diverticulitis.
C. Peritonitis: Peritonitis is a life-threatening complication of diverticulitis. If an inflamed diverticulum perforates, stool and bacteria spill into the peritoneal cavity, causing severe abdominal pain, rigidity, fever, and tachycardia.
D. Ulcerative colitis: Ulcerative colitis is another form of IBD, unrelated to diverticulitis.
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