While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:

the onset of the disease at age 19.

intermittent abdominal pain and cramping.

weight loss.

bloody diarrhea 15-20 times per day.

Answer and Explanation

The Correct Answer is D

D. Bloody diarrhea is a hallmark symptom of ulcerative colitis, particularly during disease flares. It typically presents as frequent and urgent bowel movements containing blood, mucus, and pus. Crohn's disease, on the other hand, may present with bloody diarrhea but usually involves less frequent bowel movements.
A. Both ulcerative colitis and Crohn's disease can manifest at various ages, including during adolescence and early adulthood.
B. Abdominal pain and cramping are common symptoms of both ulcerative colitis and Crohn's disease.
C. Weight loss can occur in both ulcerative colitis and Crohn's disease due to factors such as decreased appetite, malabsorption, and inflammation of the gastrointestinal tract.

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Correct Answer is B

Explanation

B. Eating food relieves pain is typical of a duodenal ulcer. In the duodenum, food intake stimulates the release of pancreatic juices which comprises of bicarbonate. Bicarbonate neutralizes acid relieving pain.
A. Belching can help release gas from the stomach, which may provide temporary relief from pain caused by excess gastric acid irritating the ulcer.
C. Pain is aggravated by eating is typical of gastric ulcer. Food intake stimulates the secretion of gastric acid which irritates gastric ulcer aggravating pain.
D. Pain associated with duodenal ulcers typically occurs in the upper central or upper right quadrant of the abdomen.

A. "Alpha adrenergic blockers can be used to help control my symptoms." B. "I realize that this growth will become cancerous over time." C. "As my condition progresses, I may need to consider surgical management." D. "There are several nonsurgical treatment options available."

Correct Answer is B

Explanation

A. Alpha adrenergic blockers are medications commonly used to help control symptoms of benign prostatic hyperplasia (BPH) by relaxing the muscles of the prostate and bladder neck, thereby improving urine flow and reducing urinary symptoms such as hesitancy, urgency, and frequency.
B. Benign prostatic hyperplasia (BPH) is not cancerous and does not typically progress to prostate cancer. While both BPH and prostate cancer involve growth of the prostate gland, they are distinct conditions with different risk factors, symptoms, and treatment approaches.
C. In some cases, if symptoms of BPH are severe or do not respond to medication, surgical management may be necessary. Common surgical procedures for BPH include transurethral resection of the prostate (TURP) or laser prostatectomy.
D. There are several nonsurgical treatment options available for BPH, including alpha adrenergic blockers, 5-alpha reductase inhibitors, combination therapy, and minimally invasive procedures such as transurethral microwave thermotherapy (TUMT) or prostatic artery embolization (PAE).

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While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a duodenal ulcer? The client states that:

Correct Answer is B

Explanation

The nurse teaches the client about his newly-diagnosed benign prostatic hyperplasia (BPH). Which statement made by the client Indicates the need for further education?

Correct Answer is B

Explanation

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