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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A . Bacterial infection is the most common cause of cystitis. The majority of cases of cystitis are caused by bacteria, most commonly Escherichia coli (E. coli). Bacteria can enter the urinary tract through the urethra and multiply in the bladder, leading to inflammation and symptoms of cystitis such as urinary urgency, frequency, and burning with urination.
B, C, D While other options such as fungal, parasitic, or viral infections can cause cystitis in certain cases, they are less common compared to bacterial infections.
Correct Answer is D
Explanation
D. This candidate has obesity-related comorbidities such as hypertension and gallstones, which may indicate a higher risk of complications from obesity. With a BMI of 42, this individual meets the criteria for bariatric surgery. Additionally, being older than 18 years old and having obesity-related comorbidities make this candidate a potentially suitable candidate for bariatric surgery.
A. Bariatric surgery may not be appropriate for individuals with severe alcohol addiction or unstable cardiovascular conditions like congestive heart failure. Additionally, with a BMI of 30, this candidate is considered overweight but may not meet the criteria for bariatric surgery.
B. Bariatric surgery is not typically recommended for adolescents with a BMI in the normal weight range (18.5 to 24.9), such as this candidate. Furthermore, severe acne alone would not be a sufficient indication for bariatric surgery.
C. Bariatric surgery candidates should be mentally stable and capable of understanding and adhering to the necessary pre- and postoperative guidelines.
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