A 32-year-old patient has rectal bleeding, pruritus, and vague discomfort around the anal area after giving birth. The provider describes the disorder to the patient as dilated, tortuous veins in the mucous membrane of the rectum. Which disease is being described?
Diverticulitis
Hemorrhoids
Gastroenteritis
Diverticulosis
The Correct Answer is B
A. Diverticulitis:
Diverticulitis affects the large intestine, not causing anal pruritus or bleeding directly.
B. Hemorrhoids:
Postpartum hemorrhoids are common due to pressure during pregnancy and delivery, causing dilated rectal veins, bleeding, itching, and discomfort.
C. Gastroenteritis:
Gastroenteritis causes nausea, vomiting, diarrhea, but not localized rectal vein problems.
D. Diverticulosis:
Diverticulosis is the presence of diverticula in the colon, often asymptomatic unless inflamed (diverticulitis).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Headache and tremors:
Respiratory acidosis leads to CO₂ retention, causing cerebral vasodilation, resulting in headache and neuromuscular irritability like tremors.
B. Trousseau's and Chvostek's signs:
These are signs of hypocalcemia, commonly seen in respiratory alkalosis, not acidosis.
C. Crackles and rhonchi upon auscultation:
These are lung sounds that might be present in respiratory conditions (like pneumonia or CHF) but are not specific symptoms of acid-base disturbances like respiratory acidosis.
D. Hyperactivity and reduced serum ionized calcium levels:
These findings are consistent with respiratory alkalosis, not acidosis.
Correct Answer is B
Explanation
A. Erectile dysfunction:
Erectile dysfunction is not an STI; it is a sexual health condition often related to physical or psychological issues.
B. Chancroid:
Chancroid is a bacterial STI caused by Haemophilus ducreyi, characterized by painful ulcers on the genital area.
C. Epispadias:
Epispadias is a congenital birth defect where the urethra does not develop properly. It is not an STI.
D. Orchitis:
Orchitis is inflammation of the testicles, often caused by infections (like mumps or other viral infections), but not typically classified as an STI.
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