A client reports bloating and abdominal cramps after eating ice cream and foods with cheese. Which condition should the nurse suspect?
Ulcerative colitis.
Irritable bowel syndrome.
Lactose intolerance.
Diverticulitis.
The Correct Answer is C
A. Ulcerative colitis is an inflammatory bowel disease that primarily affects the colon and rectum, causing symptoms such as diarrhea, rectal bleeding, and abdominal pain. While diet can influence symptoms, lactose-containing foods specifically triggering bloating and cramps is not a hallmark feature of ulcerative colitis.
B. Irritable bowel syndrome (IBS) can cause bloating, abdominal pain, and changes in bowel habits. However, IBS symptoms are not consistently triggered by lactose-containing foods; triggers vary widely among individuals. Therefore, while IBS is possible, the specificity of symptoms after dairy intake points elsewhere.
C. Lactose intolerance is the most likely condition. Lactose intolerance occurs when the body lacks sufficient lactase, the enzyme needed to digest lactose in milk and dairy products. Common symptoms include bloating, abdominal cramps, diarrhea, and gas after consuming foods like ice cream and cheese, matching the client’s reported symptoms.
D. Diverticulitis involves inflammation of diverticula in the colon, causing left lower quadrant abdominal pain, fever, and sometimes constipation or diarrhea. Symptoms are not specifically triggered by dairy intake, making this diagnosis less likely in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While expressing feelings is a useful short-term behavior, it reflects only awareness of anxiety, not resolution or effective management. It is a nursing intervention or step toward achieving an outcome rather than an outcome itself.
B. Crying may indicate emotional release, but it does not demonstrate that the client is managing anxiety or using coping strategies. This is an emotional reaction rather than a measurable, positive outcome.
C. Expecting a client to accept impending death immediately after a recent cancer diagnosis is unrealistic and not appropriate as a short-term outcome. Anxiety may persist even as the client begins to adjust to the diagnosis.
D. This is the most appropriate expected outcome. It is measurable and realistic and reflects the client’s ability to manage anxiety related to the threat of death. Effective coping can include relaxation techniques, seeking support, problem-solving, or verbalizing concerns, demonstrating progress in adapting to the stress of the diagnosis.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}
Explanation
Rationale for correct choices:
- Esophageal stricture: Chronic acid exposure can lead to scarring and narrowing of the esophagus, causing dysphagia.
- Barrett's esophagus: Prolonged GERD can cause metaplasia of esophageal cells, increasing the risk of esophageal cancer.
- Reflux esophagitis: Ongoing acid reflux causes inflammation and damage to the esophageal lining.
Rationale for incorrect choices:
- Hiatal hernia: While a hiatal hernia can contribute to GERD, it is a structural condition that precedes reflux rather than a complication resulting from untreated GERD.
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