A nurse is caring for a client.

Exhibits

For each assessment finding, click to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.

Steatorrhea

Weight loss

Diarrhea

Fever

Anemia

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,B"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B,C"},"E":{"answers":"A,C"}}

Steatorrhea (Fatty stool) Consistent with Crohn's Disease

Steatorrhea refers to the presence of fat in the stool, which often results in fatty, foul-smelling stools. This is seen in Crohn's disease due to malabsorption in the small intestine (especially in the ileum), where fat is not absorbed properly. Ulcerative colitis typically affects the colon, not the small intestine, and does not usually result in steatorrhea. Diverticulitis is an infection or inflammation of diverticula in the colon and is not associated with steatorrhea.

Weight Loss

Consistent with Ulcerative Colitis and Crohn's Disease

Weight loss is a common finding in both ulcerative colitis and Crohn’s disease. In Crohn's disease, weight loss occurs due to malabsorption and inflammatory damage in the gastrointestinal tract. In ulcerative colitis, weight loss can occur during flare-ups due to poor nutrient absorption and inflammation of the colon. Diverticulitis may cause weight loss if it leads to complications like chronic inflammation, but it is not a primary or typical symptom.

Diarrhea

Consistent with Ulcerative Colitis, Diverticulitis and Crohn's Disease

Diarrhea is a hallmark symptom of both ulcerative colitis and Crohn's disease. In ulcerative colitis, diarrhea is usually accompanied by blood and mucus, as the disease primarily affects the colon. In Crohn’s disease, diarrhea is also common, but it may be more chronic and associated with areas of the GI tract other than the colon, such as the small intestine. Diverticulitis typically presents with abdominal pain, fever, and changes in bowel habits- diarrhea in 25% of patients.

Fever

Consistent with Ulcerative Colitis, Diverticulitis, and Crohn's Disease

Fever can be seen in all three conditions, though it is more commonly associated with diverticulitis during an acute infection of the diverticula. Fever in ulcerative colitis and Crohn’s disease can occur during active inflammation or flare-ups, especially if there is significant bowel involvement or complications like perforation or abscess. In Crohn's disease, fever is often seen in more severe or complicated disease phases, but it is not always present. Diverticulitis often presents with fever, especially in the case of an infection or abscess formation.

Anemia

Consistent with Ulcerative Colitis and Crohn's Disease

Anemia can be seen in both ulcerative colitis and Crohn's disease. In ulcerative colitis, chronic blood loss due to inflammation and ulceration in the colon can lead to iron-deficiency anemia. In Crohn's disease, anemia can result from chronic inflammation, bleeding, or malabsorption of nutrients (like iron, vitamin B12, or folic acid). Diverticulitis may also cause anemia, particularly if there is significant bleeding, but it is not a hallmark feature like it is in ulcerative colitis and Crohn’s disease.

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Correct Answer is A

Explanation

A. A recent hip arthroplasty puts the client at risk for bleeding if alteplase is administered, as there is a potential for hemorrhage at the surgical site.
B. Acute renal failure may affect medication clearance but is not a contraindication for alteplase.
C. Chronic obstructive pulmonary disease (COPD) does not place the client at risk for alteplase therapy.
D. A family history of malignant hypertension does not directly affect the safety of alteplase therapy.

A. A client who is 1 day postoperative following a vertebroplasty. B. A client who has cancer and a sealed implant for radiation therapy. C. A client who has COPD and a respiratory rate of 44/min. D. A client who is receiving heparin for deep vein thrombosis.

Correct Answer is A

Explanation

A. A client who is 1 day postoperative following a vertebroplasty may be stable enough for early discharge, freeing up a bed for incoming disaster victims.
B. A client with a sealed implant for radiation therapy may require monitoring and cannot be safely discharged early due to potential complications.
C. A client with COPD and a respiratory rate of 44/min requires immediate care and cannot be safely discharged.
D. A client receiving heparin for deep vein thrombosis may be stable but requires monitoring, making early discharge unsafe.

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A nurse is caring for a client. Exhibits For each assessment finding, click to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is reviewing the medical record of a client who is having an acute myocardial infarction. Which of the following findings places the client at risk if he receives alteplase?

Correct Answer is A

Explanation

A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?

Correct Answer is A

Explanation

A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?

A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan?

A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?

The client is at risk for developing which of the following 2 complications? Select 2 complications the client is at risk for developing.

A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take?

A nurse is caring for a school-age child who is postoperative and received morphine via IV bolus for pain 10 min ago. Which of the following findings is the nurse's priority?

A nurse in an emergency department is caring for a client who has a closed head injury. Which of the following actions should the nurse take first?

A nurse is reviewing the medical record of a male client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine?

A nurse is caring for a client.

Exhibits

For each assessment finding, click to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.