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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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E","F","G"]

Explanation

Rationale

Findings Indicating Improvement Laboratory Results:

Hemoglobin 12 g/dL (Normal range: 14 to 18 g/dL)

Although the hemoglobin level is still slightly below the normal range (it was 9.1 g/dL prior to the transfusion), it has increased from 9.1 g/dL to 12 g/dL, showing improvement after the blood transfusion. This indicates that the transfusion has helped to raise the hemoglobin level, improving oxygen-carrying capacity.

Hematocrit 36% (Normal range: 40% to 52%)

The hematocrit level has also increased from 27% to 36%. While still below normal, this is an improvement, suggesting the transfusion is starting to correct the client’s anemia and restore normal blood volume.

Vital Signs:

Blood Pressure 112/74 mm Hg

The blood pressure has improved significantly from 76/45 mm Hg (at 1200) and 78/49 mm Hg (at 1230). An increase in blood pressure to 112/74 mm Hg indicates the client is now hemodynamically stable, and the transfusion has helped to address the hypotension. The blood pressure is now in a normal range (typically around 120/80 mm Hg), and it is no longer dangerously low.

Heart Rate 95/min

The heart rate has decreased from 118/min and 121/min (at earlier times) to 95/min. This drop

indicates that the client’s heart is not having to work as hard to compensate for the low blood volume,

suggesting improvement in circulatory status.

Oxygen Saturation 100% via 2 L/min nasal cannula

Oxygen saturation is now normal at 100%. This is an improvement compared to the previous status of 98% on room air, which indicates that the client is now receiving adequate oxygenation, and the supplemental oxygen may be effectively maintaining oxygen levels.

Physical Exam:

General: No distress

The client is no longer in apparent distress, which is an important sign of improvement. Prior to the transfusion, the client was described as diaphoretic and uncomfortable, but now the client is stable and not in distress.

HEENT: Oropharynx clear, mucous membranes moist and pink

The mucous membranes are now moist and pink, which suggests adequate hydration and oxygenation. This is an improvement, as the previous finding indicated the client’s mucous membranes were pale (which can be a sign of anemia or dehydration).

A. Fibromyalgia B. Fibrocystic breast disease C. Renal calculi D. Hypertension.

Correct Answer is D

Explanation

A. Fibromyalgia is not a contraindication for combination oral contraceptives.
B. Fibrocystic breast disease is not a contraindication, though it may require monitoring.
C. Renal calculi are not a contraindication for oral contraceptive use.
D. Hypertension is a contraindication because it increases the risk of cardiovascular complications when using combination oral contraceptives.

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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.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E","F","G"]

Explanation

A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?

Correct Answer is D

Explanation

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The nurse reviews the entries in the medical record. The nurse is ready to begin the blood transfusion. For each potential nursing action, click to specify if the action is indicated or not indicated for the client.

A nurse is admitting an adolescent who has rubella. Which of the following actions should the nurse take?

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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.