A nurse is caring for a client.
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.
Anemia
Steatorrhea
Diarrhea
Fever
Weight loss
The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"C"},"C":{"answers":"A,C"},"D":{"answers":"A,B,C"},"E":{"answers":"A,C"}}
Assessment Findings |
Ulcerative Colitis |
Diverticulitis |
Chron’s Disease |
Anemia |
✅ |
✅ |
✅ |
Steatorrhea |
|
|
✅ |
Diarrhea |
✅ |
|
✅ |
Fever |
✅ |
✅ |
✅ |
Weight loss |
✅ |
|
✅ |
Rationale:
Ulcerative Colitis (UC)
Anemia – Chronic blood loss from ulcers in the colon can lead to iron deficiency anemia.
Diarrhea – Frequent, bloody diarrhea is a hallmark of UC due to colonic inflammation and ulceration.
Fever – Systemic inflammation during a flare-up can cause fever.
Weight Loss – Nutritional deficits and decreased oral intake during flares contribute to weight loss.
Diverticulitis
Fever – Infection and inflammation in the diverticula can cause systemic fever.
Anemia (Rarely) – If bleeding diverticula are present, anemia can develop, though it is not a common feature.
Crohn’s Disease
Anemia – Chronic inflammation and malabsorption of iron and vitamin B12 can lead to anemia.
Steatorrhea – Fatty, foul-smelling stool occurs due to small bowel involvement and malabsorption.
Diarrhea – Chronic, non-bloody diarrhea is common due to intestinal inflammation.
Fever – Systemic inflammation during exacerbations can cause fever.
Weight Loss – Malabsorption and decreased appetite contribute to significant weight loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Prednisone should be taken with food to prevent gastrointestinal irritation.
B. Weight gain, not weight loss, is a common side effect due to fluid retention and increased appetite.
C. Prednisone should be taken in the morning, as it can cause insomnia if taken at bedtime.
D. Prednisone is a corticosteroid that increases the risk of osteoporosis by reducing calcium absorption, so clients should increase dietary calcium and vitamin D intake.
Correct Answer is D
Explanation
A. Incorrect – Lying in a quiet room can increase hallucinations because of the lack of external stimuli.
B. Incorrect – Referring to hallucinations as real reinforces delusional thinking. Instead, the nurse should acknowledge the client’s experience while reorienting them to reality.
C. Incorrect – Avoiding eye contact can appear dismissive and hinder therapeutic communication.
D. Correct – Assessing the hallucinations directly helps determine their content, frequency, and potential for harm (e.g., suicidal or homicidal commands).
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