A nurse is educating a patient who has a history of ulcerative colitis and has recently been diagnosed with anemia.
Which of the following symptoms of colitis should the nurse identify as a contributing factor to the development of anemia?
Dietary iron restrictions
Chronic blood loss
Frequent diarrhea
Abdominal pain
The Correct Answer is B
Choice A rationale
While dietary iron restrictions can contribute to iron-deficiency anemia, they are not typically a symptom of ulcerative colitis. Ulcerative colitis is an inflammatory bowel disease that primarily affects the colon and rectum, and its symptoms are generally related to inflammation and damage in these areas.
Choice B rationale
Chronic blood loss is a common symptom of ulcerative colitis and a major contributing factor to the development of anemia in these patients. This is because the inflammation and ulceration in the colon and rectum can lead to bleeding, which over time can result in a significant loss of red blood cells.
Choice C rationale
Frequent diarrhea is a common symptom of ulcerative colitis, but it does not directly contribute to the development of anemia. However, severe or prolonged diarrhea can lead to malnutrition and malabsorption of nutrients, including iron, which could indirectly contribute to anemia.
Choice D rationale
Abdominal pain is a common symptom of ulcerative colitis, but it does not directly contribute to the development of anemia. The pain is typically caused by inflammation and ulceration in the colon and rectum, not by a loss of red blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Nonfat milk is generally not a trigger for GERD101112131415. It is low in fat and thus less likely to relax the lower esophageal sphincter, which can lead to acid reflux1415.
Choice B rationale
Chocolate is known to trigger GERD symptoms1415. It contains caffeine and fat, which can relax the lower esophageal sphincter and cause acid reflux1415.
Choice C rationale
Oatmeal is generally not a trigger for GERD101112131415. It is a whole grain that is high in fiber, which can help control GERD symptoms1415.
Choice D rationale
Apples are generally not a trigger for GERD101112131415. They are non-citrus fruits and thus less likely to cause acid reflux1415.
Correct Answer is B
Explanation
Choice A rationale
Asking why the patient thinks the copper helps with their arthritis might seem like a good way to understand their beliefs, but it could come off as challenging or dismissive.
Choice B rationale
Acknowledging that the patient feels better wearing the bracelet is a respectful response. It validates the patient’s experience without endorsing the effectiveness of copper bracelets, which lack scientific evidence for treating arthritis.
Choice C rationale
This response could be seen as dismissive of the patient’s beliefs and experiences. It’s important to respect patients’ choices in managing their symptoms, as long as those choices aren’t harmful.
Choice D rationale
While it’s true that there’s no scientific basis for believing objects have powers to make you feel better, saying this could come off as dismissive or disrespectful.
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