A patient, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider because he vomited something that looked like coffee grounds. Which health problem would the care team first suspect?
Esophageal varices.
Colorectal cancer.
Inflammatory bowel disease.
Appendicitis
The Correct Answer is A
A. Esophageal varices: Coffee-ground emesis suggests upper gastrointestinal bleeding, which is often due to ruptured esophageal varices in patients with cirrhosis.
B. Colorectal cancer: This condition typically presents with lower gastrointestinal symptoms such as changes in bowel habits or blood in the stool, not coffee-ground emesis.
C. Inflammatory bowel disease: This condition can cause gastrointestinal bleeding but is more commonly associated with symptoms like diarrhea and abdominal pain rather than coffee-ground emesis.
D. Appendicitis: This condition typically presents with right lower quadrant pain, not upper GI bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decreased respirations and CO2 retention: A thyrotoxic crisis (thyroid storm) typically involves increased, not decreased, respiratory rates and CO2 retention due to increased metabolic activity.
B. Seizures and extreme tachycardia: Thyrotoxic crisis is characterized by severe symptoms including extreme tachycardia, fever, and potentially seizures due to excessive thyroid hormone levels.
C. Constipation and a swollen abdomen: Constipation and abdominal swelling are more typical of hypothyroidism rather than a thyrotoxic crisis.
D. Hypotension and bradycardia: Thyrotoxic crisis usually causes tachycardia and hypertension rather than bradycardia and hypotension.
Correct Answer is B
Explanation
A. Several episodes of black and tarry stools: This indicates melena, which is typically associated with upper gastrointestinal bleeding, not specifically Crohn's disease.
B. Several episodes of hematochezia per day: Hematochezia (fresh blood in stools) can occur in Crohn's disease due to inflammation and ulceration in the intestines.
C. Post-alcohol ingestion epigastric pain: This is more commonly associated with gastritis or peptic ulcer disease, not Crohn's disease.
D. An oral temperature of 102°F: While fever can occur in Crohn's disease during acute flare-ups, it is not a specific or definitive symptom of the condition. The primary symptoms are gastrointestinal in nature, such as abdominal pain and altered bowel habits.
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