A patient has been diagnosed with ulcerative colitis (UC) for several years. Which assessment finding would alert the nurse of a potential complication from UC?

Moist mucous membranes and good skin turgor

Recent diagnosis of UC in a sibling

Occasional episodes of hematochezia.

A report of stool leaking from the patient's vagina.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is D

Explanation

A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.

B. Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body.

C. Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia.

D. Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.

A. His body does not produce any insulin so he must receive insulin injections B. "The pills are not as effective as the insulin injections." C. "He will only be on insulin injections for a short while, then he can take a pill D. "He can stop the insulin injections once his body begins to make insulin again.

Correct Answer is A

Explanation

A. His body does not produce any insulin so he must receive insulin injections: Type I diabetes is characterized by the destruction of pancreatic beta cells, resulting in little to no insulin production. Therefore, insulin must be administered via injection to replace the insulin the body cannot produce.

B. The pills are not as effective as the insulin injections: While this might be partially true for Type I diabetes, it is not the complete answer. Oral medications are generally not effective in Type I diabetes because they stimulate the pancreas to produce insulin, which is not possible in these patients.

C. He will only be on insulin injections for a short while, then he can take a pill: This is incorrect. Type I diabetes requires lifelong insulin therapy.

D. He can stop the insulin injections once his body begins to make insulin again: This is incorrect as Type I diabetes is a permanent condition where the body cannot produce insulin.

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A patient has been diagnosed with ulcerative colitis (UC) for several years. Which assessment finding would alert the nurse of a potential complication from UC?

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Naxlex Comprehensive Predictor Exams

Which assessment findings are expected in a patient experiencing a left hemispheric brain attack?

Correct Answer is D

Explanation

A young boy is admitted to the hospital with a diagnosis of new onset type I diabetes mellitus. As the registered nurse prepares to administer insulin, the child's mother asks why he can't just "take a pill. Which response, by the nurse, explains the rationale for an injection of insulin?

Correct Answer is A

Explanation

A patient presents to the emergency department (ED) with a two-hour history of hemiparesis of the right arm and leg. These symptoms spontaneously resolve within 4 hours of her arrival to the emergency department (ED). The nurse will anticipate teaching the patient about

Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?

A patient is admitted to the emergency department (ED) following an overdose of acetaminophen (Tylenol) and is diagnosed with cirrhosis. Which laboratory finding is consistent with the diagnosis?

A patient is newly diagnosed with Crohn's disease. Which S&S (sign and symptom) is the patient likely to exhibit?

An elderly female patient is admitted to the hospital with a fractured hip. Which statement best describes the relationship between osteoporosis and the occurrence of pathological fractures related to aging?

A patient has been diagnosed with ulcerative colitis (UC) for several years. Which assessment finding would alert the nurse of a potential complication from UC?