A patient with a history of ulcerative colitis presents to the clinic with complaints of fatigue, dizziness, and pallor. Upon further assessment, you suspect chronic blood loss. Which potential complication is most likely contributing to these symptoms?
Dehydration
Hyperkalemia
Iron-deficiency anemia
Electrolyte imbalance
The Correct Answer is C
A. Dehydration: While dehydration is a possible complication in ulcerative colitis, it does not explain the symptoms of fatigue and pallor.
B. Hyperkalemia: Hyperkalemia is not typically associated with chronic blood loss and would present with symptoms like muscle weakness or arrhythmias.
C. Iron-deficiency anemia: Chronic blood loss from frequent diarrhea and ulceration of the colon in ulcerative colitis can lead to iron-deficiency anemia, causing symptoms like fatigue, dizziness, and pallor.
D. Electrolyte imbalance: While electrolyte imbalances may occur with ulcerative colitis, they do not directly cause fatigue, dizziness, and pallor related to chronic blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Apply a heating pad to the abdomen: This is incorrect and potentially harmful, as applying heat to the abdomen can increase blood flow and worsen inflammation or risk rupture of the appendix.
B. Administer a cleansing enema: Enemas should not be administered for suspected appendicitis as they may cause irritation and increase the risk of perforation.
C. Administer oral analgesics as needed: Oral analgesics are contraindicated since the patient should be NPO, and strong pain relief might mask the symptoms of a ruptured appendix.
D. Place the patient on NPO status: The highest priority preoperative intervention is to place the patient on NPO (nothing by mouth) status to prevent aspiration during anesthesia, a standard preoperative practice, especially for abdominal surgeries.
Correct Answer is ["B","C","D","E"]
Explanation
A. Incontinence: Incontinence is not a typical symptom of renal calculi. Pain, urgency, and difficulty urinating are more common.
B. Gastrointestinal upset: Nausea, vomiting, and gastrointestinal upset can occur as a result of renal colic due to the proximity of the kidneys to the gastrointestinal system.
C. Urinary urgency: Clients with renal calculi may experience urinary urgency due to irritation of the urinary tract.
D. Fever: Fever may indicate an infection related to the obstruction caused by the stone, such as pyelonephritis.
E. Flank pain: Flank pain, often severe and radiating to the lower abdomen or groin, is a classic symptom of renal calculi as the stone moves through the urinary tract.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
