A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the patient's signs and symptoms?

Severe diarrhea

Involvement of the rectal mucosa

An absence of blood in stool

A pattern of distinct exacerbations and remissions

Answer and Explanation

The Correct Answer is D

Choice A reason:

Severe diarrhea can be a symptom of both Crohn's disease and ulcerative colitis and does not specifically indicate one over the other.

Choice B reason:

Involvement of the rectal mucosa is more indicative of ulcerative colitis rather than Crohn's disease, as Crohn's disease can affect any part of the digestive tract.

Choice C reason:

The presence or absence of blood in stool is not a definitive indicator of either Crohn's disease or ulcerative colitis, as both conditions can involve bleeding.

Choice D reason:

This statement is correct. A pattern of distinct exacerbations and remissions is more characteristic of Crohn's disease, whereas ulcerative colitis often presents with continuous, chronic symptoms.

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Correct Answer is B

Explanation

Choice A reason:

While thirst can be a sign of dehydration, it is not specific to recurrence of a GI bleed.

Choice B reason:

This is the correct answer. Tachycardia (rapid heart rate), hypotension (low blood pressure), and tachypnea (rapid breathing) are signs of potential recurrence of a GI bleed and should be closely monitored.

Choice C reason:

Diaphoresis (excessive sweating) and sudden onset of abdominal pain could be indicative of various conditions, but they are not specific to recurrence of a GI bleed.

Choice D reason:

Tarry, foul-smelling stools are indicative of melena, which is a sign of a GI bleed. However, in this scenario, the bleeding has been controlled, so this is not an expected sign of recurrence.

A. Include foods high in fiber. B. Include foods high in starch and proteins. C. Avoid foods high in fat. D. Avoid foods high in sodium.

Correct Answer is C

Explanation

Choice A reason:

While foods high in fiber are generally healthy, they may not specifically address the issue of biliary colic related to cholecystitis.

Choice B reason:

Foods high in starch and proteins are important for overall nutrition, but they may not directly impact biliary colic.

Choice C reason:

This statement is correct. Avoiding foods high in fat is crucial for managing biliary colic in clients with chronic cholecystitis.

Choice D reason:

Avoiding foods high in sodium is important for cardiovascular health, but it is not the primary dietary modification for cholecystitis.

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A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the patient's signs and symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

Correct Answer is B

Explanation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is C

Explanation

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