After assessing a patient with ulcerative colitis (UC), the nurse concludes that the patient has moderate disease. Which patient symptoms support the nurse's conclusion? (Select all that apply.)
Anorexia
Rectal bleeding
Left lower quadrant pain
Right lower quadrant pain
Steatorrhea
Correct Answer : A,B,C,E
Choice A rationale
Anorexia, or loss of appetite, is common in UC due to abdominal pain and discomfort, as well as the psychological impact of chronic illness.
Choice B rationale
Rectal bleeding is a hallmark symptom of UC, indicating moderate to severe inflammation of the colon, which can lead to ulcers and bleeding.
Choice C rationale
Left lower quadrant pain is typical in UC because the disease often affects the descending colon, which is located in this area.
Choice D rationale
Right lower quadrant pain is more characteristic of conditions like appendicitis. UC typically does not cause pain in this area unless it is extensive and involves the right colon.
Choice E rationale
Steatorrhea, or fatty stools, can occur in UC if the disease affects the ileum, leading to malabsorption of fats.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Potassium levels are not directly affected by lactulose. While cirrhosis can lead to imbalances in electrolytes, including potassium, lactulose is not used to manage potassium levels in the bloodstream.
Choice B rationale
Ammonia is produced by the breakdown of proteins in the intestines and is normally processed by the liver. In cirrhosis, the liver's ability to convert ammonia to urea is impaired, leading to increased levels in the blood. Lactulose helps reduce blood ammonia levels by converting it into ammonium, which is then excreted.
Choice C rationale
Bicarbonate levels are related to the body's pH balance and are not the target of lactulose treatment. Cirrhosis does not typically result in bicarbonate imbalances that would be treated with lactulose.
Choice D rationale
Glucose levels are managed by insulin and other metabolic processes, not lactulose. While cirrhosis can affect overall metabolism, lactulose does not have a direct effect on blood glucose levels.
Correct Answer is B
Explanation
Choice A rationale
A history of high blood pressure is a risk factor for chronic kidney disease but not specifically for acute glomerulonephritis. Acute glomerulonephritis is more commonly associated with infections.
Choice B rationale
A recent sore throat and fever, especially if caused by a streptococcal infection, can lead to post-streptococcal glomerulonephritis. This is a well-documented cause of acute glomerulonephritis, making it the correct answer.
Choice C rationale
While bladder infections can lead to urinary tract infections, they are not typically associated with acute glomerulonephritis. This condition is more commonly related to infections that can cause a systemic immune response.
Choice D rationale
A history of kidney stones is associated with chronic kidney issues and can lead to infections, but it is not a direct cause of acute glomerulonephritis. This condition is usually caused by an immune response to an infection elsewhere in the body.
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