Emily, a 32-year-old woman, mentioned during her routine check-up that she has been having black, tarry stools for the past week. Which of the following should be the - healthcare provider's immediate concern?
Emily might have colorectal cancer
Emily might be taking antacids
Emily might be consuming too much fiber
Emily might have upper gastrointestinal bleeding
The Correct Answer is D
A. Colorectal cancer could be a concern but is not the immediate concern when a patient presents with black, tarry stools, which typically indicate upper gastrointestinal bleeding.
B. Antacids do not typically cause black, tarry stools.
C. Consuming too much fiber may cause changes in stool consistency but is not typically associated with black, tarry stools.
D. Black, tarry stools are often indicative of upper gastrointestinal bleeding, which can be serious and requires immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Testicular torsion typically presents with sudden and severe scrotal pain, often with swelling, and requires immediate medical attention.
B. Infection can cause changes in the color and texture of the scrotal skin, indicating inflammation or other pathological processes.
C. Sexual immaturity and pubertal delay wouldn't typically manifest as changes in the color and texture of the scrotal skin.
D. Pubertal delay might have other signs and symptoms but is unlikely to cause visible changes in the scrotal skin.
Correct Answer is B
Explanation
A. This mechanism is more relevant in conditions like pancreatitis or tissue injury involving enzyme release, not specifically in traumatic inflammation.
B. Inflammation leads to increased vascular permeability and fluid accumulation (edema), which can compress nerve endings and cause pain.
C. Lysis refers to the breakdown of cells, which may release heat, but this is not typically a significant factor in localized inflammation from trauma.
D. Acidic waste accumulation occurs in cell death processes like necrosis, but it's not the primary mechanism causing pain in traumatic inflammation.
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