Sarah, a 42 year old woman, complains of rectal pain that worsens during bowel movements. She has no history of rectal or colon problems but has been taking profen regularly for chronic back pain. What could be a potential reason for her symptoms?

Inflammatory bowel disease

Hemorrhoids

Rectal prolapse

Colorectal cancer

Answer and Explanation

The Correct Answer is B

A.   Inflammatory bowel disease typically presents with symptoms such as diarrhea, abdominal pain, and rectal bleeding, rather than isolated rectal pain exacerbated by bowel movements.
B.   Hemorrhoids are swollen veins in the rectum or anus that can cause pain, itching, and bleeding, especially during bowel movements. Regular use of ibuprofen can exacerbate hemorrhoids by causing irritation and thinning of the rectal lining.
C.   Rectal prolapse involves the protrusion of the rectum through the anus and may cause discomfort during bowel movements, but it is less common than hemorrhoids.
D.   Colorectal cancer can cause rectal pain but is less likely in the absence of other symptoms such as rectal bleeding or changes in bowel habits.

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Correct Answer is C

Explanation

A. Multiple rib fractures are unlikely to enhance gas diffusion; instead, they can impair ventilation by reducing the ability of the chest wall to expand.
B. Multiple rib fractures can indeed increase the workload of the diaphragm as it tries to compensate for the decreased ability of the chest wall to expand during breathing.

C. Multiple rib fractures can restrict chest wall movement, leading to compromised ventilation efficiency.
D. Multiple rib fractures wouldn't directly improve pulmonary blood supply; they can lead to pain and impaired lung function.

A. Flat with a small pillow under the head B. Head of the bed elevated 20 to 30 degrees C. Right lateral decubitus position D. Supine, with the head turned to the left.

Correct Answer is B

Explanation

A. This position can lead to increased intracranial pressure (ICP) and is not recommended for patients with head injuries.
B. Elevating the head of the bed helps promote venous drainage from the brain, reducing intracranial pressure.
C. This position is not typically used for patients with head injuries, as it may not provide optimal cerebral perfusion.
D. This position can compromise venous drainage from the brain and is not recommended for patients with head injuries.

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Sarah, a 42 year old woman, complains of rectal pain that worsens during bowel movements. She has no history of rectal or colon problems but has been taking profen regularly for chronic back pain. What could be a potential reason for her symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

George, a 15-year-old man, is brought to the ESL with multiple rib fractures following a motor vehicle accident. How could this injury affect his respiratory system?

Correct Answer is C

Explanation

Brian, 22, has a right-sided closed head injury and is unconscious. Which position would be best for him?

Correct Answer is B

Explanation

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