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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is C
Explanation
A. Administering the flu vaccine immediately may not be safe due to Paul's recent immunoglobulin therapy and underlying health conditions.
B. While controlling diabetes is important for overall health, it may not directly impact the decision to postpone the flu vaccine.
C. Postponing the flu vaccine for another 2 weeks allows time for the effects of immunoglobulin therapy to diminish and reduces the risk of potential adverse interactions.
D. Consulting the physician for an alternative to flu vaccination may be necessary if Paul cannot receive the vaccine due to contraindications or allergies, but postponing is the initial appropriate action.
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