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 D

Explanation

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.

A. Wear sunglasses at all times. B. You might experience an artificial tan. C. Use sunscreen with high SPF when exposed to the sun. D. Sun exposure might decrease the effectiveness of the medication.

Correct Answer is C

Explanation

A. Wearing sunglasses is not relevant to the side effects or precautions associated with ciprofloxacin.
B. Ciprofloxacin does not cause artificial tanning.

C. Ciprofloxacin can increase sensitivity to sunlight, leading to sunburn. Using sunscreen with a high SPF can help prevent sunburn while taking this medication.
D. Sun exposure does not typically affect the effectiveness of ciprofloxacin, but it can increase the risk of sunburn due to photosensitivity.

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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

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?

Correct Answer is D

Explanation

Thomas, 42, with a past history of kidney stones, has been prescribed ciprofloxacin for a UTI. Lab values indicate normal renal function. What should be included in the teaching plan?

Correct Answer is C

Explanation

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