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 A, B, C, D
No explanation
Correct Answer is ["A","B","C","E"]
Explanation
A. The nurse should advise Tina to discontinue the herbal remedies because they may interfere with her medications or worsen her symptoms.
B. The nurse should also assess her lung sounds to monitor her respiratory status.
C. Providing education on flu vaccines is crucial to prevent further infections.
D. Adequate fluid intake is generally recommended, but it may not be the most immediate concern in this case.
E. The nurse should check for any interactions between the herbal remedies and any bronchodilators that Tina is using, as they may reduce their effectiveness or cause adverse effects.
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