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","C","E"]
Explanation
A. This method involves scratching or pricking the skin with a small amount of the suspected allergen to observe any allergic reaction.
B. This method is not typically used for identifying allergens; it's more associated with oral challenges for diagnosing food allergies but is not recommended since it may cause severe anaphylaxis.
C. This method, known as intradermal testing, is less common than scratch tests and is typically used when scratch tests produce inconclusive results.
D. This method is not typically used for identifying allergens and can cause severe eye damage.
E. Patch testing involves applying patches containing allergens to the skin and observing for reactions. It's commonly used to identify contact allergens.
Correct Answer is C
Explanation
A. This vaccine is recommended for adults over 50 years old to prevent shingles, but it is not typically administered annually.
B. There is no routine annual immunization for Hepatitis C.
C. Annual influenza vaccination is strongly recommended for patients with COPD to reduce the risk of influenza-related complications.
D. While pneumococcal vaccination is important for patients with COPD, it is not administered annually in most cases.
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