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
Explanation
A. B lymphocytes, also known as B cells, are responsible for generating sensitized lymphocytes (memory cells) and antibodies (immunoglobulins).
B. Suppressor T cells (T regulatory cells) are involved in modulating the immune response, but they do not generate sensitized lymphocytes or antibodies.
C. T cells play various roles in the immune response, including cell-mediated immunity, but they are not primarily responsible for generating antibodies.
D. Hematopoietic stem cells are multipotent stem cells that give rise to all blood cells, including B and T lymphocytes, but they do not directly generate sensitized lymphocytes or antibodies.
Correct Answer is B
Explanation
A. Tetanus shot is not relevant to Alice's concern about the pneumococcal vaccine.
B. Explaining that the pneumococcal vaccine is not a live vaccine and cannot cause pneumonia addresses Alice's concern and provides accurate information about the vaccine's safety.
C. While pneumococcal vaccines are generally safe for most individuals, providing specific information about the vaccine's composition and safety profile is more beneficial.
D. Skipping the flu vaccine is not recommended based on concerns about the pneumococcal vaccine.
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