Susan, a 42-year-old woman, has a history of recurrent ear infections since childhood.She now presents with chronic ear pain, tenderness behind her left ear, and a low-grade fever. Her past medical history includes multiple episodes of otitis media during childhood. Based on her symptoms and history, what condition should you suspect in Susan?

Tonsillitis

Allergic Rhinitis

Eustachian Tube Dysfunction

Labyrinthitis

Answer and Explanation

The Correct Answer is C

A.   Tonsillitis presents with sore throat, difficulty swallowing, and inflamed tonsils, but it is not typically associated with ear pain, tenderness behind the ear, or a history of recurrent ear infections.
B.   Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but it does not cause chronic ear pain or tenderness behind the ear.
C.   Chronic ear pain, tenderness behind the ear, and a history of recurrent ear infections suggest dysfunction of the Eustachian tube, which can lead to fluid accumulation and pressure changes in the middle ear.
D.   Labyrinthitis presents with vertigo, nausea, and hearing loss, which are not mentioned in Susan's symptoms.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Actinic keratosis treatment with topical 5-FU does not increase the risk of infection to the extent that avoiding crowded places would be necessary.
B. While 5-FU may be used to treat actinic keratosis, it does not necessarily prepare the lesion for surgical removal.

C. There is no direct association between topical 5-FU treatment and anorexia.

Nutritional intake monitoring may not be necessary unless symptoms develop.

D. Topical 5-FU causes localized irritation, erosion, and crusting of treated areas, which typically take weeks to heal. This instruction is important for the patient to understand the expected outcome of the treatment.

A. Inflammatory bowel disease B. Hemorrhoids C. Rectal prolapse D. Colorectal cancer

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Lisa, 49, has actinic keratosis on her left cheek and opts for treatment with topical 5-FU. She is generally healthy with no other significant past medical history. What should the nurse instruct her?

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

Mike, a 17-year-old wrestler, comes in for a routine check-up. The nurse observes wheal- like lesions with white deposits at the base of the hair shaft. What should the nurse teach Mike?

John, a 65-year-old man, is nonambulatory and presents with complaints of rectal pain and problems with urination. What is the best position to examine John's rectum and prostate?

Sally, 33, has a family history of Charcot-Marie-Tooth disease. She presents with high-arched feet and hammer toes. Genetic testing reveals PMP22 gene duplication.

Linda, a 70-year-old woman with COPD, has arterial blood gases that show a pH of 7.35, PaCO2 of 55, and Pa02 of 60. She is currently on 2 liters of oxygen via a nasal -cannula. Which of the following interventions are appropriate for Linda? Select all that apply

Amy, a 50-year-old woman, reports a recent change in her bowel habits and rectal bleeding. She has no family history of rectal or colon problems. What is the most appropriate next step for her healthcare provider?

Steve, a 40-year-old man, comes to the clinic for a routine check-up. During the examination of his male genitalia, it is noted that his left testicle hangs significantly lower than the right. What should be the healthcare provider's Initial action?

Peter, a 60-year-old male with a closed head injury, starts to have a urine output of 300 ml/hr. His urine specific gravity is 1.002. What does this indicate?