The nurse is reviewing the record of a female client with Crohn's disease. Which stool characteristics should the nurse expect to note documented in the client's record?
Stools constantly oozing from the rectum
Chronic constipation
Diarrhea
Constipation alternating with diarrhea
The Correct Answer is C
Choice A rationale: Not a typical characteristic of Crohn's disease; more associated with conditions like rectal fistulas.
Choice B rationale: Crohn's disease commonly involves diarrhea rather than chronic constipation.
Choice C rationale: A common symptom of Crohn's disease due to inflammation and malabsorption in the intestines.
Choice D rationale: Crohn's disease typically presents with diarrhea but not necessarily alternating with constipation. Constipation alternating with diarrhea may also occur in irritable bowel syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Pulmonary embolism would cause chest pain, dyspnea, and hemoptysis, but not petechiae or neurological changes.
Choice B rationale: While chest pain might be associated with myocardial infarction, the combination of symptoms aligns more with a pulmonary embolism.
Choice C rationale: Fat embolism syndrome occurs when fat globules from the bone marrow enter the bloodstream and travel to the lungs, brain, or other organs. This can
cause respiratory distress, neurological impairment, petechiae (reddish-purple spots on the skin), and cardiac dysfunction.
Choice D rationale: Compartment syndrome doesn't typically manifest with respiratory symptoms or reddish-purple spots.
Correct Answer is D
Explanation
Choice A rationale: While gastrointestinal issues like loose stools can occur in Parkinson's disease due to impaired bowel movements, they are not the highest risk related to dietary considerations. Choking might occur due to dysphagia, but it's not specifically the highest risk.
Choice B rationale: Drooling, due to weakened or uncoordinated swallowing muscles, is common in Parkinson's disease but might not pose the highest risk. A loss of appetite can occur but might not be the highest dietary risk for the client.
Choice C rationale: Constipation is a common gastrointestinal issue in Parkinson's disease, but though problematic, it's not the highest risk concerning dietary considerations. Drooling can also be present but might not be the primary dietary concern.
Choice D rationale: Parkinson's disease often leads to dysphagia (difficulty swallowing) and aspiration (inhalation of food or liquids into the lungs). These present significant risks related to dietary considerations, as they can lead to serious complications such as pneumonia due to aspiration.
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