Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?
10-20 liquid, bloody stools daily.
Hard, rigid abdomen.
Oral temperature of 99.5°F.
Urinary stress incontinence.
The Correct Answer is A
Choice A rationale
Ulcerative colitis commonly presents with 10-20 liquid, bloody stools daily. This is due to inflammation and ulceration of the colon lining, leading to frequent diarrhea mixed with blood and mucus.
Choice B rationale
A hard, rigid abdomen is more indicative of peritonitis, a potential but less common complication of ulcerative colitis. It is not a primary symptom of the disease.
Choice C rationale
An oral temperature of 99.5°F could indicate a low-grade fever, which might occur with ulcerative colitis but is nonspecific and not as characteristic as the frequent bloody stools.
Choice D rationale
Urinary stress incontinence is not a typical symptom of ulcerative colitis. It pertains more to urinary tract issues rather than gastrointestinal conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Excess fluid volume: intravascular is less relevant as it is more associated with conditions such as heart failure rather than bowel obstruction. Fluid shifts in bowel obstruction usually lead to third-spacing rather than intravascular volume excess.
Choice B rationale
Risk for ineffective tissue perfusion: gastrointestinal is correct as bowel obstruction can compromise blood flow to the intestines, leading to ischemia and necrosis. This is a critical concern that needs to be monitored and managed promptly.
Choice C rationale
Risk for infection is a valid concern but not the primary issue compared to tissue perfusion risks. Infection risk typically becomes more prominent if there are signs of bowel perforation or necrosis.
Choice D rationale
Acute pain assessment is important but is an aspect of managing the current problem rather than listing the primary problem itself. Pain management should follow once the main problem has been identified.
Correct Answer is B
Explanation
Choice A rationale
Genetic predisposition to gain weight. Genetics do play a significant role in obesity, but they are only one part of a multifactorial condition that involves numerous other factors, including environment and lifestyle.
Choice B rationale
Many complex physiologic and psychosociocultural factors. Obesity results from a complex interplay of genetic, metabolic, behavioral, and environmental factors. It includes influences from diet, physical activity, cultural attitudes, and psychological factors, making it a multifaceted condition.
Choice C rationale
Energy intake exceeding energy output. While an imbalance between energy intake and expenditure is a fundamental aspect of weight gain, it alone does not account for the complexity of obesity, which also involves hormonal, genetic, and psychosocial factors.
Choice D rationale
Fat cells being able to increase their size indefinitely. While fat cells can expand to store more fat, this explanation is too simplistic to account for the multifaceted nature of obesity, which includes genetic, metabolic, behavioral, and environmental factors.
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