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 ["A","B","C"]
Explanation
Choice A rationale
Shortness of breath while lying flat, known as orthopnea, can indicate worsening heart failure or other serious cardiac conditions. This symptom may suggest fluid buildup in the lungs due to inadequate heart function, requiring immediate medical evaluation.
Choice B rationale
Night sweats and excessive sweating can be associated with cardiac issues such as myocardial infarction or heart failure. These symptoms can indicate that the heart is not effectively pumping blood, leading to increased stress on the body.
Choice C rationale
Burning chest pain at night can be indicative of angina or even a myocardial infarction. Angina often worsens at night due to changes in heart rate and blood pressure during sleep. This symptom warrants prompt cardiac assessment to rule out severe cardiac events.
Choice D rationale
Headaches after eating are not typically associated with cardiac conditions. This symptom is more likely related to gastrointestinal or metabolic issues rather than cardiac problems.
Choice E rationale
Feeling sleepy after eating is usually due to normal postprandial somnolence and is not directly related to cardiac issues. This symptom does not require urgent cardiac evaluation.
Correct Answer is D
Explanation
Choice A rationale
This statement is confrontational and does not provide clear boundaries or expectations for acceptable behavior.
Choice B rationale
Asking about medications does not address the inappropriate behavior and may further escalate the situation.
Choice C rationale
This response is defensive and may provoke further aggression from the client.
Choice D rationale
This statement acknowledges the client's feelings while clearly setting a boundary for unacceptable behavior, promoting a safe environment.
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