While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:

the onset of the disease at age 19.

intermittent abdominal pain and cramping.

weight loss.

bloody diarrhea 15-20 times per day.

Answer and Explanation

The Correct Answer is D

D. Bloody diarrhea is a hallmark symptom of ulcerative colitis, particularly during disease flares. It typically presents as frequent and urgent bowel movements containing blood, mucus, and pus. Crohn's disease, on the other hand, may present with bloody diarrhea but usually involves less frequent bowel movements.
A. Both ulcerative colitis and Crohn's disease can manifest at various ages, including during adolescence and early adulthood.
B. Abdominal pain and cramping are common symptoms of both ulcerative colitis and Crohn's disease.
C. Weight loss can occur in both ulcerative colitis and Crohn's disease due to factors such as decreased appetite, malabsorption, and inflammation of the gastrointestinal tract.

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Correct Answer is B

Explanation

B. Ulcerative colitis is a type of inflammatory bowel disease (IBD) characterized by inflammation and ulcers in the inner lining of the colon and rectum. Bloody diarrhea is one of the hallmark symptoms of ulcerative colitis. The inflammation and ulcers in the colon and rectum can lead to rectal bleeding, resulting in bloody stools.
A. Weight gain is not a common symptom of ulcerative colitis.
C. Blurred vision is not a typical symptom of ulcerative colitis. Symptoms of ulcerative colitis primarily involve the gastrointestinal tract, such as abdominal pain, diarrhea (often bloody), urgency to have a bowel movement, and fatigue.
D. Constipation is more commonly associated with other gastrointestinal conditions, such as irritable bowel syndrome (IBS) or certain medications.

A. Severe abdominal distention and cramping B. Vomiting of fecal material and absent bowel sounds C. Ribbon-like stools and mild discomfort D. Crampy abdominal pain, wavelike and colicky

Correct Answer is D

Explanation

D. The initial clinical manifestation associated with an obstruction in the duodenum is crampy abdominal pain, wavelike, and colicky. This discomfort occurs due to the blockage of the small intestine, leading to spasms and pain as the body tries to move contents past the obstruction.
A. Severe abdominal distention and cramping can occur with various gastrointestinal conditions, including an obstruction in the duodenum. However, this manifestation is not specific to duodenal obstruction and can occur with obstructions at other locations in the gastrointestinal tract.
B. Vomiting of fecal material, known as feculent vomiting, is a hallmark sign of a complete obstruction in the lower gastrointestinal tract.
C. Ribbon-like stools are more commonly associated with conditions affecting the lower gastrointestinal tract, such as colorectal cancer or irritable bowel syndrome (IBS).

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While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common symptom of ulcerative colitis?

Correct Answer is B

Explanation

The nurse is caring for a client admitted with an obstruction in the duodenum. Which initial clinical manifestation is associated with this condition?

Correct Answer is D

Explanation

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