A nurse is receiving a client from the emergency department diagnosed with an acute exacerbation of ulcerative colitis (UC). The nurse anticipates the client may present with which clinical characteristics?
Select all that apply.
A) 5-30 diarrhea stools per day with blood and mucus
B) Steady right lower quadrant or periumbilical pain
C) Cramping in left lower quadrant; relieved by defecation
D) Tenderness and mass noted in right lower quadrant
E) Fever, malaise, fatigue
Answer: A, C, E
With both ulcerative colitis (UC) and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition has differences in clinical characteristics. With UC, the client may have 5-30 diarrhea stools per day with blood and mucus. Pain associated with UC presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations are unique to Crohn disease.
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