A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather that ulcerative colitis, as the cause of the patient's signs and symptoms?
A) A pattern of distinct exacerbations and remissions
B) Severe diarrhea
C) An absence of blood in stool
D) Involvement of the rectal mucosa
Ans: C
Feedback:
Bloody stool is far more common in cases of UC than in Crohn's. Rectal involvement is nearly 100% in cases of UC (versus 20% in Crohn's) and patients with UC typically experience severe diarrhea. UC is also characterized by a pattern of remissions and exacerbations, while Crohn's often has a more prolonged and variable course.
You might also like to view...
Which of the following is the best example of moral distress?
A) A patient's family has decided to end mechanical ventilation of the patient, but the nurse has trouble implementing their decision. B) A patient's family has decided to continue mechanical ventilation for the patient, but the nurse disagrees and discontinues the ventilation on her own initiative. C) A patient's family has decided to end mechanical ventilation of the patient, and the nurse implements their decision but later feels guilty. D) A patient's family has decided to continue mechanical ventilation for the patient, and the nurse implements their decision, although she disagrees with it.
The biogenic amine theory of depression states that depression results from a deficiency of biogenic amines in key areas of the brain. Why might a deficiency of these biogenic amines exist?
A) A slowing of the action of the neurons may lead to their depletion. B) Monoamine oxidase (MAO) strengthens the impact of biogenic amines. C) The number or sensitivity of postsynaptic receptors may increase. D) Norepinephrine may be depleted because biogenic amines feed off of loose particles of the neurotransmitter.
The nurse is preparing a patient for discharge with a prescription for sucralfate (Carafate) and teaches the patient to take the medication when?
A) With meals B) With an antacid before breakfast C) 1 hour before or 2 hours after meals and at bedtime D) After each meal
The nurse is providing care for a group of siblings following the unexpected death of their father. The nurse should recognize which of the following principles about children and the death of a parent?
A) Most children are able to adapt to the death of a parent, provided they are supported. B) The grief process undergone by children normally excludes active mourning. C) The emotional trauma of losing a parent is not experienced fully until adulthood. D) Children typically move through the grieving process much more quickly than adults.