Author Question: A nurse is receiving a client from the emergency department diagnosed with an acute exacerbation of ... (Read 139 times)

jwb375 · **on:** Jun 25, 2018

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

Question 2

A client is being scheduled for diagnostic tests to determine the presence of ulcerative colitis. For which diagnostic tests should the nurse plan to provide teaching?

Select all that apply.
A) Barium enema
B) Intravenous pyelogram
C) Colonoscopy
D) Upper endoscopy
E) Barium swallow

aliotak · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

Answer: A, C, E

Tests to diagnose irritable bowel syndrome include upper and lower barium studies and a colonoscopy. An intravenous pyelogram is used to diagnose kidney disorders. An upper endoscopy is used to diagnose disorders of the esophagus and stomach.