A nurse is receiving a client from the emergency department who was diagnosed with an acute exacerbation of ulcerative colitis. The nurse anticipates that the client may present with which clinical characteristics? Select all that apply.
A)Between 5 and 30 diarrhea stools per day with blood and mucus
B)Steady right lower quadrant or periumbilical pain
C)Cramping in the left lower quadrant that is relieved by defecation
D)Tenderness and a mass in the right lower quadrant
E)Fever, malaise, and fatigue

Question

Quizplus · Accepted Answer

A)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.
B)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.
C)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.
D)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.
E)With both ulcerative colitis and Crohn disease, the client experiences periods of symptom-free remissions with sporadic periods of active disease (flares). However, each condition also has unique clinical characteristics. With ulcerative colitis, the client may have 5-30 diarrhea stools per day with blood and mucus. In addition, the pain associated with ulcerative colitis presents with cramping in the left lower quadrant which is relieved by defecation. All other clinical manifestations listed here are unique to Crohn disease.

A Nurse Is Receiving a Client from the Emergency Department