Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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A 33 year old female has been admitted with severe abdominal pain that has lasted greater than 3 days. She has had severe diarrhea and rectal bleeding for 48 hours. She is scheduled for an Endoscopy in one hour. What disease does this patient most likely have?
  1. Small bowel obstruction
  2. Portal hypertension
  3. Ulcerative colitis
  4. Gastroesophageal reflux disease
Explanation
Answer: C - The patient with abdominal pain, diarrhea and rectal bleeding most likely has Ulcerative colitis, which is a form of inflammatory bowel disease (IBD). It causes swelling, ulcerations, and loss of function of the large intestine. Rectal bleeding does not occur in small bowel obstruction and gastroesophageal reflux disease.
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