CROHN ,PUD,UC NCLEX 2024-2025 |ACTUAL COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS ) PASS GUARANTEED.
In planning care for the patient with Crohn's disease, the nurse
recognizes that a major difference between ulcerative colitis and
Crohn's disease is that Crohn's disease: (Source: Medical-Surgical
Nursing, LHD pg. 1055) A. frequently results in toxic megacolon, B.
causes fewer nutritional deficiencies than does ulcerative colitis, C.
often recurs after surgery, whereas ulcerative colitis is curable with a
colectomy, D. is manifested by rectal bleeding and anemia more
frequently than is ulcerative colitis. - ANSWER -Answer C, often
recurs after surgery, whereas ulcerative colitis is curable with a
colectomyRationale: Because there is a high recurrence rate after
surgical treatment of Crohn's disease, medications are the preferred
treatment.
In planning the care for the patient with Crohn's disease, the nurse
recognizes that a major difference between ulcerative colitis and
Crohn's disease is that Crohn's disease: a) frequently results in toxic
megacolon b) causes fewer nutritional deficiencies than does
ulcerative colitis. c) often recurs after surgery, whereas ulcerative
colitis is curable with a colectomy. d) is manifested by rectal bleeding
and anemia more frequently than is ulcerative colitis. - ANSWER
CORRECT ANSWER: CBecause there is a high recurrence rate after
surgical treatment of Crohn's disease, medications are the preferred
treatment.
,"Which associated disorder might a client with ulcerative colitis
exhibit "1. Gallstone 2. Hyronephrosis
3.Nephrolithiasis 3. Toxic megacolon - ANSWER -Answer 3, Toxic
megacolon is extreme dilation of a segemnt of the diseased colon
caused by paralysis of the colon
What is one of the major precipitating factors in the development of
irritable bowel syndrome (IBS)? "A. Stress
B. Peptic ulcers
C. GERD
D.Helicobacter pylori" - ANSWER -Answer A: Stress, Rationale: Stress
is one of the major factors for developing irritable bowel syndrome
(IBS), along with dietary factors.
The nurse is reviewing the record of a female client with Crohn's
disease. Which stool characteristics should the nurse expect to note
documented in the client's record 1. Diarrhea 2. Chronic constipation
3. Constipation alternating with diarrhea 4. Stools constantly oozing
form the rectum - ANSWER -Answer 1: Diarrhea, Crohn's disease is
characterized by nonbloody diarrhea and around 4-5 stools per day.
Over time, episodes of diarrhea increase in frequency, duration, and
severity.
The client is diagnosed with Crohn's disease, also known as regional
enteritis. Which statement by the client would support this diagnosis?
1. "My pain goes away when I have a bowel movement" 2. "I have
bright red blood in my stool all the time" 3. "I have episodes of
, diarrhea and constipation" 4. "My abdomen is hard and rigid and I
have a fever". - ANSWER -1. (CORRECT) The terminal ileum is the
most common site for regional enteritis and causes right lower
quadrant pain that is relieved by defecation 2. Stools are liquid or
semi-formed and usually do not contain blood 3. Episodes of diarrhea
and constipation may be a sign/symptom of colon cancer, not
Crohn'sdisease 4. A fever and hard rigid abdomen are
signs/symptoms of peritonitis, a complication of Crohn's disease
Which associated disorder might a client with Crohn's disease exhibit
most often? 1. Ankylosing spondylitis 2. Colon cancer 3.
Malabsorption 4. Lactase deficiency - ANSWER -Answer 3;
Malabsorption Because of the transmural nature of Crohn's disease
lesions, malabsorption may occur with Crohn's disease. Although
ankylosing spondylitis and colon cancer are more commonly
associated with ulcerative colitis, they may be seen in clients with
Crohn's disease, Lactase deficiency is caused by a congenital defect
in which an enzyme isn't present.
Nurse is caring for a patient with a diagnosis of ulcerative colitis.
Which finding, if noted on assessment of the client, would the nurse
report to the Dr? A. Hypotension B. Bloody diarrhea C. Rebound
tenderness D. Hemoglobin of 12 mg/ dl - ANSWER -C. Rebound
tenderness because this could indicate peritonitis.
A client with acute colcerative colitis requests a snack. Which of the
following foods is the most appropriate to give the client? A. Carrots
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