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Crohn, PUD, UC NCLEX Exam Questions and Answers 100% Solved 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...

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  • October 11, 2024
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  • 2024/2025
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©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
Crohn, PUD, UC NCLEX Exam Questions

and Answers 100% Solved


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 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.

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
d) is manifested by rectal bleeding and anemia more frequently than is

ulcerative colitis. - ✔✔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 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 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 -

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
✔✔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". -

✔✔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 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

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
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 - ✔✔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 and

ranch dip B. Whole grain cereal and milk C. A cup of popcorn and a cola D.

Applesauce and a graham cracker - ✔✔D, appelsauce and graham

cracker, The diet for a client with ulcerative coliits should be a low-fiber, low

residue diet. The nurse should avoid foods such as whole grains, nuts and

fresh fruit or vegetables. Typically lactose containing foods are also poorly

tolerated. The client should also avoid caffeine, pepper, and alcohol.

The client is diagnosed with an acute exacerbation of ulcerative colitis.

Which intervention should the nurse implement? 1. Provide a low-residue

diet. 2. Monitor intravenous fluids. 3. Assess vital signs daily. 4. Administer

antacids orally. - ✔✔1. The client's bowel should be placed on rest and

no foods or fluids should be introduced into the bowel. 2. (CORRECT) The

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