A client newly diagnosed with Crohn's disease asks the nurse what to expect in the future. The best response by the nurse would be:

"Removal of the colon can provide a cure for Crohn's disease."

"Most people who have Crohn's disease require an ostomy to control the disease, but you will adjust to that."

"You can expect to lead a totally normal life and may have long periods without symptoms."

"Your physician will prescribe medications to help you manage Crohn's, but there currently is no cure."

Answer and Explanation

The Correct Answer is D

D. Crohn's disease is a chronic condition for which there is currently no cure. Treatment focuses on managing symptoms, reducing inflammation, and preventing complications through medications, lifestyle changes
A.   Crohn's disease is a chronic condition that can affect any part of the gastrointestinal tract, and surgical removal of affected portions does not eliminate the underlying disease process.
B.   While some individuals with Crohn's disease may require surgery resulting in an ostomy, it is not true that most people with Crohn's will need this intervention. Many individuals with Crohn's can manage their symptoms with medications and lifestyle modifications without the need for surgery.
C.   Crohn's disease is a chronic illness with unpredictable flare-ups and periods of remission. Managing symptoms and maintaining a good quality of life often require ongoing medical management and lifestyle adjustments.

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Correct Answer is D

Explanation

D. Bloody diarrhea is a hallmark symptom of ulcerative colitis, particularly during disease flares. It typically presents as frequent and urgent bowel movements containing blood, mucus, and pus. Crohn's disease, on the other hand, may present with bloody diarrhea but usually involves less frequent bowel movements.
A. Both ulcerative colitis and Crohn's disease can manifest at various ages, including during adolescence and early adulthood.
B. Abdominal pain and cramping are common symptoms of both ulcerative colitis and Crohn's disease.
C. Weight loss can occur in both ulcerative colitis and Crohn's disease due to factors such as decreased appetite, malabsorption, and inflammation of the gastrointestinal tract.

A. Chronic pain B. Impaired urinary elimination C. Risk for bleeding D. Risk for urinary tract injury

Correct Answer is B

Explanation

B. Impaired urinary elimination: This is the priority problem for a client diagnosed with BPH. BPH commonly obstructs the flow of urine out of the bladder, leading to symptoms such as urinary hesitancy, weak urinary stream, incomplete emptying, and urinary retention. Addressing impaired urinary elimination is crucial to prevent complications such as urinary retention, urinary tract infections, and kidney damage.

A. While BPH can cause symptoms such as urinary hesitancy, frequency, urgency, and incomplete emptying, chronic pain is not typically a primary symptom of BPH itself. However, complications of BPH, such as urinary retention or urinary tract infections, may cause discomfort or pain. Addressing pain related to complications of BPH is important but may not be the priority in all cases.
C. While BPH itself does not typically increase the risk of bleeding, procedures used to diagnose or treat BPH, such as transurethral resection of the prostate (TURP), may carry a risk of bleeding. However, this risk is usually managed intraoperatively and postoperatively by healthcare providers. In the absence of specific interventions or procedures with bleeding risks, addressing bleeding may not be the priority for a client with BPH.
D. Urinary tract injury, particularly during surgical procedures to treat BPH, is a potential complication. However, it may not be the priority problem in the absence of planned interventions or procedures.

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A client newly diagnosed with Crohn's disease asks the nurse what to expect in the future. The best response by the nurse would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:

Correct Answer is D

Explanation

The nurse is providing follow-up care for a client who was recently diagnosed with benign prostatic hypertrophy (BPH). Which problem is the priority for the nurse to include in the client's plan of care?

Correct Answer is B

Explanation

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The nurse identifies a client problem of impaired skin integrity related to diarrhea for a client who has ulcerative colitis. The nurse recognizes that teaching about perianal care has been effective when the client:

The nurse is caring for a client who has suspected appendicitis. While waiting for surgery, nursing interventions for this client would include: (NOTE: Assume that there are physician's orders for all interventions which would require them.) (SELECT ALL THAT APPLY)

The nurse is caring for a client admitted with a first episode of acute cholecystitis. Which of the following may have contributed to this event? She:

The nurse is caring for a client admitted with an obstruction in the duodenum. Which initial clinical manifestation is associated with this condition?

Which of the following is a common symptom of diverticular disease?

A client with a new diagnosis of GERD is preparing for discharge from the hospital. Which foods will the nurse teach this client to avoid? (SELECT ALL THAT APPLY)

What is the most common cause of cystitis?