A nurse is caring for a client with regional enteritis (Crohn's disease). Which of the following symptoms should the nurse anticipate during assessment?
Abdominal pain and cramping.
Weight gain.
Jaundice.
Hypertension.
The Correct Answer is A
Choice A rationale
Abdominal pain and cramping are hallmark symptoms of Crohn's disease due to inflammation in the gastrointestinal tract.
Choice B rationale
Weight loss, rather than weight gain, is typically associated with Crohn's disease due to malabsorption and chronic inflammation.
Choice C rationale
Jaundice is not commonly associated with Crohn's disease; it is more related to liver or gallbladder issues.
Choice D rationale
Hypertension is not a common symptom of Crohn's disease. It is generally associated with other conditions such as cardiovascular disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Having the patient lift their back and buttocks using a trapeze allows for proper assessment of pressure areas and skin care. This technique reduces the risk of further injury or discomfort and provides better access for the nurse to assess the skin condition.
Choice B rationale
Asking the patient to turn to the side independently may not be feasible for a patient with a pelvic fracture. This method can cause pain and risk further injury, making it an unsuitable choice for assessing pressure areas.
Choice C rationale
Rolling the patient over to the side by pushing on the patient's hip is not recommended as it can exacerbate the injury and cause pain. This method is not appropriate for patients with pelvic fractures.
Choice D rationale
Deferring back assessment until the patient is ambulatory is not a safe practice. Pressure areas should be regularly assessed to prevent skin breakdown and complications, even if the patient is not yet ambulatory.
Correct Answer is A
Explanation
Choice A rationale
Continuing to monitor the client's respiratory status is the appropriate action if fluctuation is observed in the suction control chamber. Fluctuations are expected and indicate that the system is functioning correctly.
Choice B rationale
Checking the suction control outlet on the wall is necessary if there are signs that the system is not functioning correctly, but fluctuation itself is not an indication of malfunction.
Choice C rationale
Checking the tubing connections for leaks is important if there is an air leak suspected. However, normal fluctuation does not suggest a leak.
Choice D rationale
Clamping the chest tube is generally avoided unless absolutely necessary as it can lead to the accumulation of air and tension pneumothorax.
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