A nurse is providing education to a patient who has a new diagnosis of Crohn’s disease.
Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?
“Crohn’s disease looks like what would appear to be a second-degree burn in the colon and rectum areas only.”.
“Crohn’s disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract.”.
“Crohn’s disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings.”.
“Crohn’s disease has the appearance of a patchwork quilt with some areas that are clear and some with sores.”. .
The Correct Answer is D
Choice A rationale
This statement is not entirely accurate. Crohn’s disease does not resemble a second-degree burn. It is an inflammatory bowel disease that can affect any part of the gastrointestinal tract.
Choice B rationale
While this statement is technically correct, it uses medical jargon that may be difficult for a patient to understand. Crohn’s disease is indeed characterized by transmural granulomatous inflammation, meaning it affects the entire wall of the gastrointestinal tract. However, this description may not be easily understood by a patient without a medical background.
Choice C rationale
This statement is partially correct but not entirely accurate. Crohn’s disease can cause inflammation in the mucosa and sub-mucosa of the colon and rectal linings, but it is not limited to these areas. It can affect any part of the gastrointestinal tract from the mouth to the anus.
Choice D rationale
This is the most simplistic and non-medical description of the disorder. Crohn’s disease can indeed give the appearance of a “patchwork quilt” in the gastrointestinal tract, with some areas
clear and others inflamed or ulcerated. This description provides a visual analogy that may be easier for a patient to understand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale
Hepatitis A is a highly contagious virus that spreads through person-to-person contact or consuming contaminated food or drink. The virus can contaminate food during growing, harvesting, processing, handling, and even after cooking. Therefore, avoiding serving raw foods can help prevent the spread of the virus.
Choice B rationale
Hepatitis A is not typically spread through sexual intercourse. It is primarily spread through the fecal-oral route, either by person-to-person contact or consumption of contaminated food or water. Therefore, wearing barrier protection during vaginal intercourse is not a primary prevention strategy for Hepatitis A.
Choice C rationale
While it’s possible to contract Hepatitis A from food prepared at any location, including fast food restaurants, the risk is not specifically associated with these establishments. The key is whether the food is contaminated with the virus, which can occur in any setting if food is handled by someone infected with Hepatitis A who doesn’t properly wash their hands after using the toilet.
Choice D rationale
Practicing effective hand hygiene, including thoroughly washing hands after using the bathroom, changing diapers, and before preparing or eating food, is a primary prevention strategy for Hepatitis A1. The virus is spread in part by the fecal-oral route, so good hand hygiene can help prevent ingestion of the virus.
Correct Answer is B
Explanation
The maximum duration for the total infusion time of packed red blood cells should be 4 hours. This is to ensure the safety and efficacy of the transfusion. Transfusing the blood too quickly can lead to complications, while taking too long can result in the blood becoming unusable.
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