In the context of caring for a patient diagnosed with Crohn’s disease, which nursing assessment should be prioritized?
Altered mucus membranes
Fluid volume deficit
Nutrition
Skin integrity .
The Correct Answer is C
Choice A rationale
While altered mucus membranes can occur in patients with Crohn’s disease, it is not typically the primary nursing assessment.
Choice B rationale
Fluid volume deficit can occur in patients with Crohn’s disease due to diarrhea, a common symptom of the disease. However, it is not typically the primary nursing assessment.
Choice C rationale
Nutrition should be prioritized in the nursing assessment for a patient diagnosed with Crohn’s disease. Malnutrition can occur due to decreased appetite, malabsorption of nutrients, and increased nutritional needs due to inflammation.
Choice D rationale
While skin integrity can be a concern in patients with Crohn’s disease, particularly those with fistulas, it is not typically the primary nursing assessment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale
Moving the client to a room closer to the nurses’ station is an appropriate action to address the safety needs of an older adult client who is becoming increasingly restless and intermittently confused. This allows for closer observation and quicker intervention if needed.
Correct Answer is A
Explanation
Choice A rationale
Spina bifida is indeed an example of a neural tube defect. It occurs when the neural tube doesn’t close completely somewhere along the spine during fetal development. This is the correct answer.
Choice B rationale
Cerebral palsy is not a neural tube defect. It is a group of disorders that affect a person’s ability to move and maintain balance and posture.
Choice C rationale
Muscular dystrophy is not a neural tube defect. It is a group of diseases that cause progressive weakness and loss of muscle mass.
Choice D rationale
Hydrocephalus is not a neural tube defect. It is a condition in which an accumulation of cerebrospinal fluid (CSF) occurs within the brain.
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