A 21-year-old woman receives a diagnosis of Crohn's disease. The nurse practitioner provides education about the diagnosis. Which of the following statements by the patient indicates the need for further teaching?
"I should meet with a dietitian to learn which foods to eat and what to avoid."
"This is a disease that can be cured once we find the right medication for me."
"I will need regular, ongoing care by a team of healthcare professionals."
"I might need surgery one day, if I develop complications."
The Correct Answer is B
Choice A reason: Meeting with a dietitian is appropriate and supports disease management, helping reduce flare-ups through nutritional guidance.
Choice B reason: Crohn’s disease is a chronic, relapsing inflammatory bowel disease with no known cure. Medications manage symptoms and reduce inflammation but cannot cure the disease. This statement indicates misunderstanding and the need for further education.
Choice C reason: Regular ongoing care is necessary for monitoring disease activity, managing medications, and preventing complications, which is correct.
Choice D reason: Surgery may be required for complications such as strictures or fistulas. Acknowledging potential surgical intervention demonstrates correct understanding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Occupational therapy, including activity modification and ergonomic interventions, can improve hand function and reduce symptoms in carpal tunnel syndrome, making it an effective non-surgical treatment.
Choice B reason: NSAIDs may help reduce pain and inflammation, although they have limited effect on nerve function. They are used as a supportive treatment but do not directly improve long-term function.
Choice C reason: Splinting, particularly at night, helps maintain the wrist in a neutral position, reducing pressure on the median nerve and improving functional symptoms. It is a widely recommended non-invasive intervention.
Choice D reason: Joint replacement is not indicated for carpal tunnel syndrome. This procedure addresses joint pathology, not median nerve compression, and does not improve hand function in CTS. It is irrelevant to the treatment of this condition.
Correct Answer is D
Explanation
Choice A reason: Referral to an oncologist is premature without diagnostic confirmation of malignancy.
Choice B reason: CA-125 is mainly used for ovarian cancer, which is unlikely after bilateral oophorectomy.
Choice C reason: Pap smear screens for cervical cancer and is not indicated for evaluating postmenopausal or post-oophorectomy bleeding.
Choice D reason: Correct. Endometrial biopsy or transvaginal ultrasound helps evaluate uterine pathology, including endometrial cancer, and is the most appropriate initial diagnostic step.
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