A client is admitted with the first exacerbation of Crohn's disease. The client wants to know why they can't "just take out the diseased portion of bowel and get rid of this disease.”. The nurse's response to this should be:

Surgery cannot cure Crohn's disease as it may reoccur anywhere from mouth to anus.

Yearly treatment of the disease via a colonoscopic procedure can control it.

Although surgery can cure the disease, there are many problems associated with it.

If this occurs again, they will attempt to do that.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Crohn's disease is a chronic inflammatory condition that can affect any part of the gastrointestinal tract from mouth to anus. Surgery cannot cure the disease because inflammation and symptoms can recur in other parts of the digestive system, even after the diseased portion is removed.

Choice B rationale

While colonoscopic procedures can help manage and monitor Crohn's disease, they do not cure it. The disease's chronic nature means that continuous treatment and monitoring are necessary.

Choice C rationale

Surgery can help manage severe cases of Crohn's disease and remove affected portions, but it does not cure the disease. There are risks and complications associated with surgery, and the disease can recur in other areas of the gastrointestinal tract.

Choice D rationale

This statement is inaccurate because it suggests a potential cure through surgery, which is misleading. The chronic and recurrent nature of Crohn's disease means that even after surgical intervention, ongoing management and treatment are required.

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Fecal-smelling breath is a symptom of small intestine obstruction due to bacterial fermentation of trapped food, which produces a foul odor that can be detected on the breath.

Choice B rationale

Severe abdominal distention occurs in small intestine obstructions because of the accumulation of gas and fluids proximal to the obstruction site, leading to a noticeable increase in abdominal girth.

Choice C rationale

Weakness, weight loss, and anorexia are more characteristic of chronic gastrointestinal conditions rather than acute small intestine obstruction. These symptoms develop over a longer period and are not acute manifestations.

Choice D rationale

High-pitched tinkling bowel sounds are a typical finding in small intestine obstruction. They occur due to increased peristaltic activity proximal to the obstruction site as the intestines attempt to move the obstructed contents.

Choice E rationale

Intense thirst is not a primary manifestation of small intestine obstruction. While dehydration can occur, it is not specific to small intestine obstruction and can be a result of many other conditions.

A. Triple lumen subclavian catheter inserted to the right subclavian area. B. Double lumen PICC inserted above the antecubital fossa. C. A small bore nasogastric tube inserted into the right nare. D. A 22-gauge peripheral IV inserted to the dorsum of the left hand. E. An 18-gauge peripheral IV inserted to the left forearm.

Correct Answer is ["A","B"]

Explanation

Choice A rationale

A triple lumen subclavian catheter provides a reliable, large-bore central line for infusing TPN, ensuring safe and efficient nutrient delivery to meet metabolic needs.

Choice B rationale

A double lumen PICC line inserted above the antecubital fossa is suitable for TPN infusion, providing central venous access with reduced infection risk compared to peripheral lines.

Choice C rationale

A nasogastric tube is used for feeding into the stomach or intestine, not for TPN, which requires central venous access to avoid phlebitis and ensure adequate nutrient delivery.

Choice D rationale

A 22-gauge peripheral IV is not appropriate for TPN, as peripheral lines are more prone to phlebitis and cannot support the high osmolarity of TPN solutions.

Choice E rationale

An 18-gauge peripheral IV is better than a 22-gauge, but peripheral lines in general are not ideal for TPN due to risks like phlebitis and inadequate nutrient delivery.

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A client is admitted with the first exacerbation of Crohn's disease. The client wants to know why they can't "just take out the diseased portion of bowel and get rid of this disease.”. The nurse's response to this should be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has an obstruction in the small intestine. Clinical manifestations that the nurse would expect include: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

The nurse knows that which of the following routes is the SAFEST to infuse total parenteral nutrition (TPN)? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B"]

Explanation

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