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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Withholding food and fluids is essential to prevent complications should surgery be needed.
Choice B rationale
Administering prophylactic IV antibiotics helps prevent infection, which is critical in cases of appendicitis.
Choice C rationale
Applying heat to the abdomen can increase circulation and the risk of rupture in appendicitis.
Choice D rationale
Administering an enema can increase the risk of perforation in appendicitis.
Choice E rationale
Ambulation can exacerbate pain and the risk of rupture in a client with suspected appendicitis.
Correct Answer is D
Explanation
Choice D rationale
Sudden, sharp abdominal pain is a key indicator of gastrointestinal perforation. This severe symptom results from the leakage of gastrointestinal contents into the abdominal cavity, causing intense pain and requiring urgent medical attention.
Choice A rationale
Elevated blood pressure is not a specific indicator of gastrointestinal perforation. While stress or pain might cause temporary increases in blood pressure, it is not a reliable diagnostic sign for perforation.
Choice B rationale
Low heart rate is not typically associated with gastrointestinal perforation. Instead, tachycardia or increased heart rate might occur due to pain and the body's response to infection or sepsis from a perforation.
Choice C rationale
Hyperactive bowel sounds do not indicate gastrointestinal perforation. In fact, bowel sounds may be absent if a perforation occurs due to the body's response to abdominal infection and inflammation. Hyperactive sounds are more related to increased intestinal activity, not perforation.
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