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.”. .

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
While a hiatal hernia can cause discomfort and other symptoms, it does not directly increase the risk for stomach cancer.
Choice B rationale
A hiatal hernia might increase your risk for Gastroesophageal Reflux Disease (GERD). This is because the hernia can cause the lower esophageal sphincter to malfunction, allowing stomach acid to flow back into the esophagus, which is the main cause of GERD1.
Choice C rationale

A hiatal hernia does not directly increase the risk for lung disease. However, if the hernia is large, it could potentially cause breathing difficulties or exacerbate existing respiratory conditions.
Choice D rationale
A hiatal hernia does not increase the risk for intestinal cancer. The hernia occurs in the diaphragm, which is separate from the intestines.

A. You will need to monitor for manifestations of liver issues. B. It is important to watch for manifestations of pancreatic cancer. C. Follow-up with an endocrinologist as your risks for diabetes increases. D. It is important to follow up with a GI specialist for recommended surveillance for Barrett’s esophagus.

Correct Answer is D

Explanation

Choice A rationale
While liver issues can be a concern with certain medications or diseases, they are not typically associated with GERD. GERD is a digestive disorder that affects the lower esophageal sphincter, the ring of muscle between the esophagus and stomach. Therefore, monitoring for liver issues would not be directly relevant to a patient with GERD.
Choice B rationale
Pancreatic cancer is a serious condition, but it is not directly related to GERD. GERD is primarily an issue of the esophagus and stomach, not the pancreas. While it’s always important to be vigilant about potential health issues, there is no specific reason for a patient with GERD to watch for manifestations of pancreatic cancer.
Choice C rationale
While diabetes is a significant health concern, it is not directly linked to GERD. GERD does not increase the risk for diabetes. An endocrinologist specializes in hormonal disorders, including

diabetes, but would not typically be involved in the management of GERD unless there were other co-existing endocrine issues.
Choice D rationale
This is the correct answer. Barrett’s esophagus is a condition that can develop in people who have long-term GERD. It changes the color and composition of the esophagus lining, which can increase the risk of esophageal cancer. Therefore, it is important for patients with long-term GERD symptoms to follow up with a GI specialist for recommended surveillance for Barrett’s esophagus.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient in the primary care office who has a recent diagnosis of a hiatal hernia. Which of the following new information will be beneficial for the nurse to relay to the patient?

Correct Answer is B

Explanation

A nurse is educating a patient who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

Correct Answer is D

Explanation

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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?