A patient with Crohn’s disease is experiencing an exacerbation. Which if the following symptoms should the nurse expect to find?

Frequent urination

Jaundice

Joint pain

Abdominal pain and cramping

Answer and Explanation

The Correct Answer is D

A. Frequent urination. Frequent urination is not typically associated with Crohn’s disease, which primarily affects the gastrointestinal system.

B. Jaundice. Jaundice is related to liver or biliary system issues and is not a common symptom of Crohn’s disease.

C. Joint pain. While Crohn’s disease may be associated with extraintestinal symptoms, joint pain is not as common as gastrointestinal symptoms during an exacerbation.

D. Abdominal pain and cramping. Abdominal pain and cramping are common symptoms of Crohn’s disease, especially during flare-ups, due to inflammation in the digestive tract.

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Correct Answer is C

Explanation

A. "I should monitor my temperature regularly and report any fevers to my healthcare provider." This statement shows correct understanding. Fever may indicate worsening infection or complications, so it’s important to monitor and report any fevers.

B. "I need to inform my healthcare provider about any new symptoms, such as shortness of breath or chest pain." This statement shows understanding. New symptoms, especially respiratory or cardiac, could signify complications, and should be reported.

C. "I can stop taking my antibiotics once I feel better." This indicates a need for further teaching. Completing the full course of antibiotics is crucial to ensure the infection is completely eradicated, even if symptoms improve.

D. "I will need to take antibiotics before dental procedures." Patients with infective endocarditis often require prophylactic antibiotics before dental procedures to prevent bacterial entry into the bloodstream.

A. Increased pulse, respirations and blood pressure with dysphagia and respiratory distress B. Hypotension, diarrhea and increased salivation C. Bradycardia and hypothermia D. Tachypnea and hyperactive deep tendon reflexes

Correct Answer is A

Explanation

A. Increased pulse, respirations and blood pressure with dysphagia and respiratory distress. A myasthenic crisis is characterized by severe muscle weakness that can lead to respiratory failure, dysphagia, and increased vital signs due to the stress of respiratory distress.

B. Hypotension, diarrhea, and increased salivation. These symptoms are more indicative of a cholinergic crisis, which is due to excess acetylcholine.

C. Bradycardia and hypothermia. Bradycardia and hypothermia are not characteristic signs of a myasthenic crisis.

D. Tachypnea and hyperactive deep tendon reflexes. While tachypnea can occur in respiratory distress, hyperactive reflexes are not typical in myasthenic crisis, as it involves neuromuscular weakness.

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A patient with Crohn’s disease is experiencing an exacerbation. Which if the following symptoms should the nurse expect to find?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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