The nurse assesses a client who is hospitalized with an exacerbation of Crohn disease. Which assessment finding would the nurse expect?
Positive Murphy sign with rebound tenderness to palpitation
Dull, hypoactive bowel sounds in the lower abdominal quadrants
High-pitched, rushing bowel sounds in the right lower quadrant
Reports of abdominal cramping that is worse at night
The Correct Answer is C
A. A positive Murphy sign suggests gallbladder inflammation (e.g., cholecystitis), not Crohn disease.
B. Hypoactive bowel sounds may be noted in obstruction or paralytic ileus, not typically during Crohn flare-ups.
C. High-pitched, rushing bowel sounds in the right lower quadrant are common during Crohn disease exacerbations due to increased intestinal motility and inflammation, especially in the terminal ileum.
D. Abdominal cramping is common, but it typically worsens after meals, not specifically at night.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A positive Murphy sign suggests gallbladder inflammation (e.g., cholecystitis), not Crohn disease.
B. Hypoactive bowel sounds may be noted in obstruction or paralytic ileus, not typically during Crohn flare-ups.
C. High-pitched, rushing bowel sounds in the right lower quadrant are common during Crohn disease exacerbations due to increased intestinal motility and inflammation, especially in the terminal ileum.
D. Abdominal cramping is common, but it typically worsens after meals, not specifically at night.
Correct Answer is C
Explanation
A. Diuretics are used to manage ascites and fluid retention, not to reduce ammonia levels.
B. Fluid restriction may be needed in cases of hyponatremia but does not directly impact ammonia levels.
C. Reducing protein intake helps decrease ammonia production since protein metabolism in the gut generates ammonia, which the diseased liver cannot adequately clear.
D. Vitamin K is used to improve clotting in liver disease but has no effect on ammonia levels.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.