The nurse is providing education to a client with a history of Crohn's Disease and a new diagnosis of anemia. Which of the following statements by the client would require farther teaching?

"This condition is correlated to chronic blood loss.”

"Villi within my intestine are damaged.”

“Poor nutrition is a causative factor.”

"The ferrous sulfate is prescribed will replace the lost iron.”

Answer and Explanation

The Correct Answer is B

A. "This condition is correlated to chronic blood loss.” : Chronic inflammation and ulceration in Crohn’s disease can cause occult GI bleeding, leading to iron-deficiency anemia.

B. "Villi within my intestine are damaged.”: Crohn’s disease affects the entire intestinal wall, but it does not damage villi specifically. Villi damage occurs in celiac disease, not Crohn’s disease.

C. "Poor nutrition is a causative factor.": Malabsorption of iron, vitamin B12, and folate due to inflammation contributes to anemia in Crohn’s disease.

D. "The ferrous sulfate prescribed will replace the lost iron.": Iron supplements (ferrous sulfate) are commonly prescribed for anemia in Crohn’s disease due to chronic blood loss.

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Correct Answer is C

Explanation

A. Ask a peer to validate the results: While confirming findings with a colleague can sometimes be helpful, it is not necessary in this case. Postoperative ileus is common, and the priority is monitoring and documentation.

B. Reassess in hours: The nurse should reassess bowel sounds periodically, but the specific timeframe should be based on hospital policy and clinical judgment. Bowel sounds may be absent for hours to days postoperatively.

C. Document the findings: Documentation is critical as absent bowel sounds are expected after abdominal surgery. However, it should be accompanied by continued monitoring.

D. Notify the healthcare provider: Absence of bowel sounds immediately post-op is not necessarily an emergency. However, if accompanied by other signs (e.g., distention, vomiting, severe pain), notifying the provider would be warranted.

A. "My immune system reacts to gluten and damages the villi in my gut." B. “I have an allergy to the proteins that are found in wheat.” C. “I am glad that I can still eat rye bread.” D. "The bacteria in my gut are unable to digest gluten.”

Correct Answer is A

Explanation

A. "My immune system reacts to gluten and damages the villi in my gut.": Celiac disease is an autoimmune disorder in which gluten triggers an immune response that damages the small intestinal villi, leading to malabsorption.

B. "I have an allergy to the proteins that are found in wheat.": Celiac disease is not a wheat allergy; it is an autoimmune condition triggered by gluten, a protein found in wheat, barley, and rye.

C. "I am glad that I can still eat rye bread." : Rye contains gluten and must be avoided in celiac disease.

D. "The bacteria in my gut are unable to digest gluten." : Celiac disease is not caused by bacterial inability to digest gluten but by an autoimmune response to gluten.

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The nurse is providing education to a client with a history of Crohn's Disease and a new diagnosis of anemia. Which of the following statements by the client would require farther teaching?

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