Which of the following is a characteristic feature of Crohn's disease?

Formation of fistulas and abscesses.

Symptoms confined to the large intestine.

Improvement with the use of antibiotics.

Presence of rectal bleeding.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Formation of fistulas (abnormal connections between organs) and abscesses (collections of pus) are characteristic complications of Crohn's disease. The transmural inflammation in Crohn's disease can penetrate through the bowel wall, leading to these developments.

Choice B rationale

Crohn's disease can affect any part of the gastrointestinal tract from the mouth to the anus, although it most commonly involves the ileum and colon. Symptoms are not confined to the large intestine. Ulcerative colitis, another inflammatory bowel disease, primarily affects the colon.

Choice C rationale

While antibiotics may be used to treat secondary infections or complications of Crohn's disease, they are not a primary treatment for the underlying inflammatory process and do not typically lead to improvement of the disease itself. Crohn's disease is a chronic inflammatory condition that requires immunomodulatory or anti-inflammatory medications.

Choice D rationale

Rectal bleeding is more commonly associated with ulcerative colitis, where the inflammation is typically limited to the mucosal layer of the colon and rectum, leading to ulceration and bleeding. While some bleeding can occur in Crohn's disease, it is generally less prominent than in ulcerative colitis.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

A pyloric obstruction is a blockage at the outlet of the stomach, preventing gastric contents from emptying into the duodenum. A nasogastric tube is inserted to decompress the stomach by removing accumulated fluids and gases, relieving pressure and distension.

Choice B rationale

While a nasogastric tube can be used for enteral feeding in some situations, it is not the primary rationale for its use in a pyloric obstruction. The obstruction would prevent the delivery of nutrients into the small intestine for absorption.

Choice C rationale

Medications can be administered through a nasogastric tube, but this is a secondary use in the context of a pyloric obstruction. The primary goal is to relieve the obstruction's effects by decompression.

Choice D rationale

Determining the pH of gastric secretions can be done via a nasogastric tube, but this is a diagnostic measure and not the primary therapeutic rationale for its use in treating a pyloric obstruction. Decompression is the priority.

A. "After you have signed the consent form, we can talk more about this.”. B. "The provider will administer a sedative before the examination to help you relax.”. C. "Most clients find the preparation for the colonoscopy to be more bothersome than the procedure itself.”. D. "It's understandable to be anxious; we will do everything we can to ensure your comfort during the procedure.”.

Correct Answer is D

Explanation

Choice A rationale

Discussing the client's anxiety only after obtaining consent dismisses their current emotional state and fails to address their immediate concerns about pain. Addressing anxiety proactively fosters trust and ensures the client feels heard and supported before proceeding with the procedure. Delaying the conversation can increase the client's anxiety levels.

Choice B rationale

While the provider may administer a sedative, this statement doesn't fully address the client's anxiety about potential pain. It provides information about medication but doesn't offer reassurance or acknowledge the client's feelings. A more comprehensive approach would involve both medication and supportive communication.

Choice C rationale

Minimizing the client's anxiety by comparing it to the bowel preparation can be dismissive and doesn't validate their feelings about the procedure itself. Each individual experiences procedures differently, and focusing on the discomfort of the preparation might not alleviate their fear of pain during the colonoscopy.

Choice D rationale

Acknowledging the client's anxiety validates their feelings and establishes a supportive nurse-client relationship. Reassuring the client that measures will be taken to ensure their comfort directly addresses their concern about pain. This approach promotes trust and can help reduce the client's anxiety about the procedure.

View Question and Answer

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

Which of the following is a characteristic feature of Crohn's disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to treat a pyloric obstruction.Which of the following rationales for the use of the nasogastric tube should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy.The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure.Which of the following responses by the nurse is appropriate?

Correct Answer is D

Explanation

A nurse is reviewing discharge instructions with a client following a right cataract extraction.Which of the following instructions should the nurse include?

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?

A nurse is caring for a client who has herpes zoster.Which of the following findings should the nurse expect?

A nurse is reviewing the provider's prescriptions for a client experiencing a paralytic ileus following an appendectomy.Which of the following actions should the nurse expect to take?

A nurse is assessing a patient who has a puncture wound on his foot.Which of the following findings is a manifestation of acute osteomyelitis?

A nurse is caring for a client who has pruritus following treatment for scabies.Which of the following actions should the nurse take?

A nurse is developing a plan of care for a client who has cellulitis of the leg.Which of the following interventions should the nurse include in the plan?

A nurse is assessing a client who has viral rhinitis and a history of herpes simplex virus type 1 (HSV-1) lesions.The nurse should assess which of the following areas of the body for the recurrence of HSV-1 lesions?