Why is Crohn disease more likely to cause intestinal obstruction than ulcerative colitis?
Crohn disease is located in the small intestine
Crohn disease is exacerbated by certain foods, such as spicy foods
Crohn disease causes granulomas to form in the submucosal layers
Crohn disease causes abdominal pain and watery diarrhea
The Correct Answer is C
A. While Crohn disease can affect any part of the gastrointestinal tract, it often affects the small intestine, particularly the ileum. However, the location alone does not explain the increased risk of obstruction.
B. Certain foods, such as spicy foods, may exacerbate symptoms of Crohn disease, but this is not the primary reason it causes intestinal obstruction.
C. Crohn disease causes inflammation that can lead to the formation of granulomas, particularly in the submucosal layers. These granulomas contribute to fibrosis and narrowing of the bowel, which can lead to intestinal obstruction. This is a key feature of Crohn disease that makes it more likely to cause obstruction compared to ulcerative colitis.
D. Abdominal pain and watery diarrhea are common symptoms of both Crohn disease and ulcerative colitis, but they are not directly related to the increased risk of obstruction in Crohn disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Identifying specific pathogens is important for guiding treatment, but the immediate focus in septic shock is on supporting circulation and treating the source of infection rather than just identification.
B. Improving tissue perfusion through intravenous fluid and blood replacement is part of the treatment but is not the sole focus. It is a supportive measure, and it is done alongside treating the source of infection.
C. Administering antibiotics is critical in septic shock but is only part of the treatment. It should be done alongside efforts to support circulation and treat the source of infection.
D. Treating the source of infection and supporting circulation are the primary goals in managing septic shock. This includes administering fluids, antibiotics, and sometimes vasopressors, in addition to addressing the underlying infection.
Correct Answer is B
Explanation
A. While sterile drapes are important for maintaining a sterile field during the procedure, they do not directly address the issue of privacy.
B. Pulling the curtains around the client's bed is the most appropriate action to ensure privacy during the procedure. It creates a physical barrier to maintain confidentiality and dignity for the client while they undergo the lumbar puncture.
C. Closing the door to the client's room can also help maintain privacy but may not be as effective in a shared space like a hospital ward. Curtains are a more immediate and effective means of providing privacy.
D. Asking family members to leave the room may be necessary for the procedure but does not directly relate to privacy during the procedure. The focus should be on ensuring the environment is private by pulling curtains and closing doors.
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