NURS 2207 GI Study Guide Exam Questions And Actual Answers.
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Course
NURS 2207
Institution
NURS 2207
Which autoantigens are responsible for the development of Crohn disease?
1. Crypt epithelial cells
2. Thyroid cell surface
3. Basement membranes of the lungs
4. Basement membranes of the glomeruli - Answer 1. Crypt epithelial cells
Rationale:
Crypt epithelial cells are considered...
NURS 2207 GI Study Guide Exam
Questions And Actual Answers.
Which autoantigens are responsible for the development of Crohn disease?
1. Crypt epithelial cells
2. Thyroid cell surface
3. Basement membranes of the lungs
4. Basement membranes of the glomeruli - Answer 1. Crypt epithelial cells
Rationale:
Crypt epithelial cells are considered the autoantigens responsible for Crohn disease. Thyroid cell surfaces
are autoantigens responsible for Hashimoto thyroiditis. The pulmonary and glomerular basement
membranes act as autoantigens responsible for Goodpasture syndrome.
Parenteral vitamins are prescribed for the client with Crohn disease. The client asks why the vitamins
have to be given intravenously (IV) rather than by mouth. Which rationales will the nurse provide? Select
all that apply. One, some, or all responses may be correct.
1. "They provide more rapid action results."
2. "They decrease colon irritability."
3. "Oral vitamins are less effective."
4. "Intestinal absorption may be inadequate."
,5. "Allergic responses are less likely to occur." - Answer ANS: 1, 3, 4
Rationale:
Absorption through the gastrointestinal (GI) tract is impaired, and parenteral administration goes directly
into the intravascular compartment. Disease of the GI tract hampers absorption. Because the mucosa of
the intestinal tract is damaged, its ability to absorb vitamins taken orally is greatly impaired. IV vitamins
do not decrease colonic irritability. Route of administration does not affect allergic response.
While awaiting surgery, a client with a history of Crohn disease is receiving total parenteral nutrition
(TPN) on an outpatient basis. The nurse teaches the client that TPN helps prepare for surgery by which
process?
By decreasing fecal bulk and bowel stimulation, TPN provides rest for the bowel while the client awaits
surgery. TPN does not prevent a bowel infection. TPN does not stimulate gastrointestinal secretions. TPN
promotes positive nitrogen balance.
A client is admitted to the hospital with a diagnosis of Crohn disease. Which is important for the nurse to
include in the teaching plan for the client?
1. Controlling constipation
2. Meeting nutritional needs
,3. Preventing increased weakness
4. Anticipating a sexual alteration - Answer 2. Meeting nutritional needs
Rationale:
To avoid gastrointestinal pain and diarrhea, these clients often refuse to eat and become malnourished.
The consumption of a high-calorie, high-protein diet is advised. Diarrhea, not constipation, is a problem
with Crohn disease. Preventing an increase in weakness is a secondary concern that results from
malnutrition; correcting the malnutrition will increase strength. Anticipating a sexual alteration generally
is not a problem with Crohn disease.
A client with Crohn disease is admitted to the hospital with a history of chronic, bloody diarrhea, weight
loss, and signs of general malnutrition. The client has anemia, a low serum albumin level, and signs of
negative nitrogen balance. The nurse concludes that the client's health status is related to which major
deficiency?
1. Ferrous sulfate
2. Protein
3. Ascorbic acid
4. Linoleic acid - Answer 2. Protein
Rationale:
Protein deficiency causes a low serum albumin level, which permits fluid shifts from the intravascular to
the interstitial compartment, resulting in edema. Decreased protein also causes anemia; protein intake
must be increased. Although a deficiency of ferrous sulfate will result in anemia, it will not cause the
other adaptations. Ascorbic acid is unrelated to these adaptations. Linoleic acid is unrelated to these
adaptations.
A client with the diagnosis of Crohn disease tells the nurse, "My partner dates other people. I believe
that behavior has caused an increase in my symptoms." Which is an appropriate initial nursing response?
, 1. Help the client explore personal attitudes.
2. Educate the partner about the illness and events that affect the client's symptoms.
3. Suggest the client should not date the partner to determine if symptoms change.
4. Schedule the client and the partner for a counseling session. - Answer 1. Help the client explore
personal attitudes.
Rationale:
Because emotional stress can influence the progress of Crohn disease, initially the nurse should help the
client explore self-attitudes to aid in better understanding the feelings engendered by the partner dating
others. Initially, the nurse should help the client explore the situation and the feelings it engenders
rather than involve the partner. The client should make the decision about continuing to date the
partner. Scheduling the client and the partner for a counseling session is premature; the client is not
ready for a joint counseling session.
A client with severe Crohn disease develops a small bowel obstruction. Which clinical finding would the
nurse expect the client to report?
1. Bloody vomitus
2. Projectile vomiting
3. Bleeding with defecation
4. Pain in the left lower quadrant - Answer 2. Projectile vomiting
Rationale:
Nausea and vomiting, accompanied by diffuse abdominal pain, commonly occur in clients with small
bowel obstruction; the vomiting may be projectile and may contain bile or fecal material. Hematemesis
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