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Crohn, PUD, UC NCLEX Exam Questions and Answers 100% Solved
Crohn, PUD, UC NCLEX Exam Questions
and Answers 100% Solved
In planning care for the patient with Crohn's disease, the nurse recognizes
that a major difference between ulcerative colitis and Crohn's disease is
that Crohn's disease: (Source: Medical-Surgical Nursing, LHD pg. 1055) A.
frequently...
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©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
Crohn, PUD, UC NCLEX Exam Questions
and Answers 100% Solved
In planning care for the patient with Crohn's disease, the nurse recognizes
that a major difference between ulcerative colitis and Crohn's disease is
that Crohn's disease: (Source: Medical-Surgical Nursing, LHD pg. 1055) A.
frequently results in toxic megacolon, B. causes fewer nutritional
deficiencies than does ulcerative colitis, C. often recurs after surgery,
whereas ulcerative colitis is curable with a colectomy, D. is manifested by
rectal bleeding and anemia more frequently than is ulcerative colitis. -
✔✔Answer C, often recurs after surgery, whereas ulcerative colitis is
curable with a colectomyRationale: Because there is a high recurrence rate
after surgical treatment of Crohn's disease, medications are the preferred
treatment.
In planning the care for the patient with Crohn's disease, the nurse
recognizes that a major difference between ulcerative colitis and Crohn's
disease is that Crohn's disease: a) frequently results in toxic megacolon b)
causes fewer nutritional deficiencies than does ulcerative colitis. c) often
recurs after surgery, whereas ulcerative colitis is curable with a colectomy.
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
d) is manifested by rectal bleeding and anemia more frequently than is
ulcerative colitis. - ✔✔CORRECT ANSWER: CBecause there is a high
recurrence rate after surgical treatment of Crohn's disease, medications
are the preferred treatment.
"Which associated disorder might a client with ulcerative colitis exhibit "1.
Gallstone 2. Hyronephrosis
3.Nephrolithiasis 3. Toxic megacolon - ✔✔Answer 3, Toxic megacolon is
extreme dilation of a segemnt of the diseased colon caused by paralysis of
the colon
What is one of the major precipitating factors in the development of irritable
bowel syndrome (IBS)? "A. Stress
B. Peptic ulcers
C. GERD
D.Helicobacter pylori" - ✔✔Answer A: Stress, Rationale: Stress is one of
the major factors for developing irritable bowel syndrome (IBS), along with
dietary factors.
The nurse is reviewing the record of a female client with Crohn's disease.
Which stool characteristics should the nurse expect to note documented in
the client's record 1. Diarrhea 2. Chronic constipation 3. Constipation
alternating with diarrhea 4. Stools constantly oozing form the rectum -
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
✔✔Answer 1: Diarrhea, Crohn's disease is characterized by nonbloody
diarrhea and around 4-5 stools per day. Over time, episodes of diarrhea
increase in frequency, duration, and severity.
The client is diagnosed with Crohn's disease, also known as regional
enteritis. Which statement by the client would support this diagnosis? 1.
"My pain goes away when I have a bowel movement" 2. "I have bright red
blood in my stool all the time" 3. "I have episodes of diarrhea and
constipation" 4. "My abdomen is hard and rigid and I have a fever". -
✔✔1. (CORRECT) The terminal ileum is the most common site for
regional enteritis and causes right lower quadrant pain that is relieved by
defecation 2. Stools are liquid or semi-formed and usually do not contain
blood 3. Episodes of diarrhea and constipation may be a sign/symptom of
colon cancer, not Crohn'sdisease 4. A fever and hard rigid abdomen are
signs/symptoms of peritonitis, a complication of Crohn's disease
Which associated disorder might a client with Crohn's disease exhibit most
often? 1. Ankylosing spondylitis 2. Colon cancer 3. Malabsorption 4.
Lactase deficiency - ✔✔Answer 3; Malabsorption Because of the
transmural nature of Crohn's disease lesions, malabsorption may occur
with Crohn's disease. Although ankylosing spondylitis and colon cancer are
more commonly associated with ulcerative colitis, they may be seen in
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
clients with Crohn's disease, Lactase deficiency is caused by a congenital
defect in which an enzyme isn't present.
Nurse is caring for a patient with a diagnosis of ulcerative colitis. Which
finding, if noted on assessment of the client, would the nurse report to the
Dr? A. Hypotension B. Bloody diarrhea C. Rebound tenderness D.
Hemoglobin of 12 mg/ dl - ✔✔C. Rebound tenderness because this
could indicate peritonitis.
A client with acute colcerative colitis requests a snack. Which of the
following foods is the most appropriate to give the client? A. Carrots and
ranch dip B. Whole grain cereal and milk C. A cup of popcorn and a cola D.
Applesauce and a graham cracker - ✔✔D, appelsauce and graham
cracker, The diet for a client with ulcerative coliits should be a low-fiber, low
residue diet. The nurse should avoid foods such as whole grains, nuts and
fresh fruit or vegetables. Typically lactose containing foods are also poorly
tolerated. The client should also avoid caffeine, pepper, and alcohol.
The client is diagnosed with an acute exacerbation of ulcerative colitis.
Which intervention should the nurse implement? 1. Provide a low-residue
diet. 2. Monitor intravenous fluids. 3. Assess vital signs daily. 4. Administer
antacids orally. - ✔✔1. The client's bowel should be placed on rest and
no foods or fluids should be introduced into the bowel. 2. (CORRECT) The