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1. Question
The nurse is reviewing the record of a client with Crohn’s disease. Which stool characteristic should the nurse expect to note documented in the client’s record?
Correct
Answer & Rationale.
Option 1 is correct
Rationale: Crohn’s disease is characterized by nonbloody diarrhea of usually not more than four to five stools daily. Over time, the diarrhea episodes increase in frequency, duration, and severity. Options 2, 3, and 4 are not characteristics
of Crohn’s disease.
Test-Taking Strategy: Use the process of elimination. Eliminate option 4 first as the most unlikely occurrence. From the remaining options, think about the pathophysiology associated with Crohn’s disease to direct you to option 1. If you are unfamiliar with this disorder, review this content.
Incorrect
Answer & Rationale.
Option 1 is correct
Rationale: Crohn’s disease is characterized by nonbloody diarrhea of usually not more than four to five stools daily. Over time, the diarrhea episodes increase in frequency, duration, and severity. Options 2, 3, and 4 are not characteristics
of Crohn’s disease.
Test-Taking Strategy: Use the process of elimination. Eliminate option 4 first as the most unlikely occurrence. From the remaining options, think about the pathophysiology associated with Crohn’s disease to direct you to option 1. If you are unfamiliar with this disorder, review this content.
CROHN’S DISEASE
A. Description
An inflammatory disease that can occur anywhere in the gastrointestinal tract but most often affects the terminal ileum and leads to thickening and scarring, a narrowed lumen, fistulas, ulcerations, and abscesses
Characterized by remissions and exacerbations
B. Assessment
Fever
Cramp-like and colicky pain after meals
Diarrhea (semisolid), which may contain mucus and pus
Abdominal distention
Anorexia, nausea, and vomiting
Weight loss
Anemia
Dehydration
Electrolyte imbalances
Malnutrition (may be worse than that seen in ulcerative colitis)
C. Interventions:
Care is similar to that for the client with ulcerative colitis; however, surgery may be necessary but is avoided for as long possible because recurrence of the disease process in the same region is likely to occur.
