NCLEX RN Practice Question # 385

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CROHN’S DISEASE

   A. Description

  1. 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
  2. Characterized by remissions and exacerbations

       

B. Assessment

  1. Fever
  2. Cramp-like and colicky pain after meals
  3. Diarrhea (semisolid), which may contain mucus and pus
  4. Abdominal distention
  5. Anorexia, nausea, and vomiting
  6. Weight loss
  7. Anemia
  8. Dehydration
  9. Electrolyte imbalances
  10. 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.

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