NCLEX RN Practice Question # 952
NCLEX Examination.
Practice Question # 952.
nclex quiz
Crohn’s Disease
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
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)
Nursing Interventions: Care is similar to that for the client with ulcerative colitis; however, surgery may be necessary but is avoided for as long as possible because recurrence of the disease process in the same region is likely to occur.