A patient with Crohn’s disease is experiencing an exacerbation. Which if the following symptoms should the nurse expect to find?
Frequent urination
Jaundice
Joint pain
Abdominal pain and cramping
The Correct Answer is D
A. Frequent urination. Frequent urination is not typically associated with Crohn’s disease, which primarily affects the gastrointestinal system.
B. Jaundice. Jaundice is related to liver or biliary system issues and is not a common symptom of Crohn’s disease.
C. Joint pain. While Crohn’s disease may be associated with extraintestinal symptoms, joint pain is not as common as gastrointestinal symptoms during an exacerbation.
D. Abdominal pain and cramping. Abdominal pain and cramping are common symptoms of Crohn’s disease, especially during flare-ups, due to inflammation in the digestive tract.
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View Related questions
Correct Answer is A
Explanation
A. Use written communication or visual aids to supplement verbal instructions. Written communication and visual aids are effective ways to enhance understanding and provide clear instructions to a patient with hearing loss.
B. Speak loudly and directly into the patient's ear. Speaking loudly can distort sounds and may make it harder for the patient to understand. Instead, clear and slow speech with normal volume is recommended.
C. Turn off all background noise and speak to the patient from behind. While reducing background noise is beneficial, speaking from behind is ineffective as the patient cannot see the nurse’s facial expressions or read lips.
D. Assume the patient can read lips and avoid using sign language or gestures. Assuming the patient can read lips is not appropriate; gestures or other visual aids should be used to enhance communication.
Correct Answer is C
Explanation
A. Initiate intravenous fluid therapy. While fluid therapy is essential to support circulation and reduce the risk of shock, oxygenation takes priority in fat embolism management.
B. Prepare the client for emergency surgery. Surgery is not typically the first-line intervention for fat embolism; management focuses on supportive care, particularly respiratory support.
C. Administer high-flow oxygen via a non-rebreather mask. High-flow oxygen is the first priority to address hypoxia caused by fat embolism and should be administered immediately to maintain adequate oxygenation.
D. Apply sequential compression devices (SCDs). SCDs are used to prevent venous thromboembolism, but they do not help with the treatment of fat embolism.