Crohn disease: Taking charge of a lifelong disorder
INSTRUCTIONS Crohn disease: Taking charge of a lifelong disorder
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Crohn disease: Taking charge of a lifelong disorder
GENERAL PURPOSE: To provide information that can be used to help patients with Crohn disease. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Explain the pathophysiology of Crohn disease. 2. Identify signs and symptoms of Crohn disease. 3. Describe nursing interventions for patients with Crohn disease.
© 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins.
- Crohn disease most commonly involves the
- stomach and distal colon.
- small intestine and distal colon.
- distal ileum and proximal colon.
- proximal ileum and distal colon.
- Among patients with Crohn disease,
- 60% have ileal disease only.
- 50% have ileocolic disease.
- 40% have jejunal disease only.
- 10% have colonic disease only.
- Which statement about Crohn disease is correct?
- It typically starts in adolescence.
- It's more common in men.
- It's more common in women.
- It's typically diagnosed between ages 40 and 50.
- Which environmental factor doesn't play a role in Crohn disease?
- air pollution
- a western diet high in sugar and polyunsaturated fats
- exposure to cigarette smoke
- living in rural areas
- Crohn disease frequently develops after
- gastric bypass surgery.
- use of nonsteroidal anti-inflammatory drugs.
- infectious gastroenteritis.
- use of oral contraceptives.
- One mutation associated with Crohn disease is the
- MSH2 gene.
- NOD2/CARD15 gene.
- PMS2 gene.
- EPCAM gene.
- Crohn disease commonly begins as which type of lesion?
- fordyce spots
- Nutritional deficiencies accompanying Crohn disease are caused by
- absence of intrinsic factor.
- disruption of the mucosal absorptive surface.
- rapid passage of food.
- lack of digestive enzymes.
- Within 10 years of diagnosis, 50% of patients with Crohn disease will require surgery to repair a
- bowel perforation.
- perirectal abscess.
- Which diagnostic test can best help pinpoint the location of diseased bowel?
- MR enterography
- CT scan
- barium enema
- wireless capsule endoscopy
- Among the primary management goals for a patient with Crohn disease is
- preventing immunosuppression.
- encouraging the patient to eat dairy products and limit liquid intake.
- controlling signs and symptoms and maintaining clinical remission.
- advising the patient to eat three large meals per day rather than frequent small ones.
- Which of the following is associated with fistula formation in Crohn disease?
- gas-forming foods
- drinking alcohol
- eating dairy products
- In patients with Crohn disease, chronic anemia is typically caused by
- an iron-deficient diet.
- disturbed iron metabolism.
- poor absorption of iron.
- excessive iron excretion.
- Corticosteroids can cause all of the following adverse reactions except
- loss of bone mass.
- mood swings.
- The purpose of biologic therapies for Crohn disease is to
- decrease intestinal inflammation.
- prevent serious infection.
- heal fistulas.
- prevent anemia.
- Which statement about SBS is accurate?
- Patients with SBS have less than 500 cm of small intestine.
- Patients with SBS have less than 200 cm of large intestine.
- SBS may cause bowel leakage.
- Some patients with SBS become dependent on parenteral nutrition.
- In patients with Crohn disease, which blood test result indicates increased inflammation?
- increased albumin
- decreased white blood cell count
- increased C-reactive protein
- decreased erythrocyte sedimentation rate
- Dietary recommendations for patients with Crohn disease are determined by
- the patient using trial and error.
- standard dietary guidelines for Crohn disease.
- the patient's healthcare provider.
- a nutritionist.