A nurse is presenting information to a support group for parents ...

[asd123]

A nurse is presenting information to a support group for parents of children with inflammatory bowel disease. Which information is appropriate for the nurse to provide to these parents? (Select all that apply.)
 
  A.
  Both diseases seem to have an inherited or genetic aspect.
  B.
  Surgery can provide a cure for patients with Crohn's disease.
  C.
  Symptoms outside the gastrointestinal tract only occur in Crohn's disease.
  D.
  Tenesmus is a symptom commonly seen in both disorders.
  E.
  Ulcerative colitis involves a continuous segment of bowel.

Question 2

A pediatric clinic nurse is caring for several children with umbilical hernias. For which of the children does the nurse plan to educate the parents on surgical correction? (Select all that apply.)
 
  A.
  7-year-old child with 1-cm hernia
  B.
  Child with hernia that can't be replaced
  C.
  Enlarging hernia in a 2-year-old
  D.
  1-year-old with 0.5-cm hernia
  E.
  3-year-old with 2-cm hernia

[yuyiding]

Answer to Question 1

ANS: A, D, E
Both ulcerative colitis and Crohn's disease are inflammatory bowel disorders that have an inherited component to their etiology and have tenesmus as a common symptom. Crohn's disease is characterized by skip-type lesions that involve noncontiguous segments of the bowel, whereas ulcerative colitis involves a continuous segment of bowel. Surgery can provide a cure for ulcerative colitis, but not Crohn's disease. Symptoms can be seen outside the GI tract in both diseases.

Answer to Question 2

ANS: A, B, C
Most umbilical hernias resolve on their own between the ages of 3 and 5 years. A hernia larger than 1.5 cm is less likely to close on its own and may need surgical correction. Surgery is considered for persistent hernias beyond the age of 5 years, incarcerated hernias (a hernia not able to be replaced in the abdomen), and hernias that enlarge dramatically. The 7-year-old, the child with the hernia that can't be replaced, and the 2-year-old with an enlarging hernia are the most likely candidates for surgical repair. The other two children will be managed with watchful waiting.