A nurse is admitting a child with Crohn disease. Parents ask the ...

[lbcchick]

A nurse is admitting a child with Crohn disease. Parents ask the nurse, How is this disease different from ulcerative colitis? Which statement should the nurse make when answering this question?
 
  a. With Crohn's the inflammatory process involves the whole GI tract.
  b. There is no difference between the two diseases.
  c. The inflammation with Crohn's is limited to the colon and rectum.
  d. Ulcerative colitis is characterized by skip lesions.

Question 2

When caring for a child with probable appendicitis, the nurse should be alert to recognize that which condition or symptom is a sign of perforation?
 
  a. Bradycardia
  b. Anorexia
  c. Sudden relief from pain
  d. Decreased abdominal distention

[onowka]

Answer to Question 1

ANS: A
The chronic inflammatory process of Crohn disease involves any part of the GI tract from the mouth to the anus but most often affects the terminal ileum. Crohn disease involves all layers of the bowel wall in a discontinuous fashion, meaning that between areas of intact mucosa, there are areas of affected mucosa (skip lesions). The inflammation found with ulcerative colitis is limited to the colon and rectum, with the distal colon and rectum the most severely affected. Inflammation affects the mucosa and submucosa and involves continuous segments along the length of the bowel with varying degrees of ulceration, bleeding, and edema.

Answer to Question 2

ANS: C
Signs of peritonitis, in addition to fever, include sudden relief from pain after perforation. Tachycardia, not bradycardia, is a manifestation of peritonitis. Anorexia is already a clinical manifestation of appendicitis. Abdominal distention usually increases.

[lbcchick]

TYSM

[alvinum]

Gracias!