The nurse is conducting a physical examination of a child with ...

[mcmcdaniel]

The nurse is conducting a physical examination of a child with suspected Crohn disease. Which of the following findings would be the most highly suspicious of Crohn disease?
 
  A) Normal growth patterns
  B) Perianal skin tags or fissures
  C) Poor growth patterns
  D) Abdominal tenderness

Question 2

The nurse is caring for a 3-year-old girl with short bowel syndrome as a result of trauma to the small intestine. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home.
 
  How should the nurse respond? A) I will help you become an expert on your daughter's care..
  B) You must learn how to care for your daughter at home..
  C) You really need the support of your husband..
  D) There is a lot to learn and you need a positive attitude..

[ju]

Answer to Question 1

B
Feedback:
Perianal skin tags and/or fissures are highly suspicious of Crohn disease. Poor growth patterns and abdominal tenderness are common to Crohn disease but are also seen with many other conditions. Normal growth patterns would not point to Crohn disease because of problems with absorbing nutrients.

Answer to Question 2

A
Feedback:
The nurse needs to empower families to become the experts on their children's needs and conditions via education and participation in care. The most positive approach in this case is to let the mother know the nurse will support her and help her become an expert on her daughter's care. Telling the mother that she must learn how to care for her daughter or that she must have a positive attitude is not helpful. Telling her that she needs the support of her husband is irrelevant and unhelpful.

[mcmcdaniel]

Thanks for the timely response, appreciate it

[jackie]

TYSM