Medical Surgical Crohn’s vs Ulcerative Colitis #3

Question

The nurse is caring for a client diagnosed with Crohn’s disease. The nurse realizes the client requires education when the client makes which statement?

Answers

  1. “I hope I am a candidate for surgery so I can be cured of this disease.”
    • Rationale:

      This answer is correct because there is no surgical cure for Crohn’s disease. Surgery can be done to manage symptoms of the disease. Bowel resections can manage complications of the disease.

  2. “I need to change my diet and eat low residue/low fiber foods to reduce diarrhea.”
    • Rationale:

      This answer is not correct since low residue/low fiber diets are recommended to reduce diarrhea in Crohn’s clients. A diet high in protein is also suggested to promote absorption of nutrients.

  3. “I will cleanse my anal area after each bowel movement and apply a barrier cream.”
    • Rationale:

      This answer is not correct because protecting perineal skin integrity is important as diarrhea is corrosive due to its increased enzyme content. Cleansing and utilizing a barrier cream will prevent excoriation after a bowel movement.

  4. “I will increase my hydration to replace the fluid loss caused by diarrhea.”
    • Rationale:

      This answer is not correct because the client with Crohn’s is at risk for fluid deficit due to the diarrhea experienced. Drinking at least 8 to 10 glasses of fluid daily is encouraged.

Overview

Crohn’s disease is an inflammatory bowel disease with periods of remissions and exacerbations that can lead to malnutrition. There is no surgical cure for Crohn’s disease, but surgery can be done to manage symptoms of the disease.

Explanation

Learning Outcomes

Crohn’s disease is an inflammatory bowel disease with periods of remissions and exacerbations that can lead to malnutrition. Unlike ulcerative colitis, there is no surgical cure for Crohn’s disease, but surgery can be done to manage symptoms of the disease. Bowel resections with anastomosis may be done to assist with symptoms of the disease. However, surgery is avoided due to the potential for the disease to recur in the same area. Eating a diet low in residue/fiber and high in protein will reduce diarrhea and increase absorption of nutrients. Cleansing the perineal area with a gentle cleanser and applying a skin barrier will prevent excoriation of skin from the frequent diarrhea. Encouraging the client to drink plenty of water will help replenish fluids lost by diarrhea.

Test Taking Tip

Know the main difference between Crohn’s disease and ulcerative colitis. There is no cure for Crohn’s disease, but ulcerative colitis can be cured by a total colectomy with an ileostomy.

Video Rationale