A college student goes to the campus health office complaining of diarrhea, lower right abdominal pain, and weight loss. Suspecting Crohn disease, the nurse will assess for which complication associated with this diagnosis?

Question

A) Urine that has the look and smell of feces
B) Inability to control diarrhea
C) Tender right upper quadrant pain upon deep palpation
D) Necrotic abscesses from twisting of the bowel

Answer 1

Ans: A
Feedback:
Crohn disease is a recurrent, granulomatous type of inflammatory response with formation of multiple sharply demarcated, granulomatous lesions that are surrounded by normal-appearing mucosal tissue. There usually is a relative sparing of the smooth muscle layers of the bowel, with marked submucosal layer inflammatory and fibrotic changes. Complications of Crohn disease include fistula formation, abdominal abscess formation, and intestinal obstruction. Fistulas are tube-like passages that form connections between different sites in the gastrointestinal tract. They also may develop between other sites, including the bladder, vagina, urethra, and skin (hence, the urine will smell like feces). Characteristics of ulcerative colitis (rather than Crohn disease) are crypts of Lieberkühn lesions in the base of the mucosal layer, formation of pinpoint mucosal hemorrhages, and development of crypt abscesses that become necrotic.