The nurse is preparing to admit a 7-year-old child with Crohn disease. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

a. Pain is common.
b. Weight loss is severe.
c. Rectal bleeding is common.
d. Diarrhea is moderate to severe.
e. Anal and perianal lesions are rare.


ANS: A, B, D
Clinical manifestations of Crohn disease include pain, severe weight loss, and moderate to severe diarrhea. Rectal bleeding is rare, but anal and perianal lesions are common.

Nursing

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A nurse is assessing an infant who has a large bruise around his neck and face from a nuchal cord. What other assessment finding correlates with this condition?

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The pediatric nurse explains to the parents of a 1-year-old patient with pneumonia that the differences between the adult's and child's respiratory system affect function and subsequent respiratory conditions. Which difference does the nurse include in the discussion with the patient's parents?

A. Infants are obligate nose breathers until 6 months of age. B. The epiglottis in the child under 8 is shorter and more rigid. C. The larynx and the glottis are higher in the younger child's neck. D. In the child, there are more functional muscles in the neck and less soft tissue.

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A child diagnosed with autism spectrum disorder has the nursing diagnosis of disturbed personal identity. Which outcome would best address this client's diagnosis?

A. The client will name own body parts as separate from others by day 5. B. The client will establish a means of communicating personal needs by discharge. C. The client will initiate social interactions with caregivers by day 4. D. The client will not harm self or others by discharge.

Nursing

The nurse is providing teaching to a new mother regarding changing her perineal pad. Which of the following client statement indicates effective teaching?

A) "I will pull my underwear down and to the front." B) "I will unhook my pad from the front first." C) "I will remove the pad from the back to the front." D) "I will apply the new pad by hooking it to the back first."

Nursing