A client with Crohn's disease is recovering from a fourth bowel resection and is being dismissed. The nurse determines that teaching goals have been met when the client indicates that s/he will watch for manifestations of
a. chronic constipation.
b. fatigue and weakness.
c. Heberden's nodules.
d. malabsorption syndrome.
D
Malabsorption syndrome occurs because the shortened bowel does not have adequate length to absorb intestinal fluids, causing watery stools. After four bowel resections, this is potentially a major complication. Fatigue and weakness do accompany Crohn's disease, but malabsorption is a specific risk associated with this many bowel resections.
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