1 for specific request mail
NURS 2207 GI Questions and Correct Answers |
Latest Update
Which autoantigens are responsible for the development of Crohn
disease?
1. Crypt epithelial cells
2. Thyroid cell surface
3. Basement membranes of the lungs
© 2026 Assignment
4. Basement membranes of the glomeruli Ans: 1. Crypt epithelial cells
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Rationale:
Expert
Crypt epithelial cells are considered the autoantigens responsible for
Crohn disease. Thyroid cell surfaces are autoantigens responsible for
Hashimoto thyroiditis. The pulmonary and glomerular basement
membranes act as autoantigens responsible for Goodpasture syndrome.
Parenteral vitamins are prescribed for the client with Crohn disease. The
client asks why the vitamins have to be given intravenously (IV) rather
than by mouth. Which rationales will the nurse provide? Select all that
apply. One, some, or all responses may be correct.
1. "They provide more rapid action results."
2. "They decrease colon irritability."
3. "Oral vitamins are less effective."
4. "Intestinal absorption may be inadequate."
5. "Allergic responses are less likely to occur." Ans: ANS: 1, 3, 4
Rationale:
, 2 for specific request mail
Absorption through the gastrointestinal (GI) tract is impaired, and
parenteral administration goes directly into the intravascular
compartment. Disease of the GI tract hampers absorption. Because the
mucosa of the intestinal tract is damaged, its ability to absorb vitamins
taken orally is greatly impaired. IV vitamins do not decrease colonic
irritability. Route of administration does not affect allergic response.
While awaiting surgery, a client with a history of Crohn disease is
receiving total parenteral nutrition (TPN) on an outpatient basis. The
nurse teaches the client that TPN helps prepare for surgery by which
© 2026 Assignment
process?
1. Decreasing fecal bulk
Guru01 - Stuvia
Expert
2. Preventing bowel infection
3. Providing stimulation of secretions
4. Maintaining negative nitrogen balance Ans: 1. Decreasing fecal bulk
Rationale:
By decreasing fecal bulk and bowel stimulation, TPN provides rest for the
bowel while the client awaits surgery. TPN does not prevent a bowel
infection. TPN does not stimulate gastrointestinal secretions. TPN
promotes positive nitrogen balance.
A client is admitted to the hospital with a diagnosis of Crohn disease.
Which is important for the nurse to include in the teaching plan for the
client?
1. Controlling constipation
2. Meeting nutritional needs
3. Preventing increased weakness
4. Anticipating a sexual alteration Ans: 2. Meeting nutritional needs
, 3 for specific request mail
Rationale:
To avoid gastrointestinal pain and diarrhea, these clients often refuse to
eat and become malnourished. The consumption of a high-calorie, high-
protein diet is advised. Diarrhea, not constipation, is a problem with
Crohn disease. Preventing an increase in weakness is a secondary
concern that results from malnutrition; correcting the malnutrition will
increase strength. Anticipating a sexual alteration generally is not a
problem with Crohn disease.
© 2026 Assignment
A client with Crohn disease is admitted to the hospital with a history of
chronic, bloody diarrhea, weight loss, and signs of general malnutrition.
The client has anemia, a low serum albumin level, and signs of negative
Guru01 - Stuvia
nitrogen balance. The nurse concludes that the client's health status is
Expert
related to which major deficiency?
1. Ferrous sulfate
2. Protein
3. Ascorbic acid
4. Linoleic acid Ans: 2. Protein
Rationale:
Protein deficiency causes a low serum albumin level, which permits fluid
shifts from the intravascular to the interstitial compartment, resulting in
edema. Decreased protein also causes anemia; protein intake must be
increased. Although a deficiency of ferrous sulfate will result in anemia,
it will not cause the other adaptations. Ascorbic acid is unrelated to these
adaptations. Linoleic acid is unrelated to these adaptations.
A client with the diagnosis of Crohn disease tells the nurse, "My partner
dates other people. I believe that behavior has caused an increase in my
symptoms." Which is an appropriate initial nursing response?
, 4 for specific request mail
1. Help the client explore personal attitudes.
2. Educate the partner about the illness and events that affect the client's
symptoms.
3. Suggest the client should not date the partner to determine if
symptoms change.
4. Schedule the client and the partner for a counseling session. Ans: 1.
Help the client explore personal attitudes.
© 2026 Assignment
Rationale:
Because emotional stress can influence the progress of Crohn disease,
Guru01 - Stuvia
initially the nurse should help the client explore self-attitudes to aid in
Expert
better understanding the feelings engendered by the partner dating
others. Initially, the nurse should help the client explore the situation
and the feelings it engenders rather than involve the partner. The client
should make the decision about continuing to date the partner.
Scheduling the client and the partner for a counseling session is
premature; the client is not ready for a joint counseling session.
A client with severe Crohn disease develops a small bowel obstruction.
Which clinical finding would the nurse expect the client to report?
1. Bloody vomitus
2. Projectile vomiting
3. Bleeding with defecation
4. Pain in the left lower quadrant Ans: 2. Projectile vomiting
Rationale:
Nausea and vomiting, accompanied by diffuse abdominal pain,
commonly occur in clients with small bowel obstruction; the vomiting
may be projectile and may contain bile or fecal material. Hematemesis is
NURS 2207 GI Questions and Correct Answers |
Latest Update
Which autoantigens are responsible for the development of Crohn
disease?
1. Crypt epithelial cells
2. Thyroid cell surface
3. Basement membranes of the lungs
© 2026 Assignment
4. Basement membranes of the glomeruli Ans: 1. Crypt epithelial cells
Guru01 - Stuvia
Rationale:
Expert
Crypt epithelial cells are considered the autoantigens responsible for
Crohn disease. Thyroid cell surfaces are autoantigens responsible for
Hashimoto thyroiditis. The pulmonary and glomerular basement
membranes act as autoantigens responsible for Goodpasture syndrome.
Parenteral vitamins are prescribed for the client with Crohn disease. The
client asks why the vitamins have to be given intravenously (IV) rather
than by mouth. Which rationales will the nurse provide? Select all that
apply. One, some, or all responses may be correct.
1. "They provide more rapid action results."
2. "They decrease colon irritability."
3. "Oral vitamins are less effective."
4. "Intestinal absorption may be inadequate."
5. "Allergic responses are less likely to occur." Ans: ANS: 1, 3, 4
Rationale:
, 2 for specific request mail
Absorption through the gastrointestinal (GI) tract is impaired, and
parenteral administration goes directly into the intravascular
compartment. Disease of the GI tract hampers absorption. Because the
mucosa of the intestinal tract is damaged, its ability to absorb vitamins
taken orally is greatly impaired. IV vitamins do not decrease colonic
irritability. Route of administration does not affect allergic response.
While awaiting surgery, a client with a history of Crohn disease is
receiving total parenteral nutrition (TPN) on an outpatient basis. The
nurse teaches the client that TPN helps prepare for surgery by which
© 2026 Assignment
process?
1. Decreasing fecal bulk
Guru01 - Stuvia
Expert
2. Preventing bowel infection
3. Providing stimulation of secretions
4. Maintaining negative nitrogen balance Ans: 1. Decreasing fecal bulk
Rationale:
By decreasing fecal bulk and bowel stimulation, TPN provides rest for the
bowel while the client awaits surgery. TPN does not prevent a bowel
infection. TPN does not stimulate gastrointestinal secretions. TPN
promotes positive nitrogen balance.
A client is admitted to the hospital with a diagnosis of Crohn disease.
Which is important for the nurse to include in the teaching plan for the
client?
1. Controlling constipation
2. Meeting nutritional needs
3. Preventing increased weakness
4. Anticipating a sexual alteration Ans: 2. Meeting nutritional needs
, 3 for specific request mail
Rationale:
To avoid gastrointestinal pain and diarrhea, these clients often refuse to
eat and become malnourished. The consumption of a high-calorie, high-
protein diet is advised. Diarrhea, not constipation, is a problem with
Crohn disease. Preventing an increase in weakness is a secondary
concern that results from malnutrition; correcting the malnutrition will
increase strength. Anticipating a sexual alteration generally is not a
problem with Crohn disease.
© 2026 Assignment
A client with Crohn disease is admitted to the hospital with a history of
chronic, bloody diarrhea, weight loss, and signs of general malnutrition.
The client has anemia, a low serum albumin level, and signs of negative
Guru01 - Stuvia
nitrogen balance. The nurse concludes that the client's health status is
Expert
related to which major deficiency?
1. Ferrous sulfate
2. Protein
3. Ascorbic acid
4. Linoleic acid Ans: 2. Protein
Rationale:
Protein deficiency causes a low serum albumin level, which permits fluid
shifts from the intravascular to the interstitial compartment, resulting in
edema. Decreased protein also causes anemia; protein intake must be
increased. Although a deficiency of ferrous sulfate will result in anemia,
it will not cause the other adaptations. Ascorbic acid is unrelated to these
adaptations. Linoleic acid is unrelated to these adaptations.
A client with the diagnosis of Crohn disease tells the nurse, "My partner
dates other people. I believe that behavior has caused an increase in my
symptoms." Which is an appropriate initial nursing response?
, 4 for specific request mail
1. Help the client explore personal attitudes.
2. Educate the partner about the illness and events that affect the client's
symptoms.
3. Suggest the client should not date the partner to determine if
symptoms change.
4. Schedule the client and the partner for a counseling session. Ans: 1.
Help the client explore personal attitudes.
© 2026 Assignment
Rationale:
Because emotional stress can influence the progress of Crohn disease,
Guru01 - Stuvia
initially the nurse should help the client explore self-attitudes to aid in
Expert
better understanding the feelings engendered by the partner dating
others. Initially, the nurse should help the client explore the situation
and the feelings it engenders rather than involve the partner. The client
should make the decision about continuing to date the partner.
Scheduling the client and the partner for a counseling session is
premature; the client is not ready for a joint counseling session.
A client with severe Crohn disease develops a small bowel obstruction.
Which clinical finding would the nurse expect the client to report?
1. Bloody vomitus
2. Projectile vomiting
3. Bleeding with defecation
4. Pain in the left lower quadrant Ans: 2. Projectile vomiting
Rationale:
Nausea and vomiting, accompanied by diffuse abdominal pain,
commonly occur in clients with small bowel obstruction; the vomiting
may be projectile and may contain bile or fecal material. Hematemesis is
