Difficulty: Medium
Average Score: 76%
Simulated
The nurse is completing a home visit with the client who had a partial resection of the ileum for CrohnÔÇÖs disease 4 weeks previously. The nurse should collect additional information when the client makes which statement?
Correct answer
A
Rationale
A. The nurse should collect additional information when the client states having stools that float and have fat in them. Bile salts are absorbed in the terminal ileum. Disease in this area or resection of the ileum can result in poor fat absorption and loss of fat in the stool. The presence of bile salts leads to diarrhea. B. Weight gain is a positive sign after small bowel resection for CrohnÔÇÖs disease. C. Many clients with CrohnÔÇÖs disease develop lactose intolerance and therefore should avoid milk products. D. Formed stools are a positive sign after small bowel resection for CrohnÔÇÖs disease.