Which of the following symptoms may be exhibited by a client with Crohn’s disease?
A. Bloody diarrhea
B. Narrow stools
C. N/V
D. Steatorrhea
Correct Answer: D. Steatorrhea
Steatorrhea from malabsorption can occur with Crohn’s disease. The inflammatory process caused by Crohn’s disease, especially if it involves large tracts of intestine, alters the absorption mechanisms of different substances due to the lack of reabsorption of the bile salts, which normally stimulate the reabsorption of food fats.
Option A: Ulcerative colitis’s main symptom is bloody diarrhea, with or without mucus. Associated symptoms also include urgency or tenesmus, abdominal pain, malaise, weight loss, and fever, depending on the extent and severity of the disease.
Option B: Narrow stools are associated with diverticular disease. Patients with complications of their diverticulitis may have more chronic or long-term symptoms. Thin stools or constipation may indicate the formation of a stricture. Dark, cloudy urine or passing air with the urine may indicate the formation of a fistula to the bladder.
Option C: N/V are symptoms of ulcerative colitis. Ulcerative colitis itself is not an emergency situation, but serious symptoms may occur. Seek immediate medical care (call 911) for serious symptoms, such as severe abdominal pain, inability to pass gas or stool, and vomiting or vomiting blood.
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