A nurse is reviewing the care plan for an adolescent client who has Crohn's disease with a newly licensed nurse. Which of the following statements from the student indicates an understanding of the difference between ulcerative colitis and Crohn's disease? (Select All that Apply.)
Explanation & Rationale
A. "Crohn's disease primarily causes inflammation of the colon.": Crohn's disease can affect any part of the gastrointestinal tract, not just the colon. Limiting inflammation to the colon is more characteristic of ulcerative colitis. B. "Crohn's disease can cause inflammation in any part of the digestive tract.": This statement is correct. Crohn's disease can involve any segment from the mouth to the anus, often in a patchy, transmural pattern, distinguishing it from ulcerative colitis. C. "Crohn's causes continuous inflammation rather than the patches of inflammation.": Crohn's disease is characterized by patchy, “skip” lesions, whereas continuous inflammation is typical of ulcerative colitis. D. "Ulcerative colitis affects the inner lining of the intestine.": This is accurate. Ulcerative colitis primarily affects the mucosa and submucosa of the colon and rectum, in contrast to Crohn's transmural involvement. E. "Ulcerative colitis causes inflammation through the entire intestinal wall.": Transmural inflammation is a hallmark of Crohn's disease, not ulcerative colitis. Ulcerative colitis usually affects only the superficial layers of the intestinal wall.