This question was created from NURS 6560 final exam.doc

Carolyn C. has a history of Crohn’s disease and has been managed with immunologic agents,
with moderate success. Today she presents with severe abdominal pain that comes and goes in
waves; it started shortly after she ate a little bit of cottage cheese and crackers. This has never
happened before with her Crohn’s disease. She has difficulty localizing the pain but seems to
indicate the general area of the umbilicus. She had one episode of diarrhea this morning.
Abdominal examination is nonspecific, producing mild tenderness on palpation. Plain abdominal
films reveal a dilated small bowel with air fluid levels. The AGACNP suspects: C A. Perforated small bowel
F B. Ulceration through the thickness of small bowel
C C. Small bowel obstruction (" D. Gastroenteritis