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CJE Medical-Surgical (MS) II Practice Test

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In a patient being treated for an exacerbation of Crohn's disease, which finding indicates the client's condition is not improving?
Correct Answer:
Administered maximum 24-hour dose of acetaminophen for past three days
Explanation:
In Crohn's disease, true improvement is shown by relief of symptoms and better nutritional status as inflammation eases. If a patient still experiences significant pain that requires the maximum safe dose of acetaminophen for several days, that signals persistent symptoms despite treatment, suggesting the disease is not yet under control and therapy may need to be reassessed. The other signs—pain decreasing over 24 hours, normal weight gain, and stable appetite—all point toward improving disease activity. So needing the maximum daily acetaminophen dose for three days indicates the condition is not improving.

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