260 Wk 7 &8 Inflammatory bowel disease

A nurse is planning care for a client with inflammatory bowel disease. What goal or outcome is the best choice for this​ client? ​Client's skin excoriation has not worsened. ​Client's symptoms of infection have not worsened. Client recognized the early signs of a flare up. Your answer is correct. Client lost less than​ 5% of​ pre-illness body weight.

Client recognized the early signs of a flare up. The most correct goal or outcome for the client with inflammatory bowel disease is the client recognized the early signs of a flare up. The client should be free from infection with no loss of skin integrity or weight loss.

The nurse is admitting a client with ulcerative colitis who is scheduled for surgery. The client tells the nurse that he is having his bowel removed and will have a temporary ostomy for 2 to 3 months. Which upcoming surgical procedure is the client​ describing? Gastric resection Pyloroplasty Total colectomy ileal​ pouch-anal anastomosis​ (IPAA) Strictureplasty

A total colectomy IPAA is a treatment for a client with ulcerative colitis. It entails the removal of the entire colon and rectum and the formation of a temporary or loop ileostomy at the same time. The ileostomy is used for 2 to 3 months. A strictureplasty is used to treat bowel strictures and does not involve the removal of the bowel or creation of an ostomy. A gastric resection is the removal of part of the​ stomach, not the bowel. It does not involve the creation of an ostomy. A pyloroplasty is a surgical procedure to widen the opening of the pyloric valve at the lower portion of the stomach. It does not involve the removal of the bowel or the creation of an ostomy.

The nurse is planning care for a client with ulcerative colitis. Which characteristics associated with ulcerative colitis will the nurse​ recognize? ​(Select all that​ apply.) Mild to moderate symptoms are present. It affects the mucosa and submucosa of the small intestine. Attacks last 1 to 3 months. A secondary peak of ulcerative colitis occurs between the ages of 40 and 50 years. The onset is usually insidious.

mild to moderate symptoms are present attacks last 1 to 3 months the onset is usually insidious Attacks of ulcerative colitis usually last 1 to 3 months. These attacks occur at intervals over months to years. Ulcerative​ colitis, a chronic inflammatory bowel​ disease, affects the mucosa and submucosa of the colon and​ rectum, not the small intestine. A secondary peak of ulcerative colitis occurs between the ages of 60 and 80​ years, not 40 and 50 years. The onset of ulcerative colitis is usually insidious. Most clients with ulcerative colitis have mild to moderate symptoms with six or fewer stools per day.

The nurse is caring for a client who has chronic inflammatory bowel disease. The client tells the nurse the she is taking nutritional supplements that help reduce the inflammation. Which supplements are used in the treatment of chronic inflammatory bowel​ disease? Energy drinks Vitamin K tablets Probiotics Glucose tablets

probiotics Probiotics help reduce inflammation in the bowel and would be used in the treatment of inflammatory bowel disease. Glucose is needed for cellular energy. It is not considered an​ anti-inflammatory agent. Vitamin K is used for clotting. It is not considered an​ anti-inflammatory agent. Energy drinks contain sugars and electrolytes. They are not considered​ anti-inflammatory agents.

The nurse is planning care for a client in the early stages of ulcerative colitis. The nurse understands that which part of the colon is initially affected by ulcerative​ colitis? Rectosigmoid area Transverse colon Duodenum Ileocecal junction

rectosigmoid area Ulcerative colitis begins with inflammation at the rectosigmoid area of the anal canal and progresses proximally. Ulcerative colitis can progress to the entire​ colon, stopping at the ileocecal junction. The duodenum is part of the small intestine and is not affected by ulcerative colitis. The transverse colon is not initially affected by ulcerative colitis.

A nurse is caring for a client with inflammatory bowel disease and is planning for the most appropriate client interventions. Which nursing diagnosis best supports the interventions needed for the client with inflammatory bowel​ disease? ​(Select all that​ apply.) Risk for deficient fluid volume Risk for injury Diarrhea Constipation Acute confusion

risk for deficient fluid volume, diarrhea, constipation The client with inflammatory bowel disease is at greatest risk for deficient fluid​ volume, diarrhea and constipation. This client does not generally display acute confusion or risk for falls.