EAQ 14: Inflammatory Intestinal Disorders

The primary health care provider prescribes natalizumab to a patient with Crohn's disease. Which health teaching is most important before beginning the medication?

"Cognitive, motor, and sensory changes have very lethal effects."

The nurse is instructing a patient with recently diagnosed diverticular disease about diet. What food does the nurse suggest the patient include?

A slice of 5-grain bread

Which statement is true regarding anal fistulas?

An anal fistula is caused by obstruction of the anal glands.

Which condition is suspected in a patient who presents with right quadrant abdominal pain followed by anorexia, nausea, and vomiting?

Appendicitis

The nurse is assessing a 70-year-old patient with abdominal distention, hyperactive bowel sounds, and poor skin turgor. The nurse suspects that the patient has gastroenteritis. What are the other findings that support the nurse's suspicion?

Body temperature of 101°F Blood pressure of 100/70 mm Hg Serum potassium level of 3.0 mEq/L

A patient with cholecystitis has jaundice and icterus. These signs are typical of which type of cholecystitis?

Chronic

A patient has vague symptoms that indicate an inflammatory bowel disorder. Which symptom is most indicative of Crohn's disease (CD)?

Chronic diarrhea, abdominal pain, and fever

When providing dietary teaching to a patient with hepatitis, what practice does the nurse recommend?

Consuming increased carbohydrates and moderate protein

hepatitis C

Employment in the health care field

A patient reports an increased frequency of bloody stools. After reviewing the laboratory reports, the nurse suspects the patient has ulcerative colitis (UC). Which findings support the nurse's suspicion?

Hematocrit value of 25 percent Serum albumin of 2.5 g/dL Hemoglobin value of 8 g/dL

A patient diagnosed with cholelithiasis has a gallstone lodged in the common bile duct. What assessment findings are consistent with this diagnosis?

Icterus Jaundice

The patient presents to the emergency department with recurrent right upper quadrant abdominal pain following meals. Additional symptoms include belching and indigestion. Cholecystitis is diagnosed. Which comorbidities prompt the nurse to suspect the patient is suffering from calculous cholecystitis?

Impaired gallbladder motility Abnormal metabolism of cholesterol

What laboratory findings are consistent with ulcerative colitis (UC)?

Increased C-reactive protein Decreased potassium levels

What instructions should the nurse give to a patient with Crohn's disease to manage his or her condition?

Instruct the patient to take monthly vitamin B 12 injections. Teach the patient about drug therapy and the side effects. Teach the patient about the usual course of the disease and symptoms.

Which statement about hepatitis A is accurate?

It is transmitted by the fecal-oral route.

When assessing a patient with hepatitis B, the nurse anticipates which assessment findings?

Itching Tea-colored urine Right upper quadrant tenderness

What labs should the nurse review for a patient suspected of having cholecystitis?

Liver function White blood cells Alkaline phosphate

What measures should be taken by a patient who has gastroenteritis to prevent transmission of the infection?

Maintain clean bathroom facilities.

The community health nurse is exploring the cause of an outbreak of hepatitis A. Which individual does the nurse suspect may be the source?

Patients who were infected after eating at the same restaurant

What disorders does the nurse identify as acute inflammatory bowel disorders?

Peritonitis Appendicitis Gastroenteritis

What are risk factors for cholecystitis?

Pregnancy Prolonged fasting Family history of gallstones

Which clinical findings in a patient indicate ulcerative colitis?

Presence of blood and mucus in the stool

The nurse is caring for a patient who reports vomiting and diarrhea for 2 days. The laboratory report reveals serum sodium levels of 130 mEq/L. Which nursing intervention will reduce the patient's symptoms?

Providing oral rehydration therapy (ORT)

Which information is important to collect from a patient who is admitted to the hospital with diarrhea to determine the risk for gastroenteritis?

Recent travel Recent restaurant meals Food items purchased recently

The nurse instructs a patient who underwent abdominal surgery to walk for 10 to 15 minutes that same evening. The rationale behind this intervention is to prevent which condition?

Respiratory distress

The nurse is caring for a patient with chronic inflammatory bowel disease. What parameters should be monitored?

Skin in perianal area Physical and emotional rest Color, volume, consistency of stools

Which of the following are classic symptoms of celiac disease?

Steatorrhea Abdominal pain Diarrhea and/or constipation

Which medication is used as the first line treatment for mild ulcerative colitis?

Sulfasalazine

What instruction should the nurse give to a patient with inflammatory bowel disease regarding skin care?

Tell the patient to apply a thin coat of A+D ointment or aloe cream.

What findings are consistent with a diagnosis of acute cholecystitis?

Vomiting Eructation Blumberg's sign