Irritable Bowel Syndrome Davis Advantage/Edge

In which way are external hemorrhoids diagnosed? Anoscopy Visual inspection Digital examination Sigmoidoscopy

Visual inspection

A nurse is caring for a patient who presents to the emergency department with abdominal trauma and requires advanced trauma life support (ATLS). Arrange the order in which the nurse should perform the task. Exposure Breathing Disability Airway Circulation

Airway Breathing Circulation Disability Exposure

The nurse is assessing for appendicitis at McBurney's point. Which location is this on the image?

Bottom of upper-right quadrant to halfway down lower-right quadrant

A client with irritable bowel syndrome is instructed to begin using a food diary. The client is unclear as to why a food diary is needed. What is the basis of the nurse's explanation? Flare-ups of the disease process are associated with increased caloric intake. Food selection should be based on following a low-sodium, low-fat diet. Excess fluid intake can lead to exacerbations of the disease. Certain foods can act as triggers and cause flare-ups of the disease.

Certain foods can act as triggers and cause flare-ups of the disease.

Which is true of ulcerative colitis? Select all that apply. Complications such as hemorrhage and nutritional deficiencies may occur. It occurs anywhere in the gastrointestinal tract from mouth to anus. Weight loss rarely occurs. Granuloma is common. Stools are frequent and watery with blood and mucus.

Complications such as hemorrhage and nutritional deficiencies may occur. Weight loss rarely occurs. Stools are frequent and watery with blood and mucus.

Kaitlin reports clinical symptoms that affect her enjoyment of meals. Which symptoms are associated with IBS? Eructation and dyspepsia Hiccups and indigestion Dizziness and feelings of satiety Urge to void

Eructation and dyspepsia (belching and heartburn)

Which ingredients should be avoided in food selection for a client who has irritable bowel syndrome? Select all that apply. Sodium Fructose Sorbitol Dextrose Lactose

Fructose Sorbitol Lactose

Which herbal therapy would aid in the expulsion of flatulence in a client diagnosed with irritable bowel syndrome? Ginger St. John's Wort Garlic Echinacea

Ginger

Which describes a patient with internal hemorrhoids that prolapse upon defecation and must be reduced manually? Grade I Grade II Grade III Grade IV

Grade III

A nurse is talking about the symptoms of a patient diagnosed with irritable bowel syndrome (IBS). Which symptom listed indicates a need for further discussion? Sensation of incomplete evacuation More frequent stools at the onset of pain Visible abdominal distension Hard stools at the onset of pain

Hard stools at the onset of pain

Kaitlin asks about using alternative therapies to relieve clinical symptoms of IBS. Which suggestions should the nurse make? Select all that apply. Herbal tea Ginger Fennel Peppermint Garlic

Herbal tea Ginger Fennel Peppermint

The nurse is providing teaching to a client with irritable bowel syndrome. Along with teaching the client about proper nutrition, what other topics should the nurse address? Select all that apply. Smoking cessation Keeping daily activity low, exercising only as necessary Sleeping seven to eight hours each night Limiting alcohol intake Investigating alternative therapies

Smoking cessation Sleeping seven to eight hours each night Limiting alcohol intake Investigating alternative therapies

As the nurse continues to monitor Kaitlin's progress, which laboratory findings might be observed? Select all that apply. Hypokalemia Hyperglycemia Elevated BUN Decreased creatinine Hypernatremia

Hyperkalemia Elevated BUN Hypernatremia

Kaitlin expresses concerns that she wants to lose weight. What recommendations should the nurse make to help her attain this goal without exacerbating her IBS? Limit caloric intake to 1,500 calories a day for 1 month Maintain a regular meal schedule Begin an all-liquid diet to stimulate weight loss Include processed frozen foods as meal replacements

Maintain a regular meal schedule

Which interventions should a nurse implement for a patient after colorectal surgery? Select all that apply. Take vital signs of the patient every 48 hours. Monitor white blood cell count every day for the first few days. Check if the urine output is at least 10 mL/hour during the first 24 hours. Check if the stoma is reddish pink and moist. Ensure that the patient does not receive food and water per order.

Monitor white blood cell count every day for the first few days. Check if the stoma is reddish pink and moist. Ensure that the patient does not receive food and water per order.

The nurse is providing nutrition education to Kaitlin, a 35-year-old female client who has a clinical diagnosis of irritable bowel syndrome. Which options should the nurse include with dietary teaching to help manage exacerbation of symptoms? Select all that apply. Maintain a minimum intake of caffeine to prevent caffeine withdrawal Include a consistent level of fiber in the diet (30 to 40 grams per day) to maintain stool bulk Limit intake of carbonated beverages to one can a day Increase daily fluid intake to 6 to 8 glasses of water Ingest gas-forming foods only every other day to prevent cumulative effects

Include a consistent level of fiber in the diet (30-40 grams per day) to maintain stool bulk Increase daily fluid intake to 6-8 glasses of water

A nurse is discussing postsurgery care techniques for a patient with a hernia. Which techniques are appropriate? Select all that apply. Inspect the incision for signs and symptoms of infection and report any concerns to the primary healthcare provider. Avoid heavy lifting for several weeks. Promote atelectasis and venous thromboembolism (VTE). Avoid deep breathing and early ambulation. Splint the surgical site with pillows while coughing.

Inspect the incision for signs and symptoms of infection and report any concerns to the primary healthcare provider. Avoid heavy lifting for several weeks. Splint the surgical site with pillows while coughing.

Kaitlin has provided the nurse with a food diary to help identify possible food triggers for IBS. Which diet entry poses a concern? Select all that apply. Egg substitute omelet for breakfast Diet sodas at lunch time Bran cereal for breakfast English breakfast decaffeinated tea for breakfast Apple as an afternoon snack

Diet sodas at lunch time Apple as an afternoon snack

Kaitlin tells the nurse she feels she is losing her friends because her dietary restrictions and symptoms are preventing her from socializing. What might the nurse suggest? Allow for cheat meals Find an online support group Find new friends Ignore restrictions when out with friends

Find an online support group

Which members of the interdisciplinary team would a nurse include in discharge planning for a client who has been diagnosed with irritable bowel syndrome? Select all that apply. Nutrition counseling Psychological therapy Support group Hospice Ostomy support group

Nutrition counseling Psychological Therapy Support group

Kaitlin tells the nurse "I know this sounds crazy, but my stomach feels better when I suck on a peppermint candy." How should the nurse reply? Peppermint has no impact on your intestinal functioning. Peppermint is an antispasmodic and has anti-inflammatory properties. Peppermint is a laxative, which increases motility. Peppermint has antinausea affect and can improve stomach irritation.

Peppermint is an antispasmodic and has anti-inflammatory properties.

Which nursing action, when caring for a patient with abdominal trauma, may result in further complications? Administering IV fluids to the patient Removing objects emerging from the wound Promoting hemodynamic stability Obtaining samples for a complete blood count (CBC), serum electrolytes, and urinalysis

Removing objects emerging from the wound

Kaitlin asks the nurse about stress management to help control her symptoms. Which suggestions should the nurse make? Select all that apply. Take a daily walk Go to church every week Consider a group yoga class Find a massage therapist Take 15 minutes each day to meditate

Take a daily walk Consider a group yoga class Find a massage therapist Take 15 minutes each day to meditate

In which diagnostic study does the patient swallow a pill to capture the image of the gastrointestinal (GI) tract to assess for colorectal cancer? Lower GI series Wireless capsule endoscopy Virtual colonoscopy Sigmoidoscopy

Wireless capsule endoscopy