A client recently diagnosed with ulcerative colitis asks the nurse about the typical pattern of inflammation seen in this form of Inflammatory Bowel Disease (IBD). How should the nurse respond?

A) Incorrect. While some individuals with IBD may be lactose intolerant, it is not necessary for all to completely avoid all forms of dairy products. A blanket recommendation like this is not appropriate.

B) Correct. A low-fiber diet can help ease gastrointestinal symptoms in individuals with IBD. It reduces the mechanical irritation on the intestines, which can be particularly beneficial during periods of active inflammation.

C) Incorrect. While a diet rich in fruits, vegetables, and whole grains is generally considered healthy, it may exacerbate symptoms in individuals with IBD, especially during flare-ups.

D) Incorrect. Spicy foods can be irritating to the gastrointestinal tract and are not typically recommended for individuals with IBD, as they can exacerbate symptoms.

A) Correct. The initial test often performed for suspected IBD is the fecal occult blood test (FOBT). This test checks for the presence of blood in the stool, which can indicate gastrointestinal bleeding.

B) Incorrect. While colonoscopy is an important diagnostic tool for IBD, it is not typically the first test performed. It is usually conducted after initial screenings like the FOBT.

C) Incorrect. A complete blood count (CBC) may be ordered to assess for signs of anemia or other abnormalities, but it is not the initial screening test for IBD.

D) Incorrect. Abdominal ultrasound is not typically used as an initial diagnostic test for IBD. It may be used for specific purposes, but it is not the first-line test.