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?

"The inflammation in ulcerative colitis is limited to the colon and rectum."

"Ulcerative colitis primarily affects the small intestine."

"Inflammation in ulcerative colitis is patchy and can occur anywhere along the gastrointestinal tract."

"Ulcerative colitis is characterized by inflammation that skips segments of the colon."

Answer and Explanation

The Correct Answer is A

A) Correct. Ulcerative colitis is characterized by inflammation that is limited to the colon and rectum.

B) Incorrect. Ulcerative colitis primarily affects the colon and rectum, not the small intestine.

C) Incorrect. Unlike Crohn's disease, inflammation in ulcerative colitis is continuous and limited to the colon and rectum, rather than patchy and involving different segments of the gastrointestinal tract.

D) Incorrect. Ulcerative colitis is characterized by continuous inflammation in the colon and rectum. It does not skip segments.

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Correct Answer is B

Explanation

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. "A sigmoidoscopy allows for visualization of the entire colon and rectum." B. "A sigmoidoscopy provides images of the small intestine to detect signs of IBD." C. "A sigmoidoscopy assesses the lower part of the colon and rectum for signs of inflammation and abnormalities." D. "A sigmoidoscopy measures pH levels in the gastrointestinal tract to diagnose IBD."

Correct Answer is C

Explanation

A) Incorrect. A sigmoidoscopy allows for visualization of the lower part of the colon and rectum, but it does not provide images of the entire colon.

B) Incorrect. A sigmoidoscopy primarily examines the lower part of the colon and rectum, not the small intestine.

C) Correct. A sigmoidoscopy is an endoscopic procedure used to assess the lower part of the colon and rectum for signs of inflammation, ulcers, and other abnormalities commonly associated with Inflammatory Bowel Disease.

D) Incorrect. A sigmoidoscopy does not measure pH levels in the gastrointestinal tract. It is an endoscopic procedure for visual examination.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with Inflammatory Bowel Disease (IBD) asks the nurse about dietary recommendations to manage their condition. How should the nurse respond?

Correct Answer is B

Explanation

A client asks the nurse about the purpose of a sigmoidoscopy in the diagnosis of Inflammatory Bowel Disease (IBD). How should the nurse respond?

Correct Answer is C

Explanation

A client with a history of appendectomy asks the nurse if this surgical procedure increases the risk of developing Inflammatory Bowel Disease. How should the nurse respond?

A nurse is discussing potential risk factors for Inflammatory Bowel Disease with a group of students. What should the nurse emphasize as a common demographic factor associated with an increased risk of IBD?

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A nurse is providing education to a client with Inflammatory Bowel Disease (IBD) who is experiencing diarrhea. What dietary recommendations should the nurse provide to help manage this symptom?

A client asks the nurse about potential complications of Inflammatory Bowel Disease. What should the nurse include as a possible complication of untreated or poorly managed IBD?

A client with Inflammatory Bowel Disease (IBD) asks the nurse about the role of the immune system in their condition. What should the nurse explain about the immune response in IBD?

A client with Inflammatory Bowel Disease asks the nurse about the potential for surgical intervention. What should the nurse explain about surgery in the management of IBD?

A client with Inflammatory Bowel Disease (IBD) is asking the nurse about the role of probiotics in managing their condition. How should the nurse respond?