Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?

Dairy products are encouraged.

Low roughage should be followed.

Protein foods are restricted.

No added salt is required.

Answer and Explanation

The Correct Answer is B

A. Dairy products are encouraged: Dairy products can exacerbate symptoms of IBD, particularly diarrhea, and are typically restricted in many patients with IBD.

B. Low roughage should be followed: A low-roughage (low-fiber) diet helps manage diarrhea and reduce irritation in the intestines for patients with IBD.

C. Protein foods are restricted: Protein is not typically restricted in IBD. In fact, patients may need higher protein intake to support healing and maintain nutrition.

D. No added salt is required: There is no specific indication that salt needs to be restricted unless the patient has other conditions (e.g., hypertension or edema). Generally, a balanced diet is encouraged unless otherwise specified by the provider.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Abdominal tenderness: This can indicate serious complications, such as bowel obstruction or perforation, and must be reported immediately.

B. Abdominal spasms: This is a common side effect of lactulose due to increased bowel motility but is not immediately concerning unless severe.

C. Nausea: A mild, common side effect of lactulose that usually resolves with continued use.

D. Flatulence: A common, benign side effect caused by fermentation of lactulose in the colon.

A. Excessive fluid intake B. Diet low in cheese and yogurt C. Diet low in fiber and/or residue D. Iron supplements E. Use of morphine

Correct Answer is ["C","D","E"]

Explanation

A. Excessive fluid intake: Excessive fluid intake does not typically cause constipation; rather, insufficient fluid intake is more commonly associated with constipation.

B. Diet low in cheese and yogurt: A diet low in cheese and yogurt is not a cause of constipation. However, a diet low in fiber can contribute to constipation.

C. Diet low in fiber and/or residue: A diet low in fiber and residue is one of the leading causes of constipation, as fiber helps in the formation and movement of stool.

D. Iron supplements: Iron supplements are known to cause constipation as they can slow down bowel movement and harden stool.

E. Use of morphine: Opioid medications like morphine slow down bowel motility and are a common cause of constipation.

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Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient taking lactulose to treat chronic constipation. Which adverse effect should the nurse immediately report to the healthcare provider?

Correct Answer is A

Explanation

The nurse is assessing a patient with constipation. Which situation(s) would cause constipation? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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