The nurse is caring for a patient with irritable bowel syndrome (IBS) who expresses concern about the safety of the ordered diagnostic test. What nursing statement provides correct information to address the patient's concern?

"Abdominal ultrasound should not be performed if you are pregnant."

"Guaiac-based faecal occult blood testing is a non-invasive test that is commonly performed."

"You will have to remove any device containing metal for a flexible sigmoidoscopy."

"The radiologist will perform the hydrogen breath test under general anaesthesia to protect your airway."

Answer and Explanation

The Correct Answer is B

Choice A reason: "Abdominal ultrasound should not be performed if you are pregnant" is incorrect. Abdominal ultrasound is a safe and non-invasive diagnostic test that can be performed during pregnancy without any risk to the patient or the fetus.

Choice B reason: "Guaiac-based fecal occult blood testing is a non-invasive test that is commonly performed" is correct. This test is used to detect hidden blood in the stool and is commonly used for diagnostic purposes in patients with irritable bowel syndrome (IBS). It is safe and non-invasive.

Choice C reason: "You will have to remove any device containing metal for a flexible sigmoidoscopy" is correct but does not address the safety concern regarding IBS. Patients do need to remove metal objects for certain diagnostic procedures, but the focus should be on providing information about the non-invasive nature of specific tests.

Choice D reason: "The radiologist will perform the hydrogen breath test under general anesthesia to protect your airway" is incorrect. Hydrogen breath tests are typically performed without anesthesia. Patients simply need to blow into a device at specific intervals after ingesting a substance. The test is non-invasive and does not require anesthesia.

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Correct Answer is C

Explanation

Choice A reason: Reminding the patient that they will be responsible for caring for the ileostomy after discharge may increase their anxiety and reluctance. It does not address the underlying concerns or feelings.

Choice B reason: Reassuring the patient that the procedure will be reversed in a few months is not always accurate and may provide false hope. Each patient's situation is unique, and not all ileostomies are temporary.

Choice C reason: Acknowledging the patient's reluctance and initiating a discussion to explore their feelings is the most appropriate response. This approach allows the nurse to understand the patient's concerns, provide emotional support, and offer practical solutions to help the patient feel more comfortable with ostomy care.

Choice D reason: Discussing the need for a psychiatric referral during interdisciplinary rounds is not the immediate step. The nurse should first address the patient's feelings and concerns directly and provide support.

A. Implement a fluid restriction of 1500 mL in 24 hours B. Provide a bland, low-residue diet C. Establish a bowel routine with daily stool softeners D. Consult surgeon to discuss colostomy creation

Correct Answer is C

Explanation

Choice A reason: Implementing a fluid restriction could worsen constipation and bowel function in patients with multiple sclerosis.

Choice B reason: Providing a bland, low-residue diet is less effective in managing bowel function compared to establishing a regular bowel routine.

Choice C reason: Establishing a bowel routine with daily stool softeners helps maintain regular bowel movements and prevents constipation, which is important for patients with multiple sclerosis.

Choice D reason: Consulting a surgeon for colostomy creation is a more invasive intervention that is not the first line of treatment for changes in bowel function in multiple sclerosis patients.

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The nurse is caring for a patient with irritable bowel syndrome (IBS) who expresses concern about the safety of the ordered diagnostic test. What nursing statement provides correct information to address the patient's concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with inflammatory bowel disease who has been discharged with an ileostomy. The patient expresses reluctance to participate in aspects of ostomy care. What is the nurse's most appropriate response to this observation?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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