The nurse is facilitating a support group for clients diagnosed with inflammatory Bowel Disease. Which information is most important for the nurse to share with this group?
Select All that Apply

Explain the possible surgical procedures available to treat this disorder

Discuss coping skills to assist with adaptation to required lifestyle modifications

Educate on possible medication side effects and when to notify the health care provider.

Provide information on decreasing protein intake to reduce ammonia levels

Discuss the risks of fluid volume overload and methods to restrict fluid intake

Answer and Explanation

Correct Answer : A,B,C

A. Explain the possible surgical procedures available to treat this disorder: Clients with IBD, particularly ulcerative colitis, may require surgical interventions such as colectomy or ileostomy if medical management fails. Providing information about surgical options helps clients make informed decisions.

B. Discuss coping skills to assist with adaptation to required lifestyle modifications: IBD significantly affects daily life, including dietary changes, medication adherence, and emotional well-being. Teaching coping strategies helps clients manage stress and improve quality of life.

C. Educate on possible medication side effects and when to notify the healthcare provider: Medications for IBD (e.g., corticosteroids, immunosuppressants, biologics) have side effects such as increased infection risk, osteoporosis, and GI disturbances. Patients should be informed about when to seek medical attention.

D. Provide information on decreasing protein intake to reduce ammonia levels: This advice is more relevant to liver disease, such as cirrhosis, where protein restriction can help manage hepatic encephalopathy. In IBD, adequate protein intake is needed to prevent malnutrition.

E. Discuss the risks of fluid volume overload and methods to restrict fluid intake: Clients with IBD are at risk for dehydration due to diarrhea and malabsorption. Increasing fluid intake, rather than restricting it, is often necessary.

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Correct Answer is A

Explanation

A. Cholelithiasis: Gallstones (cholelithiasis) are a major cause of acute pancreatitis because they can block the pancreatic duct, leading to inflammation and autodigestion of the pancreas.

B. Constipation: Pancreatitis is more commonly associated with diarrhea due to malabsorption, rather than constipation.

C. Splenomegaly: Splenomegaly (enlarged spleen) is associated with portal hypertension from liver disease, not pancreatitis.

D. Ascites: Ascites is seen in advanced liver disease (e.g., cirrhosis) rather than acute pancreatitis, though severe cases of pancreatitis can lead to fluid accumulation in the abdomen.

A. Maintain a patent airway and prevent aspiration B. Monitor the effects of ant-hypertensive medications C. Prepare the client for immediate portal shunting surgery D. Perform fecal occult testing on all stools

Correct Answer is B

Explanation

A. Maintain a patent airway and prevent aspiration: While maintaining a patent airway is always important, esophageal varices do not typically cause aspiration unless they rupture. This choice would be a priority in an acute bleed, not in a stable client.

B. Monitor the effects of antihypertensive medications: Beta-blockers (e.g., propranolol) are commonly prescribed to reduce portal hypertension, preventing variceal rupture. Monitoring the effects of these medications is crucial in maintaining hemodynamic stability.

C. Prepare the client for immediate portal shunting surgery: Surgical shunting is considered for refractory cases with severe, recurrent bleeding. A client with stable varices does not require immediate surgery.

D. Perform fecal occult testing on all stools: Esophageal varices cause upper GI bleeding, which manifests as hematemesis or melena, not occult blood in the stool.

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The nurse is facilitating a support group for clients diagnosed with inflammatory Bowel Disease. Which information is most important for the nurse to share with this group? Select All that Apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with acute pancreatitis. Which of the following would the nurse anticipate seeing in the client's history?

Correct Answer is A

Explanation

The nurse is caring for a client with stable esophageal varices. Which of the following actions is most important?

Correct Answer is B

Explanation

A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?

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The nurse is facilitating a support group for clients diagnosed with inflammatory Bowel Disease. Which information is most important for the nurse to share with this group?
Select All that Apply