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. Reduce the client's intake of protein: Protein metabolism produces ammonia, which worsens hepatic encephalopathy. Reducing dietary protein (especially red meat) helps lower ammonia levels. However, some protein is necessary, so a diet high in plant-based protein is preferred.

B. Administer vitamin K: Vitamin K is used to manage coagulopathy in liver disease but does not affect ammonia levels.

C. Restrict the client's intake of fluids: Fluid restriction is necessary for hyponatremia or ascites, but it does not help reduce ammonia levels.

D. Administer diuretics: Diuretics are used for ascites and edema, not ammonia reduction.

A. Avoid drawing blood from the affected extremity B. Auscultate the fistula for the sound of a bruit C. Palpate the site to identify the presence of a thrill D. Irrigate the fistula with saline to maintain patency E. Keep the fistula clamped until ready to perform dialysis

Correct Answer is ["A","B","C"]

Explanation

A. Avoid drawing blood from the affected extremity: Blood draws, IVs, and BP measurements should never be done on the fistula arm to prevent damage and thrombosis.

B. Auscultate the fistula for the sound of a bruit: A bruit (whooshing sound) confirms blood flow through the fistula, indicating patency.

C. Palpate the site to identify the presence of a thrill: A thrill (vibration) should be felt over the fistula. Absence may indicate clotting or failure.

D. Irrigate the fistula with saline to maintain patency: A fistula is never irrigated. Only dialysis staff should access it.

E. Keep the fistula clamped until ready to perform dialysis: AV fistulas are not clamped. Clamping could obstruct blood flow.

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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

A nurse is planning care for a client who has end-stage cirrhosis of the liver with hepatic encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Correct Answer is A

Explanation

The nurse is caring for a client with End Stage Renal Disease has a mature Arteriovenous Fistula. Which of the following interventions would the nurse include in the client's plan of care? Select All that Apply

Correct Answer is ["A","B","C"]

Explanation

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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