Which of the following is a characteristic feature of irritable bowel syndrome?

weight loss and malnutrition

Alteration between constipation and diarrhea

Severe rectal bleeding

Fever and elevated white blood cell count

Answer and Explanation

The Correct Answer is B

A. Weight loss and malnutrition: IBS does not typically cause weight loss or malnutrition. If a client experiences these symptoms, further evaluation is needed to rule out other conditions such as inflammatory bowel disease (IBD) or malignancy.

B. Alteration between constipation and diarrhea: IBS is characterized by a change in bowel habits, which may include alternating episodes of constipation and diarrhea. This is the correct answer.

C. Severe rectal bleeding: IBS does not cause rectal bleeding. If present, conditions such as hemorrhoids, IBD, or colorectal cancer should be considered.

D. Fever and elevated white blood cell count: IBS does not cause systemic inflammation. Fever and leukocytosis are more indicative of infections or inflammatory disorders like ulcerative colitis or Crohn's disease.

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Correct Answer is D

Explanation

A. "The ileostomy is temporary and can be reversed after 3-4 months.": A total colectomy with ileostomy is typically permanent unless the client is undergoing a two-stage procedure to create a J-pouch.

B. "This procedure will slow down the number of diarrhea stools you pass per rectum.": A total colectomy removes the colon, so stool will no longer pass per rectum. Instead, stool is collected in an external ileostomy bag.

C. "Stool produced by the ileostomy will be firm and require manual removal to drain.": Stool from an ileostomy is liquid to semi-formed due to the lack of water absorption. It does not require manual removal.

D. "This procedure is curative as it removes the part of the bowel affected by the disease.": Ulcerative colitis only affects the colon and rectum. A total colectomy removes the diseased portion, effectively curing the condition.

A. High fiber, low protein diet B. Prednisone to decrease inflammation C. Nasogastric tube to low intermittent suction D. Increase with meals and snacks

Correct Answer is C

Explanation

A. High fiber, low protein diet: A high-fiber diet is contraindicated during an acute episode of diverticulitis because it can exacerbate inflammation. Instead, a low-residue or clear-liquid diet is recommended.

B. Prednisone to decrease inflammation: While corticosteroids like prednisone are used for inflammatory conditions like IBD, they are not the first-line treatment for diverticulitis. Antibiotics and bowel rest are preferred.

C. Nasogastric tube to low intermittent suction: An NG tube is used to decompress the stomach and relieve bowel obstruction symptoms, such as bloating and cramping. This is appropriate if an obstruction is suspected.

D. Increase with meals and snacks: Increasing food intake is not recommended during an acute episode of diverticulitis. The client is typically placed on bowel rest or a clear liquid diet.

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Which of the following is a characteristic feature of irritable bowel syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing preoperative teaching on a client. Which of the following response should the nurse offer to a client who asks why he's having a total colectomy with ileostomy formation to treat his ulcerative colitis?

Correct Answer is D

Explanation

Assessment findings of a client presenting to the emergency room include cramping pain in the left lower quadrant, weakness, bloating high-pitched bowel sounds, and a low grade fever. Which of the following orders would the nurse anticipate?

Correct Answer is C

Explanation

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

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A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

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