Essay on Inflammatory Bowel Disease

5050 Words21 Pages
Clinical Manifestations 1. The nurse anticipates that Loren will describe her diarrhea as: A) Bloody. Feedback: CORRECT Clients with ulcerative colitis may experience as many as 10-20 liquid, bloody stools per day. B) Green and frothy. Feedback: INCORRECT This description is not associated with the diarrhea of ulcerative colitis. C) Gray with observable fat. Feedback: INCORRECT This describes stool often seen in pancreatitis. D) Clay-colored. Feedback: INCORRECT Clay-colored stool indicates the absence of bile in the stool, which may be seen in clients with cirrhosis or cholecystitis. Points Earned: 0.0/1.0 Correct Answer(s): A 2. Because rectal bleeding is a common finding in ulcerative…show more content…
These x-rays are taken after barium is instilled into the colon through a rectal catheter. B) Movement of barium in the colon is observed through a scope. Feedback: INCORRECT A scope is not used to visualize the colon during a barium enema. C) A barium-based dye is injected intravenously, followed by abdominal scanning. Feedback: INCORRECT Barium is not injected via the intravenous route, and scanning is not part of the procedure. D) A digital exam is performed after the barium is removed by an enema. Feedback: INCORRECT A barium enema does not involve removal of this substance. Points Earned: 0.0/1.0 Correct Answer(s): A 6. What instruction should the nurse provide to a client who just completed a barium enema? A) Remain NPO for 24 hours. Feedback: INCORRECT Unless the client has another reason to remain NPO, fluid intake following this procedure is important. B) Limit fluid intake. Feedback: INCORRECT Limiting fluid intake will increase the client's risk for post-procedure constipation. C) Resume normal fluid intake. Feedback: INCORRECT There is a better choice to prevent post-procedure constipation. D) Drink extra fluids. Feedback: CORRECT Extra fluids are important to help flush out the barium and prevent constipation and bowel obstruction. Points Earned: 1.0/1.0 Correct Answer(s): D 7. Immediately following the sigmoidoscopy, it is important for the nurse to assess for which
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