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
Get Access