Davis Advantage B Flashcards
According to the Rome IV criteria, which would confirm positive findings associated with irritable bowel syndrome? Select all that apply.
Recurrent abdominal pain 1 day a month for the past 6 months
Onset associated with change in frequency of stool
No change in stool patterns with onset of clinical symptoms
Pain relief with defecation
Onset associated with change in appearance of stool
Onset associated with change in frequency of stool
Onset associated with change in appearance of stool
What are the theories on the etiologic mechanisms of irritable bowel syndrome (IBS)? Select all that apply.
Visceral hypersensitivity Gastrointestinal motility Decrease in mast cells Bacterial overgrowth Food sensitivity
Visceral hypersensitivity
Gastrointestinal motility
Bacterial overgrowth
Food sensitivity
A nurse performing a review of systems for a patient being admitted to the hospital notes that the patient has a history of irritable bowel syndrome (IBS). Which patient statement would require additional investigation?
“I have tried acupuncture for relief of symptoms and it has worked well.”
“I have learned which foods may act as potential irritants and try to avoid them whenever possible.”
“Probiotics have provided some relief for my clinical symptoms.”
“Stool cultures identified that I have IBS.”
“Stool cultures identified that I have IBS.”
A patient who has recently been diagnosed with irritable bowel syndrome asks for assistance in dietary selection. Which foods would the nurse recommend based on the patient’s diagnosis?
Wheat products
Apple, pears, cherries
Dairy items
High-fiber foods
High-fiber foods
A patient with irritable bowel syndrome has been advised to increase dietary fiber. Which additional treatment measure should be included in the plan of care?
Limiting exercise pattern training to once a week
Increasing fluid intake
Consuming carbonated beverages as part of one’s daily fluid intake
Trying to nap frequently throughout the day
Increasing fluid intake
The nurse is providing nutrition education to Kaitlin, a 35-year-old female client who has a clinical diagnosis of irritable bowel syndrome.
Which options should the nurse include with dietary teaching to help manage exacerbation of symptoms? Select all that apply.
Maintain a minimum intake of caffeine to prevent caffeine withdrawal
Include a consistent level of fiber in the diet (30 to 40 grams per day) to maintain stool bulk
Limit intake of carbonated beverages to one can a day
Increase daily fluid intake to 6 to 8 glasses of water
Ingest gas-forming foods only every other day to prevent cumulative effects
Include a consistent level of fiber in the diet (30 to 40 grams per day) to maintain stool bulk
Increase daily fluid intake to 6 to 8 glasses of water
Kaitlin asks about using alternative therapies to relieve clinical symptoms of IBS. Which suggestions should the nurse make? Select all that apply. Herbal tea Ginger Fennel Peppermint Garlic
Herbal tea
Ginger
Fennel
Peppermint
Kaitlin asks about using alternative therapies to relieve clinical symptoms of IBS. Which suggestions should the nurse make? Select all that apply. Herbal tea Ginger Fennel Peppermint Garlic
Herbal tea
Ginger
Fennel
Peppermint
Kaitlin expresses concerns that she wants to lose weight. What recommendations should the nurse make to help her attain this goal without exacerbating her IBS?
Limit caloric intake to 1,500 calories a day for 1 month
Maintain a regular meal schedule
Begin an all-liquid diet to stimulate weight loss
Include processed frozen foods as meal replacements
Maintain a regular meal schedule
Kaitlin reports clinical symptoms that affect her enjoyment of meals. Which symptoms are associated with IBS? Eructation and dyspepsia Hiccups and indigestion Dizziness and feelings of satiety Urge to void
eructation and dyspepsia
Kaitlin asks the nurse about stress management to help control her symptoms. Which suggestions should the nurse make? Select all that apply. Take a daily walk Go to church every week Consider a group yoga class Find a massage therapist Take 15 minutes each day to meditate
Take a daily walk
Consider a group yoga class
Find a massage therapist
Take 15 minutes each day to meditate
Kaitlin tells the nurse “I know this sounds crazy, but my stomach feels better when I suck on a peppermint candy.” How should the nurse reply?
Peppermint has no impact on your intestinal functioning.
Peppermint is an antispasmodic and has anti-inflammatory properties.
Peppermint is a laxative, which increases motility.
Peppermint has antinausea affect and can improve stomach irritation.
Peppermint is an antispasmodic and has anti-inflammatory properties.
Kaitlin tells the nurse she feels she is losing her friends because her dietary restrictions and symptoms are preventing her from socializing. What might the nurse suggest?
Allow for cheat meals
Find an online support group
Find new friends
Ignore restrictions when out with friends
Find an online support group
As the nurse continues to monitor Kaitlin’s progress, which laboratory findings might be observed? Select all that apply. Hypokalemia Hyperglycemia Elevated BUN Decreased creatinine Hypernatremia
Hypokalemia
Elevated BUN
Hypernatremia
A client with irritable bowel syndrome is instructed to begin using a food diary. The client is unclear as to why a food diary is needed. What is the basis of the nurse’s explanation?
Flare-ups of the disease process are associated with increased caloric intake.
Food selection should be based on following a low-sodium, low-fat diet.
Excess fluid intake can lead to exacerbations of the disease.
Certain foods can act as triggers and cause flare-ups of the disease.
Certain foods can act as triggers and cause flare-ups of the disease.
