NURSE MED SURGE CHAPTER 57: The SECOND PART. Answers and Rationale Provided

The nursing instructor is teaching a group of student nurses about giardiasis. What statement made by a student indicates a need for further learning. Which clinical investigations may be performed to diagnose septi ...

The nursing instructor is teaching a group of student nurses about giardiasis. What statement made by a student indicates a need for further learning. Which clinical investigations may be performed to diagnose septicemia. Which findings are likely in a patient with peritonitis. What postoperative measures are typically implemented for patients who have undergone abdominal surgery for peritonitis. What is the most common cause of right lower quadrant pain. Which immediate order should the nurse expect from the primary health care provider who, while assessing a patient with gastroenteritis, observes increased peristaltic movements, A patient presents to the emergency department with elevated temperature and severe diarrhea. When obtaining the history, the nurse learns the patient has recently eaten fast food and traveled to South America. Which medication would be prescribed to the patient. A patient is being discharged following a laparotomy for treatment of peritonitis. What complications should the patient report to the primary health care provider immediately? Select What postoperative measure must the patient take after undergoing abdominal surgery for peritonitis. A patient presents to the emergency department with complaints of severe abdominal pain near the right anterior iliac crest that later led to nausea and vomiting. Which acute inflammatory bowel disorder does the nurse suspect is the most likely cause. Which medication would be beneficial to the patient with gastroenteritis who has increased peristaltic movements. Which instructions should the nurse provide to the patient with appendicitis that is scheduled for surgery? Select all that apply. Which information is important to collect from a patient who is admitted to the hospital with diarrhea to determine the risk for gastroenteritis? Select all that apply Which findings in a patient indicate dehydration? Select all that apply. What should the nurse teach a patient with gastroenteritis? Select all that apply. A patient admitted with severe diarrhea is experiencing skin breakdown from frequent stools. What is an important comfort measure for this patient. Which findings support the nurse's conclusion that a patient has gastroenteritis and may require hospitalization? Select all that apply. A patient admitted with severe gastroenteritis has been started on an IV, but the patient continues having excessive diarrhea. Which medication does the nurse ask the health care provider about prescribing. The nurse is performing discharge teaching with a patient who has been diagnosed with a parasitic infection. Which instructions does the nurse include in the teaching plan? Select all that apply Which factors should the nurse inquire about when taking the medical history of a patient with suspected appendicitis An obese patient is discharged 10 days after being hospitalized for peritonitis, which resulted in an exploratory laparotomy. Which assessment finding by the patient's home health nurse requires immediate action. An 80-year-old patient with a 2-day history of myalgia, nausea, vomiting, and diarrhea is admitted to the medical-surgical unit with a diagnosis of gastroenteritis. Which health care provider request does the nurse implement first? A patient with peritonitis has developed bacterial contamination of the peritoneal cavity. What could be the most probable cause of the contamination A patient had emergency surgery for peritonitis. Which nursing interventions are appropriate immediately after surgery? Select all that apply A patient is admitted with peritonitis due to a perforated appendix. Which intervention can be delegated to unlicensed assistive personnel (UAP)? A patient who has viral gastroenteritis asks the nurse why the provider has not ordered a medication to reduce diarrhea. What does the nurse tell this patient about antidiarrheal medications A patient demonstrates the manifestations of diverticulitis with a suspected complication of peritonitis. What is the priority nursing intervention The nurse is caring for a patient who underwent exploratory laparotomy for a ruptured appendix. Which is the most important nursing intervention in the postoperative care to promote wound healing. A patient who develops viral gastroenteritis with vomiting and diarrhea is scheduled to be seen in the clinic the following day. What will the nurse teach the patient to do in the meantime. A patient reports pain and a boardlike abdomen. What other findings would indicate peritonitis? Select all that apply. A patient returns to the unit after having an exploratory abdominal laparotomy. How does the nurse position this patient after the patient is situated in bed? A patient was admitted to the hospital for evaluation of abdominal pain. The patient is unable to pass flatus and the abdomen has become firm and distended. The nurse is unable to hear bowel sounds. The patient has a heart rate of 90 beats/min and a temperature of 39° C. Which nursing action is correct A laparotomy performed on patient revealed abscesses in the abdominal cavity. What treatment strategies might be included in the care plan? Select all that appl An older patient is being evaluated for abdominal pain. After 2 days of pain, the patient began vomiting and now reports increased pain with coughing. The patient prefers to lie in a fetal position with the right hip and knee bent. The patient's white blood cell count is 25,000/mm 3. What does the nurse suspect in this patien An intensive care unit (ICU) RN is floated to the medical-surgical unit. Which patient does the charge nurse assign to the float nurse? What interventions should the nurse follow to manage the patient with peritonitis who is prescribed hypertonic intravenous (IV) fluids and broad-spectrum antibiotics? Select all that apply. The RN receives a change-of-shift report about four patients. Which patient does the nurse assess first? A home health patient has had severe diarrhea for the past 24 hours. Which nursing action does the RN delegate to the home health aide (unlicensed assistive personnel [UAP]) who assists the patient with self-care? The nurse is teaching a nursing student about care of the patient with gastroenteritis. Which statement by the student indicates a need for further instruction Which drug is often used to treat gastroenteritis caused by Shigella A patient is admitted to the hospital with appendicitis. What signs/symptoms are consistent with this diagnosis? Select all that apply. Which statements about shigellosis are accurate? Select all that apply. Which findings does the nurse expect with a diagnosis of acute peritonitis? Select all that apply. Which sign of peritonitis appears first in an older adult The nurse is caring for a patient admitted for gastroenteritis. What symptoms does the nurse expect to see in the patient? Select all that apply. What disorders does the nurse identify as acute inflammatory bowel disorders? Select all that apply. What is the typical incubation period of the Norwalk virus in a person with a normal immune system? Which statement about appendicitis is accurate? What are the less-common causes for peritonitis? Select all that apply\ What postoperative measure must the patient take after undergoing abdominal surgery for peritonitis? CHAPTER 57 SECOND PART (GI) Which is a correct statement differentiating Crohn's disease (CD) from ulcerative colitis (UC)?

Which is a correct statement differentiating Crohn's disease (CD) from ulcerative colitis (UC)?

Patients with UC may experience hemorrhage. Very few complications are associated with CD. The peak incidence of UC is between 15 and 40 years of age. Patients with CD experience about 20 loose, bloody stools daily.

A parent of a patient suffering from chronic inflammatory bowel disease informs the nurse, "My son leaks stools while he is sleeping." The nurse teaches the parent necessary steps to manage the child's nocturnal stool leakage. Which statement made by the parent indicates a need for further teaching?

"I should encourage my son to drink more milk." "I should not give my son carbonated beverages." "I should give my son fruits such as oranges and lemons." "I should not give my son foods such as cabbage and broccoli."

The primary health care provider prescribes natalizumab to a patient with Crohn's disease. Which health teaching is most important before beginning the medication?

"This drug masks the symptoms of infection." "A cold and a sore throat are common infections." "A headache and abdominal pain are common side effects." "Cognitive, motor, and sensory changes have very lethal effects."

The nurse is teaching a patient about caring for an ileostomy at home. Which statement by the patient indicates a correct understanding of the teaching?

"I will change the pouch within an hour after meals and as necessary." "I may use a bulk-forming laxative if I have not had a stool in 6 to 12 hours." "I should use skin sealants and ostomy skin creams as needed to prevent irritation." "I should empty the ileostomy pouch when it is two-thirds to three-fourths full." A patient with an exacerbation of ulcerative colitis (UC) has been prescribed Vivonex PLUS. The patient asks the nurse how this is helpful for improving symptoms. How does the nurse reply?

A patient with an exacerbation of ulcerative colitis (UC) has been prescribed Vivonex PLUS. The patient asks the nurse how this is helpful for improving symptoms. How does the nurse reply?

"It is bland and reduces the secretion of gastric acids." "It does not contain caffeine or other gastrointestinal (GI) tract stimulants." "It provides key nutrients and extra calories to promote healing." "It is absorbed quickly and allows the affected part of the GI tract to rest and heal." A patient has been diagnosed with ulcerative colitis (UC) and reports having between four and five bloody stools per day. How does the nurse classify the intensity of the patient's UC?

A patient has been diagnosed with ulcerative colitis (UC) and reports having between four and five bloody stools per day. How does the nurse classify the intensity of the patient's UC?

Mild Severe Moderate Fulminant Rationale . A patient with ulcerative colitis (UC) has stage 1 of a restorative proctocolectomy with ileo-anal anastomosis (RPC-IPAA) procedure performed. The patient asks the nurse, "How long do people with this procedure usually have a temporary ileostomy?" How does the nurse respond?

A patient with ulcerative colitis (UC) has stage 1 of a restorative proctocolectomy with ileo-anal anastomosis (RPC-IPAA) procedure performed. The patient asks the nurse, "How long do people with this procedure usually have a temporary ileostomy?" How does the nurse respond?

"It is usually ready to be closed in about 1 to 2 months." "The period of time is indefinite—I am sorry that I cannot say." "You will probably have it for 6 months or longer, until things heal." "This is something that you will have to discuss with your health care provider." The nurse is caring for a patient with ileo-anal pouch anastomosis who has undergone a restorative proctocolectomy. What pouch care advice given by the nurse will provide effective treatment?

The nurse is caring for a patient with ileo-anal pouch anastomosis who has undergone a restorative proctocolectomy. What pouch care advice given by the nurse will provide effective treatment?

"Do not empty your pouch until it is full." "Do not change the pouch during inactive times." "Change the entire pouch system every 10 days." "Change the entire pouch system every 3 to 7 days." A patient with ulcerative colitis is scheduled to undergo restorative proctocolectomy with ileo pouch–anal anastomosis (RPC-IPAA). What statements about the procedure are accurate? Select all that apply. < A temporary loop ileostomy is created. Metronidazole is avoided after the surgery. The colon, rectum, and anus are removed by RPC-IPAA. Parenteral antibiotics are given within 1 hour before the surgery. An internal pouch is created with the distal part of the small intestine. A patient with ulcerative colitis (UC) is prescribed sulfasalazine and corticosteroid therapy. As the disease improves, what change does the nurse expect in the patient's medication regimen?

A patient with ulcerative colitis (UC) is prescribed sulfasalazine and corticosteroid therapy. As the disease improves, what change does the nurse expect in the patient's medication regimen?

Sulfasalazine will be stopped. Sulfasalazine will be tapered. Corticosteroid therapy will be stopped. Corticosteroid therapy will be tapered. Which pathophysiological finding is least likely to occur in ulcerative colitis?

Which pathophysiological finding is least likely to occur in ulcerative colitis?

The colon becomes narrowed. Ulcers are seen in the intestine. Intestinal mucosa becomes bluish. Intestinal mucosa becomes reddened. A patient complains of severe diarrhea and abdominal pain. Which information collected from the patient would indicate an increased risk for inflammatory bowel disease? Select all that apply. < Intolerance to milk Exposure to antibiotics Travel to a tropical area Change in stool color from yellow to brown Elimination of the bowels two or three times in a day What laboratory findings are consistent with ulcerative colitis (UC)? Select all that apply.

What laboratory findings are consistent with ulcerative colitis (UC)? Select all that apply.

Decreased erythrocyte sedimentation rate (ESR) Increased C-reactive protein Decreased white blood cell (WBC) count Increased sodium levels Decreased potassium levels Which is a correct statement differentiating Crohn's disease (CD) from ulcerative colitis (UC)?

Which is a correct statement differentiating Crohn's disease (CD) from ulcerative colitis (UC)?

Patients with UC may experience hemorrhage. Very few complications are associated with CD. The peak incidence of UC is between 15 and 40 years of age. Patients with CD experience about 20 loose, bloody stools daily. The nurse is instructing a patient with recently diagnosed diverticular disease about diet. What food does the nurse suggest the patient include?

The nurse is instructing a patient with recently diagnosed diverticular disease about diet. What food does the nurse suggest the patient include?

Strawberries (1 cup) Tomato (1 medium) A slice of 5-grain bread Chuck steak patty (6 ounces) A patient with Crohn's disease has been admitted to the hospital with the development of a fistula between the bowel and bladder. What is the nursing priority for this patient?

A patient with Crohn's disease has been admitted to the hospital with the development of a fistula between the bowel and bladder. What is the nursing priority for this patient?

Improving bowel and bladder elimination Increasing tissue perfusion and circulation Maintaining skin integrity and preventing breakdown Providing adequate nutrition and fluid and electrolytes A patient with a recent surgically created ileostomy refuses to look at the stoma and asks the nurse to perform all required stoma care. What does the nurse do next?

A patient with a recent surgically created ileostomy refuses to look at the stoma and asks the nurse to perform all required stoma care. What does the nurse do next?

Asks the patient whether family members could be trained in stoma care Has another patient with a stoma who performs self-care talk with the patient Suggests that the health care provider request a home health consultation so stoma care can be performed by a home health nurse Requests that the health care provider request antidepressants and a psychiatric consult A nurse is teaching a patient about dietary methods to help manage exacerbations ("flare-ups") of diverticulitis. What does the nurse advise the patient?

A nurse is teaching a patient about dietary methods to help manage exacerbations ("flare-ups") of diverticulitis. What does the nurse advise the patient?

"Be sure to maintain an exclusively low-fiber diet to prevent pain on defecation." "Consume a low-fiber diet while your diverticulitis is active. When inflammation resolves, consume a high-fiber diet." "Maintain a high-fiber diet to prevent the development of hemorrhoids that frequently accompany this condition." "Make sure you consume a high-fiber diet while diverticulitis is active. When inflammation resolves, consume a low-fiber diet." A patient newly diagnosed with ulcerative colitis (UC) is started on sulfasalazine. Which explanation will the nurse give the patient about the reason for use of this drug?

A patient newly diagnosed with ulcerative colitis (UC) is started on sulfasalazine. Which explanation will the nurse give the patient about the reason for use of this drug?

"The medication will minimize your GI discomfort." "The drug is used to stop the diarrhea and bloody stools." "This medication causes intestinal inflammation to be reduced." "With this medication, your cramping will be relieved." A male patient with a long history of ulcerative colitis experienced massive bleeding and had emergency surgery for creation of an ileostomy. He is very concerned that sexual intercourse with his wife will be impossible because of his new ileostomy pouch. How does the nurse respond?

A male patient with a long history of ulcerative colitis experienced massive bleeding and had emergency surgery for creation of an ileostomy. He is very concerned that sexual intercourse with his wife will be impossible because of his new ileostomy pouch. How does the nurse respond?

"What has your wife said about your pouch system?" "Have you considered going to see a marriage counselor with your wife?" "A change in position may be what is needed for you to have intercourse with your wife." "You must get clearance from your health care provider before you attempt to have intercourse." A patient is scheduled for discharge after surgery for inflammatory bowel disease. The patient's spouse will be assisting home health services with the patient's care. What is most important for the home health nurse to assess in the patient and the spouse with regard to the patient's home care? < Knowledge about the patient's requested pain medications Effective coping mechanisms for the patient and spouse after the surgical experience Ability of the patient and spouse to perform incision care and dressing changes Understanding of the importance of keeping scheduled follow-up appointments A The nurse is teaching a patient with ulcerative colitis about ileostomy care. does the nurse emphasize to the patient? < "Avoid large crowds and anyone who is sick." "Expect difficulty with wound healing while you are taking this drug." "Monitor your blood pressure and report any significant decrease in it." "Do not take the medication if you are allergic to foods with fatty acids." A patient is experiencing an exacerbation of ulcerative colitis (UC). What is an important nursing action to help minimize the patient's discomfort? < Discontinuing all oral intake Encouraging frequent ambulation Providing carbonated beverages Restricting lactose-containing foods The nurse is teaching a patient with ulcerative colitis about ileostomy care. Which information does the nurse include in the plan of care? < "Consume a high-fiber diet regularly." "Avoid taking enteric-coated medications." "Empty your pouch when it is completely full." "Change the entire pouch system every 2 to 3 weeks." The nurse is caring for a patient with chronic inflammatory bowel disease. What parameters should be monitored? Select all that apply.

The nurse is caring for a patient with chronic inflammatory bowel disease. What parameters should be monitored? Select all that apply.

Body temperature Skin in perianal area Heart rate and rhythm Physical and emotional rest Color, volume, consistency of stools A patient diagnosed with ulcerative colitis (UC) is to be discharged on loperamide for symptomatic management of diarrhea. What does the nurse include in the teaching about this medication? < "Pregnancy should be avoided." "You will need to decrease your dose of sulfasalazine." "Be aware of the symptoms of toxic megacolon that we discussed." "If diarrhea increases, you should let your health care provider know." What instructions should the nurse give to a patient with Crohn's disease to manage his or her condition? Select all that apply. < Instruct the patient to drink milk daily. Instruct the patient to take monthly vitamin B 12 injections. Teach the patient about drug therapy and the side effects. Instruct to take gastrointestinal stimulants like caffeine. Teach the patient about the usual course of the disease and symptoms. A patient has been newly diagnosed with ulcerative colitis (UC). What does the nurse teach the patient about diet and lifestyle choices? < "Drinking carbonated beverages will help with your abdominal distress." "It's OK to smoke cigarettes, but you should limit them to half a pack per day." "Lactose-containing foods should be reduced or eliminated from your diet." "Raw vegetables and high-fiber foods may help to diminish your symptoms." A patient who has undergone a restorative proctocolectomy with ileo pouch-anal anastomosis complains of severe bowel irritation and leakage of stool at night. What interventions should the nurse perform to help the patient manage the condition? Select all that apply. < Administer antidiarrheal drugs. Instruct the patient to take flax seeds and vitamin C. Include foods such as cabbage and broccoli in the diet. Instruct the patient to decrease the amount of salt and water in the food. Prepare the patient for a total proctocolectomy with a permanent ileostomy. Which patient does the charge nurse assign to an experienced LPN/LVN?

Which patient does the charge nurse assign to an experienced LPN/LVN?

30-year-old who must receive neomycin sulfate before a colectomy 38-year-old with gastroenteritis who is receiving IV fluids at 250 mL/hr 34-year-old with ulcerative colitis (UC) who has a white blood cell count of 23,000/mm 3 28-year-old who requires teaching about how to catheterize a Kock ileostomy After reviewing the case sheet of a patient experiencing severe abdominal pain and diarrhea, the nurse suspects ulcerative colitis. Which findings support the nurse's conclusion? Select all that apply. < Presence of bowel fistulas Presence of blood in stools Presence of multiple fractures Intolerance to milk and milk products Use of non-steroidal anti-inflammatory drugs for pain The nurse is teaching a patient who recently began taking sulfasalazine about the drug. What side effects does the nurse tell the patient to report to the health care provider? Select all that apply. < Vomiting Anorexia Headache Depression Drowsiness Frequent urination The registered nurse is supervising a student nurse providing preoperative care to a patient with ulcerative colitis who is scheduled for surgery. Which action of the student indicates effective learning?

The registered nurse is supervising a student nurse providing preoperative care to a patient with ulcerative colitis who is scheduled for surgery. Which action of the student indicates effective learning?

The student nurse administers antidiarrheal drugs as prescribed. The student nurse explains the procedure of a laparoscopy to the patient. The student nurse explains what an ileostomy is to the patient and family. The student nurse administers parenteral antibiotics 30 minutes before surgery. The nurse is assessing four different patients with ulcerative colitis. Which patient is likely to have a fulminant infection? < Patient A Patient B Patient C Patient D What measures should be taken by a patient who has gastroenteritis to prevent transmission of the infection?

What measures should be taken by a patient who has gastroenteritis to prevent transmission of the infection?

Maintain clean bathroom facilities. Share glasses, dishes, and eating utensils with others. Prepare or handle food that will be consumed by others. Inform the primary health care provider if symptoms persist beyond 5 days. Which disorder is associated with inflammation of the small intestine?

Which disorder is associated with inflammation of the small intestine?

Peritonitis Gastroenteritis Crohn's disease Ulcerative colitis A patient has a low-grade fever and tenesmus. Which other clinical manifestations may indicate ulcerative colitis?

A patient has a low-grade fever and tenesmus. Which other clinical manifestations may indicate ulcerative colitis?

Increase in appetite Difficulty passing stools Inflammation of the joints Formation of lesions outside the mouth What are potential complications of Crohn's disease? Select all that apply.

What are potential complications of Crohn's disease? Select all that apply.

Fistulas Osteoporosis Malabsorption Stomach cancer Abscess formation A patient has vague symptoms that indicate an inflammatory bowel disorder. Which symptom is most indicative of Crohn's disease (CD)?

A patient has vague symptoms that indicate an inflammatory bowel disorder. Which symptom is most indicative of Crohn's disease (CD)?

Epigastric cramping Hypotension with vomiting Chronic diarrhea, abdominal pain, and fever Abdominal pain relieved by bending the knees A certified Wound, Ostomy, and Continence Nurse is teaching a patient about caring for a new ileostomy. What information is most important to include? < "Remember that you must wear a pouch system at all times." "Call the health care provider if your stoma has a bluish or pale look." "Notify the health care provider if output from your stoma has a sweetish odor." "After surgery, output from your ileostomy may be a loose, dark-green liquid with some blood present." A nurse is caring for a patient with a new diagnosis of moderate ulcerative colitis (UC). The nurse anticipates an order for which medication?

A nurse is caring for a patient with a new diagnosis of moderate ulcerative colitis (UC). The nurse anticipates an order for which medication?

Azathioprine Sulfasalazine Mercaptopurine Sulfamethoxazole Which of the following are classic symptoms of celiac disease? Select all that apply. < Weight gain Steatorrhea Osteoporosis Abdominal pain Diarrhea and/or constipation Which clinical findings in a patient indicate ulcerative colitis?

Which clinical findings in a patient indicate ulcerative colitis?

Bowel fistulas Thickened bowel wall Inflammation of the ileum and colon Presence of blood and mucus in the stool What is a clinical manifestation of Crohn's disease? < Nausea Vomiting Abdominal pain Dryness of mucous membranes What interventions should the nurse provide to a patient with inflammatory bowel disease who complains of abdominal pain?

What interventions should the nurse provide to a patient with inflammatory bowel disease who complains of abdominal pain?

Avoid analgesics Advise to drink milk Encourage exercise and walking Observe for signs and symptoms of peritonitis A patient with a history of osteoarthritis has a 10-inch incision following a colon resection. The incision has become infected, and the wound requires extensive irrigation and packing. What aspect of the patient's care does the nurse make certain to discuss with the health care provider before the patient's discharge? < Requesting an antianxiety medication Having a home health consultation for wound care Requesting pain medication for the patient's osteoarthritis Placing the patient in a skilled nursing facility for rehabilitation What changes take place in a patient after a total proctocolectomy with a permanent ileostomy?

What changes take place in a patient after a total proctocolectomy with a permanent ileostomy?

The effluent has a foul odor. The stool becomes reddish in color. Stool volume increases and becomes thin. Stool volume decreases and becomes thick. What term is used to describe a fistula that is present between the bowel and the bladder?

What term is used to describe a fistula that is present between the bowel and the bladder?

Enteroenteric fistula Enterovesical fistula Enterovaginal fistula Enterocutaneous fistula A patient has been newly diagnosed with ulcerative colitis. Which statement by the patient indicates a need for further teaching about the complications of the disease?

A patient has been newly diagnosed with ulcerative colitis. Which statement by the patient indicates a need for further teaching about the complications of the disease?

"I may have up to 20 liquid, bloody stools a day." "I should monitor closely for gastrointestinal hemorrhage." "I may have an increased risk of bladder infections caused by fistulas." "I will have an increased risk of colorectal cancer, especially after 10 years." What drug has a complication of hemolytic anemia in a patient with ulcerative colitis if taken in higher doses? < Oslalazine Balsalazide Mesalamine Sulfasalazine A patient with a new ileostomy is distressed because of the large amount of green liquid stool that must be emptied from the pouch several times each day. What does the nurse tell this patient?

A patient with a new ileostomy is distressed because of the large amount of green liquid stool that must be emptied from the pouch several times each day. What does the nurse tell this patient?

"Eventually, the amount and consistency of the stool will change." "The color and amount of your stool indicates a possible infection." "Once your small intestine heals, you will only wear a pouch intermittently." "You may need to wear a larger pouch so you won't have to empty it so often." A patient with ulcerative colitis is scheduled for an ileostomy. Which preoperative information should the nurse provide to the patient and family members?

A patient with ulcerative colitis is scheduled for an ileostomy. Which preoperative information should the nurse provide to the patient and family members?

Empty the pouch before eating. Change the pouch during active times. Change the entire pouch system every 4 to 9 days. Empty the pouch when it is one-third to one-half full. The patient requires a large amount of calories daily to promote the healing of a fistula. Which kind of diet should the nurse provide to the patient?

The patient requires a large amount of calories daily to promote the healing of a fistula. Which kind of diet should the nurse provide to the patient?

High-fiber food Low-vitamin food High-protein food Low-calorie meals Rationale A high-protein diet is beneficial for wound healing. High-fiber foods cause discomfort and indigestion problems. High-vitamin foods are suggested to speed up the wound cure. Low-calorie meals do not increase caloric intake. What instruction should the nurse give to a patient with inflammatory bowel disease regarding skin care?

What instruction should the nurse give to a patient with inflammatory bowel disease regarding skin care?

Encourage skin care with soap and water. Instruct the patient to use tissues for wiping. Advise the patient to gently rub the area dry. Tell the patient to apply a thin coat of A+D ointment or aloe cream. What diagnostic test is preferred to differentiate between ulcerative colitis and Crohn's disease?

What diagnostic test is preferred to differentiate between ulcerative colitis and Crohn's disease?

Computed tomography (CT) scan Colonoscopy Magnetic resonance enterography X-ray examination with barium enema Which complication is seen exclusively in patients with ulcerative colitis?

Which complication is seen exclusively in patients with ulcerative colitis?

Cholelithiasis Malabsorption Colorectal cancer Abscess formation What surgical techniques are involved in the treatment of Crohn's disease?

What surgical techniques are involved in the treatment of Crohn's disease?

Minimal invasive surgery (MIS) and ileostomy Minimal invasive surgery (MIS) and stricturoplasty Ileostomy and natural orifice transluminal endoscopic surgery (NOTES) Stricturoplasty and natural orifice transluminal endoscopic surgery (NOTES) V What is a common complication of Crohn's disease? < Fistulas Tenesmus Liquid stools Bloody stools What physiological change is seen in a patient with ulcerative colitis?

What physiological change is seen in a patient with ulcerative colitis?

Increase in hemoglobin levels Increase in serum albumin levels Increase in white blood cell levels Increase in blood levels of sodium, potassium, and chlorine A patient with ulcerative colitis complains of severe diarrhea with exacerbations. What is the drug of choice in this condition?

A patient with ulcerative colitis complains of severe diarrhea with exacerbations. What is the drug of choice in this condition?

Glucocorticoids Aminosalicylates Immunomodulators Antidiarrheal drugs Which medication is used as the first line treatment for mild ulcerative colitis?

Which medication is used as the first line treatment for mild ulcerative colitis?

Infliximab Prednisone Loperamide Sulfasalazine