A nurse is admitting a patient to the hospital who reports having recurrent, crampy abdominal pain followed by diarrhea

The patient tells the nurse that the diarrhea usually relieves the pain and that these symptoms have occurred daily for the past 6 months. The patient undergoes a colonoscopy, for which the findings are normal. The nurse will plan to teach this patient to:
a. use antispasmodic medications.
b. avoid food containing lactose and gluten.
c. keep a food, stress, and symptom diary.
d. use antidiarrheal drugs to manage symptoms.


ANS: C
This patient shows signs of irritable bowel syndrome (IBS), which can be managed with drug and nondrug therapies. Patients should be taught to keep a log to identify foods and stressors that trigger symptoms. Antispasmodic medications frequently are used, but there is no clear evidence of their benefit. Patients with malabsorption disorders may need to avoid lactose or gluten but only if indicated. Antidiarrheal drugs do not have clear benefits, even though they are commonly used.

Nursing

You might also like to view...

The nurse is providing care for a client diagnosed with chronic obstructive pulmonary disease (COPD. Which interventions are appropriate in order to control the client's breathing pattern?

Select all that apply. A) Instruct in pursed-lip breathing. B) Teach visualization and meditation. C) Deep breathing and coughing every hour. D) Instruct in abdominal breathing. E) Provide oxygen 2 liters nasal cannula.

Nursing

What is true about cost accounting? (Select all that apply.)

1. It is a method of accounting for total business costs 2. It provides fee-for-service billing 3. It tracks and allocates total business costs to the specific service 4. It is used by hospitals and other organizations. 5. It tracks utilization of nursing care per patient

Nursing

Your patient has a triceps skinfold (TSF) of 15 mm and her mid-arm circumference is 28 cm; therefore, her mid-arm muscle circumference is

a. 13 cm c. 27.5 cm b. 23.3 cm d. 28.47 cm

Nursing

A client asks the nurse to help her understand what her psychologist meant when he said that she displaced her anger. The nurse replies that displacement is?

A) Replacing consciously unacceptable emotions, drives, attitudes, or needs by those that are more acceptable B) Making up for a real or imagined inability or deficiency by engaging in a specific behavior to maintain self-respect or self-esteem C) Transferring feelings, such as frustration, hostility, or anxiety, from an idea, person, or object to one that is less threatening D) Negating a previous unconsciously tolerable action or experience to reduce or alleviate feelings of guilt

Nursing