While assessing a client diagnosed with inflammatory bowel diseases, the nurse should assess for systemic manifestations that may include: Select all that apply
A) Autoimmune anemia
B) Rheumatoid arthritis
C) Thrombocytopenia
D) Lactose intolerance
E) Mouth ulcerations
Ans: A, D
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Inflammatory bowel diseases produce inflammation of the bowel, with a lack of confirming evidence of a proven causative agent, have a pattern of familial occurrence, and can be accompanied by systemic manifestations. A number of systemic manifestations have been identified: osteoarthritis affecting the spine, sacroiliac joints, large joints of the arms and legs; inflammatory conditions of the eye; skin lesions, especially erythema nodosum; stomatitis; and autoimmune anemia, hypercoagulability of blood (rather than thrombocytopenia), and sclerosing cholangitis. With irritable (rather than inflammatory) bowel syndrome, a history of lactose intolerance should be considered because intolerance to lactose and other sugars may be a precipitating factor in some persons.
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