adult health

Question 1

IBS:

Answer 1

IBS is a motility disorder managed with dietary changes (increase fiber and limit dairy and gas-producing foods). Teach clients to manage stress, which can exacerbate symptoms.

Question 2

ulcerative colitis.
“Curable” with
colectomy

Answer 2

Both forms of IBD cause diarrhea and abdominal pain. while hemorrhage and toxic
megacolon are more common with ulcerative colitis.

Question 3

Crohn disease,
“Non-curable”

Answer 3

Malnutrition and fistulas are more common with Crohn disease, Both forms of IBD cause diarrhea and abdominal pain.

Question 4

Crohn disease:
“Non-curable”

Answer 4

Patchy
inflammation
that can affect
any part of the
GI tract from
mouth to anus

Question 5

Crohn disease:
“Non-curable”

Answer 5

Diarrhea Fatty stools
(steatorrhea);
rarely bloody

Question 6

ulcerative colitis.
“Curable” with
colectomy

Answer 6

Bloody, mucus-
filled stools

Question 7

ulcerative colitis.
“Curable” with
colectomy

Answer 7

Continuous
inflammation
limited to the
rectum and
colon

Question 8

IBD complications:

Answer 8

Monitor all clients with IBD for signs of bowel perforation, such as abdominal distention, tachycardia, and fever. Monitor clients with UC for hemorrhage. Monitor clients with CD for
fistulas and protect the skin if present.

Question 9

Celiac:

Answer 9

Instruct clients with celiac disease to avoid gluten-containing foods, which are barley, rye, oats, and wheat (BROW), and look for hidden gluten in processed foods and sauces.

Question 10

Assessment findings

Answer 10

Abdominal pain and distention
Flatulence
Diarrhea, steatorrhea
Malabsorption  Weight loss
Dermatitis herpetiformis (itchy skin rash)
Failure to thrive in children