Inflammatory Bowel Disease
Clinical Manifestations
1.
The nurse anticipates that Loren will describe her diarrhea as:
A) Bloody.
Feedback: CORRECT
Clients with ulcerative colitis may experience as many as 10-20 liquid, bloody stools per day.
B) Green and frothy.
Feedback: INCORRECT
This description is not associated with the diarrhea of ulcerative colitis.
C) Gray with observable fat.
Feedback: INCORRECT
This describes stool often seen in pancreatitis.
D) Clay-colored.
Feedback: INCORRECT
Clay-colored stool indicates the absence of bile in the stool, which may be seen in clients with cirrhosis or cholecystitis.
Points Earned:
0.0/1.0
Correct Answer(s):
A
2.
Because rectal bleeding is a common finding in ulcerative colitis, which additional question is important for the nurse to ask Loren?
A) "Do you ever hear ringing in your ears?"
Feedback: INCORRECT
This is not a manifestation related to bleeding, although aspirin is associated with GI distress and bleeding, and ringing in the ears is associated with aspirin toxicity.
B) "Do you feel fatigued or light-headed?"
Feedback: CORRECT
Continuous rectal bleeding will result in anemia, causing the client to feel fatigued, dizzy, light-headed, and weak.
C) "Do you experience tremors or headaches?"
Feedback: INCORRECT
These are not typical manifestations associated with rectal bleeding or resultant anemia.
D) "Do you have trouble remembering recent events?"
Feedback: INCORRECT
This is not a typical manifestation associated with rectal bleeding or resultant anemia.
Points Earned:
1.0/1.0
Correct Answer(s):
B
Loren has no other GI symptoms at the present time. She does report that she has developed a sore in her mouth.
3.
What is the nurse's best response to this information?
A) "That may indicate that the colitis has spread throughout the GI tract."
Feedback: INCORRECT
Extraintestinal symptoms may occur, but they do not indicate spread throughout the GI
1.
The nurse anticipates that Loren will describe her diarrhea as:
A) Bloody.
Feedback: CORRECT
Clients with ulcerative colitis may experience as many as 10-20 liquid, bloody stools per day.
B) Green and frothy.
Feedback: INCORRECT
This description is not associated with the diarrhea of ulcerative colitis.
C) Gray with observable fat.
Feedback: INCORRECT
This describes stool often seen in pancreatitis.
D) Clay-colored.
Feedback: INCORRECT
Clay-colored stool indicates the absence of bile in the stool, which may be seen in clients with cirrhosis or cholecystitis.
Points Earned:
0.0/1.0
Correct Answer(s):
A
2.
Because rectal bleeding is a common finding in ulcerative colitis, which additional question is important for the nurse to ask Loren?
A) "Do you ever hear ringing in your ears?"
Feedback: INCORRECT
This is not a manifestation related to bleeding, although aspirin is associated with GI distress and bleeding, and ringing in the ears is associated with aspirin toxicity.
B) "Do you feel fatigued or light-headed?"
Feedback: CORRECT
Continuous rectal bleeding will result in anemia, causing the client to feel fatigued, dizzy, light-headed, and weak.
C) "Do you experience tremors or headaches?"
Feedback: INCORRECT
These are not typical manifestations associated with rectal bleeding or resultant anemia.
D) "Do you have trouble remembering recent events?"
Feedback: INCORRECT
This is not a typical manifestation associated with rectal bleeding or resultant anemia.
Points Earned:
1.0/1.0
Correct Answer(s):
B
Loren has no other GI symptoms at the present time. She does report that she has developed a sore in her mouth.
3.
What is the nurse's best response to this information?
A) "That may indicate that the colitis has spread throughout the GI tract."
Feedback: INCORRECT
Extraintestinal symptoms may occur, but they do not indicate spread throughout the GI