The patient has a diagnosis of irritable bowel syndrome (IBS). Which forms can IBS
take? Select all that apply.
a. Diarrhea (IBS-D)
b. Constipation (IBS-C)
c. Bloating (IBS-B)
d. Alternating diarrhea and constipation (IBS-A)
e. Mix of constipation and diarrhea (IBS-M)
f. Uncertain (IBS-U) –correct answer a. Diarrhea
b. Constipation
d. Alternating diarrhea and constipation
e. Mix of constipation and diarrhea
Which test may be used in diagnosing IBS?
a. Erythrocytes sedimentation rate
b. Stool sample for ova and parasites
,c. Hydrogen breath test
d. Blood cultures for infection - correct answer c. Hydrogen breath test
The patient with IBS reports abdominal distention and feeling bloated to the nurse. The
patient states she had a bowel movement that morning. What drug treatment does the
nurse expect the health care provider to order?
a. Loperamide
b. Psyllium hydrophilic mucilloid
c. Lubiprostone
d.Rifaximin - correct answer d. Rifaximin
What action of darifenacin makes it suitable for treatment of IBS?
a. Inhibits intestinal motility
b. Decreases abdominal distention
c. Eliminates constipation
d. Increases fluid in the intestines - correct answer a. Inhibits intestinal motility
Which medication is the drug of choice for treatment of IBS when pain is the
predominant symptom?
,a. Amitriptyline
b. Fesoterodine
c. Loperamide
d. Psyllium hydrophilic mucilloid - correct answer a. Amitriptyline
The nurse is teaching a patient with IBS about complementary and alternative therapies
for the disease. Which patient statements indicate that teaching has been effective?
Select all that apply.
a. "Hydrotherapy may help decrease symptoms"
b. "Probiotics can help decrease bacteria and decrease my IBS symptoms"
c. "Peppermint oil has been used to expel gas and relax spastic intestinal muscles"
d. "Regular exercise will help decrease stress and lead to regular bowel movements"
e. "Ginkgo can be used for abdominal discomfort and to expel gas"
f. "Meditation may help decrease stress and help with GI symptoms" - correct answer b.
"Probiotics..."
c. "Peppermint..."
d. "Regular..."
f. Meditation...."
, The patient has an abdominal hernia with a sac that can be returned into the abdominal
cavity by gentle pressure. Which type of hernia does the nurse recognize?
a. Incisional
b. Irreducible
c. Indirect inguinal
d. Reducible - correct answer d. Reducible
The nurse assesses a patient with a hernia and finds that the patient's symptoms
include abdominal distention, nauseam vomiting and pain. The patient's heart rate is
118/min and temperature is 101 F. Which type of hernia does the nurse suspect?
a. Incisional
b. Incarcerated
c. Strangulated
d. Unbilical - correct answer c. Strangulated
The nurse is performing an abdominal assessment on a patient suspected of having an
abdominal hernia. The nurse auscultates the abdomen and determines the absence of
bowel sounds. What does the nurse suspect in this patient?
a. Peritonitis
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