NRSG 101 INFLAMMATORY BOWEL DISEASE

NRSG 101 INFLAMMATORY BOWEL DISEASE Clinical Manifestations 1. The nurse anticipates that Loren will describe her diarrhea as: A) Bloody. CORRECT Clients with ulcerative colitis may experience as many as 10-20 liquid, bloody stools per day. B) Green and frothy. INCORRECT This description is not associated with the diarrhea of ulcerative colitis. C) Gray with observable fat. INCORRECT This describes stool often seen in pancreatitis. D) Clay-colored. 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?" 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?" 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?" INCORRECT These are not typical manifestations associated with rectal bleeding or resultant anemia.