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Nur676 Exam 3 Questions With 100%
Verified Answers.
Most common GI complaint in primary care and most common dx for GI... - answer✔IBS
IBS occurs in... - answer✔mostly young adults
but in ALL ages
IBS is considered a .... - answer✔gut brain disorder
has variety of GI sx
characteristics of IBS - answer✔abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or difficult
evacuation)
Gi motility in IBS result of ... - answer✔stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS - answer✔chronic abd pain
bloating /distension
flatulence
bowel habit changes
what helps differentiate IBS from others - answer✔MUST have abdominal pain present
IBS abdominal pain characteristics - answer✔nonradiating, intermittent, crampy
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usually in LLQ
s/sx of IBS usually occurs after ... - answer✔consuming meals (large) or alcohol
NOT IBS if ... - answer✔nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS - answer✔VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
diagnostics for IBS sx - answer✔labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if - answer✔1. <40 healthy adult with acute bowel
change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria - answer✔1. sx present >3 months
2. initial sx onset >6 months of IBS dx
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3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool
IBS management: - answer✔symptomatic treatment
pharmacotherapy
alternative therapy
IBS symptomatic treatment - answer✔dietary modifications
medications
supportive and behavioral thearpy
education
reassurance
IBS medications - answer✔synthetic fibers
-psyllium: metamucil, benefiber
-calcium polycarbophil
- methylcellulose (citrucel)
-all take with food or with 8ox liquid
antispasmodics/anticholinergics - dicyclomine (bentyl), hyocyamine sulfate
antidiarrheal: loperamide, pepto-bismol
Food cause or aggravate IBS - answer✔large meals
dairy products
gas forming foods
carbonated beverages
caffeine
alcohol
**should avoid these!!!
IBS patient should consult GI if - answer✔bowel status change when pt >50
Nur676 Exam 3 Questions With 100%
Verified Answers.
Most common GI complaint in primary care and most common dx for GI... - answer✔IBS
IBS occurs in... - answer✔mostly young adults
but in ALL ages
IBS is considered a .... - answer✔gut brain disorder
has variety of GI sx
characteristics of IBS - answer✔abdominal pain PLUS
1. altered bowel habits
2. sx constipation( infrequent stools/ straining/hard stools/ feeling of incomplete or difficult
evacuation)
Gi motility in IBS result of ... - answer✔stress
anxiety
drugs
anger
acute intestinal infections
small bowel bacterial overgrowth
common s/sx of IBS - answer✔chronic abd pain
bloating /distension
flatulence
bowel habit changes
what helps differentiate IBS from others - answer✔MUST have abdominal pain present
IBS abdominal pain characteristics - answer✔nonradiating, intermittent, crampy
, ©BRAINBARTER 2024/2025
usually in LLQ
s/sx of IBS usually occurs after ... - answer✔consuming meals (large) or alcohol
NOT IBS if ... - answer✔nocturnal sx
bloody or greasy stools
weight loss or malnutrition
GI bleed
anemia
N/V recurs
fever
Physical exam for IBS - answer✔VS
abdominal/pelvic/rectal exams:
-increased tympanic percussion
-palpable sigmoid colon
-tenderness on rectal exam
diagnostics for IBS sx - answer✔labs
CBC/ ESR/TSH/LFT
stool cultures
colonoscopy
lactose free diet trial
abdominal US
GYN/GI referral
colonoscopy recommended for pt with IBS if - answer✔1. <40 healthy adult with acute bowel
change
2. >50
3. pts with weight loss, anemia, occult blood
Initial approach: use ROME IV criteria - answer✔1. sx present >3 months
2. initial sx onset >6 months of IBS dx
, ©BRAINBARTER 2024/2025
3. abdominal pain at least once a weekfor previous 3 months with 2+ sx
-pain with defecation
-pain r/t change in stool frequency
-pain associated with change in appearance of stool
IBS management: - answer✔symptomatic treatment
pharmacotherapy
alternative therapy
IBS symptomatic treatment - answer✔dietary modifications
medications
supportive and behavioral thearpy
education
reassurance
IBS medications - answer✔synthetic fibers
-psyllium: metamucil, benefiber
-calcium polycarbophil
- methylcellulose (citrucel)
-all take with food or with 8ox liquid
antispasmodics/anticholinergics - dicyclomine (bentyl), hyocyamine sulfate
antidiarrheal: loperamide, pepto-bismol
Food cause or aggravate IBS - answer✔large meals
dairy products
gas forming foods
carbonated beverages
caffeine
alcohol
**should avoid these!!!
IBS patient should consult GI if - answer✔bowel status change when pt >50
