Author Question: A client is experiencing acute exacerbation of ulcerative colitis with 12 to 16 bloody stools per ... (Read 40 times)

soccerdreamer_17 · **on:** Jun 25, 2018

A client is experiencing acute exacerbation of ulcerative colitis with 12 to 16 bloody stools per day and cramping abdominal pain. The nurse should explain that to promote bowel rest the client should expect to receive:

1. intravenous corticosteroids.
2. total parenteral nutrition (TPN) for 2 weeks.
3. nothing by mouth (NPO) for several days.
4. a nasogastric tube

Question 2

A client recovering from a small bowel resection is experiencing gas and abdominal distention. The nurse should plan care for the client based on the knowledge that postoperative gas pain occurs as a result of:

1. inflammation of the bowel at the site of the anastomosis.
2. impaired peristalsis.
3. hyper-motility of the bowel.
4. nasogastric suctioning.

apple · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Intermittent doses of corticosteroids may be given.
2. During an acute exacerbation, TPN is given to provide nutritional support while the bowel is rested.
3. Being NPO for several days without another form of nutritional support is not recommended.
4. An NG tube is not necessary.

Answer to Question 2

Answer: 2

1. Inflammation at the anastomosis site causes pain.
2. The effect of anesthesia and manipulation of the bowel decrease peristalsis, causing gas and distention postoperatively. Bowel motility will be decreased.
3. The effect of anesthesia and manipulation of the bowel decrease peristalsis, causing gas and distention postoperatively. Bowel motility will be decreased.
4. The NG tube does not cause the gas, but is needed until bowel motility resumes.