Author Question: A client has been diagnosed with inflammatory bowel disease (IBD). The nurse anticipates that the ... (Read 58 times)

sheilaspns · **on:** Jul 23, 2018

A client has been diagnosed with inflammatory bowel disease (IBD). The nurse anticipates that the health care provider may prescribe a drug in which category to treat this disorder?

1. Symptom-targeted therapy, antidepressants, and antianxiety drugs
2. 5-aminosalicylic acid (5-ASA) agents, immunosuppressive agents, and biologic therapies
3. Antispasmodics, serotonin agents, and biologic therapies
4. 5-aminosalicylic acid (5-ASA) agents, symptom-targeted therapy, and antianxiety agents

Question 2

The nurse is caring for a group of clients on a medicalsurgical unit. Which clients would the nurse assess as predisposed to constipation?

Standard Text: Select all that apply.
1. A client who is 85 years old
2. A client with a bacterial infection
3. A client with a history of malabsorption
4. A client with a sedentary lifestyle
5. A client with decreased food intake

recede · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Symptom-targeted therapy, antidepressants, and antianxiety drugs are used to treat irritable bowel syndrome (IBS).
Rationale 2: The pharmacotherapy for inflammatory bowel disease (IBD) includes 5-aminosalicylic acid (5-ASA) agents, immunosuppressive agents, and biologic therapies.
Rationale 3: Antispasmodics and serotonin agents are used to treat irritable bowel syndrome (IBS).
Rationale 4: 5-aminosalicylic acid (5-ASA) agents are used to treat inflammatory bowel disorder (IBD). Symptom-targeted therapy and antianxiety agents are used to treat irritable bowel syndrome (IBS).
Global Rationale: The pharmacotherapy for inflammatory bowel disease (IBD) includes 5-aminosalicylic acid (5-ASA) agents, immunosuppressive agents, and biologic therapies. Symptom-targeted therapy, antidepressants, and antianxiety drugs are used to treat irritable bowel syndrome (IBS). Antispasmodics and serotonin agents are used to treat irritable bowel syndrome (IBS).

Answer to Question 2

Correct Answer: 1,4,5
Rationale 1: Aging slows fecal transit time, which may result in constipation.
Rationale 2: Infections can contribute to diarrhea.
Rationale 3: Malabsorption can contribute to diarrhea.
Rationale 4: Physical activity aids with peristalsis. A sedentary lifestyle could contribute to constipation.
Rationale 5: Decreased food intake can decrease the bulk of stool and contribute to constipation.
Global Rationale: Constipation occurs more frequently in older adults because fecal transit time through the colon slows with aging. This population also exercises less, has diminished food intake, and is more likely to take certain drugs that cause constipation at a higher rate than in younger adults. Infections and malabsorption are more likely to result in diarrhea.