A patient who is newly diagnosed with short bowel syndrome asks, ...

[newbem]

A patient who is newly diagnosed with short bowel syndrome asks, Now what do I need to do? I'm so tired of being sick. How should the nurse respond to this patient?
 
  1. Dealing with this problem will be difficult in the beginning.
  2. Sometimes minor diet changes will alleviate the problem.
  3. I think more surgery is in your future.
  4. Short bowel syndrome is a long-term challenge.

Question 2

A patient with Crohn disease is recovering from a bowel resection. What does the nurse realize will most likely occur in this patient?
 
  1. The patient will never have another recurrence of the disease.
  2. The patient will possibly have a recurrence in another portion of the bowel.
  3. The patient will develop ulcerative colitis.
  4. The patient will experience intestinal strictures.

[whitcassie]

Answer to Question 1

Correct Answer: 2
Management of short bowel syndrome focuses on alleviating symptoms. Patients often simply require frequent, small, high-kilocalorie, and high-protein feedings. Advising the patient there will initially be difficulty promotes negativity and may not be correct information. Surgery is not utilized to manage short bowel syndrome. The patient is seeking information related to the management of the condition. Advising the patient it will be a life-long challenge does not address their verbalized concerns.

Answer to Question 2

Correct Answer: 2
The disease process for Crohn disease tends to recur in other areas following removal of affected bowel segments. The processes involving Crohn disease and ulcerative colitis are different. There is no increased risk for the development of intestinal strictures.

[newbem]

Thank you

[whitcassie]

No problemo