Author Question: After learning that a patient has abdominal pain that occurs at least 3 days per month over the last ... (Read 23 times)

codyclark · **on:** Jun 25, 2018

After learning that a patient has abdominal pain that occurs at least 3 days per month over the last 3 months, the nurse suspects that a patient is experiencing irritable bowel syndrome. What findings did the nurse use to make this clinical decision?

Select all that apply.

1. abdominal pain that is relieved by eating
2. abdominal pain that improves with defecation
3. abdominal pain that is associated with a change in stool form
4. abdominal pain that is associated with a change in bowel frequency
5. abdominal pain that improves with physical activity and limiting food intake

Question 2

A patient with chronic diarrhea has been advised by the healthcare provider to avoid foods containing sorbitol and mannitol. What should the nurse instruct the patient to avoid consuming for this health problem?

Select all that apply.

1. mints
2. honey
3. pear juice
4. apple juice
5. orange juice

Tabitha_2016 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 4
Irritable bowel syndrome is diagnosed based on the presence of abdominal pain or discomfort at least 3 days per month in the past 3 months that has at least two of the following characteristics: (1) improved with defecation, (2) associated with a change in frequency of elimination, (3) or associated with a change in stool form. Abdominal pain that is relieved by eating is not a characteristic of irritable bowel syndrome. Abdominal pain that improves with physical activity and limiting food intake is not characteristic of irritable bowel syndrome.

Answer to Question 2

Correct Answer: 1, 3, 4
Apple and pear juice and mints may contain sorbitol or mannitol, which are sugars that are not absorbed and can cause osmotic draw, increasing diarrhea. Orange juice is not identified as a food item that aggravates chronic diarrhea.