A patient with irritable bowel syndrome asks the nurse, Why did ...

[Caiter2013]

A patient with irritable bowel syndrome asks the nurse, Why did the doctor order something for depression? How should the nurse respond?
 
  1. Didn't the doctor tell you that you are depressed?
  2. Depression can be caused by irritable bowel syndrome.
  3. Did the doctor not give you an opportunity to ask questions?
  4. These medications help with the symptoms associated with your bowel problem.

Question 2

The nurse is providing care to a patient admitted with acute diarrhea. What intervention would assist in this patient's care?
 
  1. Provide a normal diet as tolerated.
  2. Hold all medications until the diarrhea stops.
  3. Provide clear liquids in small amounts.
  4. Encourage normal activities of daily living in the hospital room.

[Jadwiga9]

Answer to Question 1

Correct Answer: 4
Antidepressant drugs, including tricyclics and selective serotonin reuptake inhibitors (SSRIs), may help relieve abdominal pain associated with IBS. There is no indication the patient is depressed. Bowel disorders do not usually cause depression. The patient is asking for clarification, and asking whether the doctor provided the opportunity to ask questions does not address the patient's concern.

Answer to Question 2

Correct Answer: 3
Fluid replacement is of primary importance in managing the patient with diarrhea. Solid food is withheld in the first 24 hours of acute diarrhea to rest the bowel. The nurse should provide antidiarrheal medication as prescribed. Because of the potential for orthostatic hypotension, this patient should be instructed to move slowly and not engage in normal activities of daily living until the blood pressure is assessed.

[Caiter2013]

TYSM

[isabelt_18]

Gracias!