Irritable bowel syndrome

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Question 1: A client asks the nurse about the cause of Irritable Bowel Syndrome (IBS). How should the nurse respond?

Explanation

A) Incorrect. While structural abnormalities can contribute to gastrointestinal disorders, IBS is not primarily caused by such abnormalities.

B) Correct. The exact cause of IBS is unknown, but it is believed to be a multifactorial condition involving abnormal gut motility, heightened visceral sensitivity, and other factors. Psychological and genetic factors may also play a role.

C) Incorrect. While psychological factors can exacerbate symptoms in some individuals with IBS, they are not the sole cause of the condition.

D) Incorrect. While bacterial infections can lead to similar symptoms, IBS is not primarily caused by infections.


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Question 2: A nurse is providing education to a client newly diagnosed with Irritable Bowel Syndrome (IBS). What key feature of IBS should the nurse explain to the client?

Explanation

A) Incorrect. IBS is a chronic condition, but it does not progress to serious complications or structural damage in the intestines.

B) Correct. IBS is a chronic condition characterized by recurrent abdominal pain, along with changes in bowel habits such as diarrhea, constipation, or both. It does not lead to serious structural damage in the intestines.

C) Incorrect. IBS is a chronic condition, and while it can be managed, it does not have a cure.

D) Incorrect. IBS primarily affects the lower gastrointestinal tract, particularly the colon, and does not primarily involve the esophagus.


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Question 3: A client with Irritable Bowel Syndrome (IBS) asks the nurse about potential triggers for IBS symptoms. How should the nurse respond?

Explanation

A) Incorrect. Both diet and stress can be significant triggers for IBS symptoms in many individuals.

B) Correct. Dietary factors, including specific foods and beverages, as well as stress, are common triggers for IBS symptoms. Identifying and managing these triggers is an important aspect of IBS management.

C) Incorrect. While physical activity levels can influence IBS symptoms, it is not the only trigger. In fact, moderate exercise is generally recommended for individuals with IBS.

D) Incorrect. While environmental factors can influence health, they are not typically considered primary triggers for IBS symptoms.


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Question 4: A nurse is explaining the subtypes of Irritable Bowel Syndrome (IBS) to a client. What are the main subtypes of IBS based on predominant bowel habits?

Explanation

A) Correct. The main subtypes of IBS are based on predominant bowel habits: diarrhea-predominant, constipation-predominant, and mixed (alternating between diarrhea and constipation).

B) Incorrect. These options refer to different types of gastrointestinal disorders (Ulcerative Colitis, Crohn's Disease, and Diverticular Disease) rather than subtypes of IBS.

C) Incorrect. These options refer to various types of gastrointestinal inflammation (Gastritis, Duodenitis, and Esophagitis) but are not subtypes of IBS.

D) Incorrect. These options refer to different categories of gastrointestinal disorders but are not subtypes of IBS.


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Question 5: A client with Irritable Bowel Syndrome (IBS) asks the nurse about the role of stress in exacerbating their symptoms. How should the nurse respond?

Explanation

A) Incorrect. Stress can indeed impact IBS symptoms, often exacerbating them, so managing stress levels is important for individuals with IBS.

B) Correct. Stress can have a significant impact on IBS symptoms. Practicing stress management techniques can help reduce the frequency and severity of flare-ups.

C) Incorrect. Stress can have physical effects on the body, and it can exacerbate symptoms in individuals with IBS.

D) Incorrect. Stress management techniques can be effective in managing IBS symptoms, particularly in reducing the frequency and severity of flare-ups.


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Question 6: A client asks the nurse about potential risk factors for developing Irritable Bowel Syndrome (IBS). How should the nurse respond?

Explanation

A) Incorrect. While IBS can affect anyone, there are indeed specific risk factors associated with its development.

B) Correct. There are several known risk factors for developing IBS, including a history of gastrointestinal infections (such as bacterial gastroenteritis) and certain mental health conditions like anxiety and depression.

C) Incorrect. While there may be a genetic component to IBS, it is not exclusively genetic, and other factors play a role in its development.

D) Incorrect. Consuming a high-fiber diet is not considered a primary risk factor for IBS. In fact, dietary factors are more commonly associated with triggering symptoms in individuals who already have IBS.


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Question 7: A nurse is providing education to a client newly diagnosed with Irritable Bowel Syndrome (IBS). The client has a history of anxiety and depression. How should the nurse explain the potential link between mental health conditions and IBS?

Explanation

A) Incorrect. There is indeed a known connection between mental health conditions and the development of IBS.

B) Correct. There is a known link between mental health conditions, particularly anxiety and depression, and the development of IBS. The exact mechanism is not fully understood, but it may involve alterations in gut-brain communication.

C) Incorrect. While managing anxiety and depression can potentially help improve symptoms in individuals with IBS, mental health conditions do not directly cause IBS.

D) Incorrect. The link between mental health conditions and IBS is supported by scientific research, and it is not considered coincidental.


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Question 8: A client with a history of gastrointestinal infections asks the nurse about their risk of developing Irritable Bowel Syndrome (IBS). How should the nurse respond?

Explanation

A) Incorrect. A history of gastrointestinal infections, especially bacterial gastroenteritis, is indeed associated with an increased risk of developing IBS.

B) Correct. Gastrointestinal infections, particularly bacterial gastroenteritis, have been linked to an increased risk of developing IBS. This is a known risk factor.

C) Incorrect. Both viral and bacterial gastrointestinal infections have been associated with an increased risk of developing IBS.

D) Incorrect. There is a known connection between gastrointestinal infections, especially bacterial gastroenteritis, and the development of IBS.


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Question 9: A nurse is discussing potential risk factors for developing Irritable Bowel Syndrome (IBS) with a client. The client mentions that several family members also have IBS. How should the nurse respond regarding the genetic component of IBS?

Explanation

A) Incorrect. There appears to be a genetic component to IBS, so family history can be relevant in understanding a client's risk.

B) Correct. While the exact genetic mechanisms are not fully understood, there does appear to be a genetic component to IBS. Having family members with the condition may increase an individual's risk.

C) Incorrect. While environmental factors can influence IBS, there is also a genetic component to consider.

D) Incorrect. While environmental factors can contribute to the development of IBS, there is a known genetic component as well.


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Question 10: A client asks the nurse if age is a significant risk factor for developing Irritable Bowel Syndrome (IBS). How should the nurse respond?

Explanation

A) Incorrect. IBS can develop at any age, and it is not primarily associated with older individuals.

B) Correct. While IBS can develop at any age, it is more commonly diagnosed in younger adults. However, it can also occur in older adults.

C) Incorrect. IBS can affect individuals of all ages, including adults.

D) Incorrect. While age is a factor, IBS can develop in individuals of various age groups, not exclusively in one particular demographic.


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Question 11: A client asks the nurse about the underlying cause of Irritable Bowel Syndrome (IBS). How should the nurse respond?

Explanation

A) Incorrect. While structural abnormalities can contribute to gastrointestinal disorders, IBS is not primarily caused by such abnormalities.

B) Correct. The exact cause of IBS is not fully understood, but it is believed to be a multifactorial condition involving altered gut motility, heightened visceral sensitivity, and dysfunction in the communication between the brain and gut.

C) Incorrect. While bacterial infections can lead to similar symptoms, IBS is not primarily caused by infections.

D) Incorrect. While psychological factors can exacerbate symptoms in some individuals with IBS, they are not the sole cause of the condition.


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Question 12: A nurse is explaining the underlying mechanisms of Irritable Bowel Syndrome (IBS) to a client. Which of the following best describes a key aspect of IBS pathophysiology?

Explanation

A) Incorrect. While inflammation may be present in some cases, it is not the primary mechanism of IBS.

B) Correct. One of the key aspects of IBS pathophysiology is abnormal gut motility, which can lead to symptoms like abdominal pain and alterations in bowel habits.

C) Incorrect. While bacterial overgrowth may be a factor in some gastrointestinal disorders, it is not the main cause of IBS.

D) Incorrect. While psychological factors can influence symptoms, IBS has a physical basis involving alterations in gut motility and sensitivity.


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Question 13: A client with Irritable Bowel Syndrome (IBS) asks the nurse about the role of visceral hypersensitivity in their condition. How should the nurse explain it?

Explanation

A) Incorrect. Visceral hypersensitivity is not related to an increased susceptibility to bacterial infections.

B) Correct. Visceral hypersensitivity in IBS means that the gut is more sensitive, leading to an increased perception of pain and discomfort from normal gut activities.

C) Incorrect. While inflammation may be present in some cases of IBS, it is not the primary definition of visceral hypersensitivity.

D) Incorrect. IBS has a physical basis, and visceral hypersensitivity is one aspect of its pathophysiology, not solely a psychological condition.


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Question 14: A nurse is discussing the role of the brain-gut axis in Irritable Bowel Syndrome (IBS) with a client. What is the significance of the brain-gut axis in IBS pathophysiology?

Explanation

A) Incorrect. The brain-gut axis is indeed relevant to IBS and plays a significant role in its pathophysiology.

B) Correct. The brain-gut axis refers to the bidirectional communication between the central nervous system (brain) and the enteric nervous system (gut). In IBS, this interaction is complex and can influence gut motility, sensitivity, and overall symptom experience.

C) Incorrect. While the brain-gut axis is important, its primary impact in IBS is not related to nutrient absorption.

D) Incorrect. The brain-gut axis is relevant in various gastrointestinal disorders, including IBS, and is not limited to severe psychological disorders.


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Question 15: A client with Irritable Bowel Syndrome (IBS) asks the nurse about the role of psychological factors in their condition. How should the nurse explain it?

Explanation

A) Incorrect. Psychological factors can indeed impact IBS, playing a role in both symptom exacerbation and, in some cases, the development of the condition.

B) Correct. While IBS has a physical basis, psychological factors can play a significant role in exacerbating symptoms and may contribute to the development of the condition in certain individuals.

C) Incorrect. While psychological factors can contribute to IBS, they are not the sole cause of the condition.

D) Incorrect. IBS has a physical basis, and psychological factors are one aspect of its complex pathophysiology. They are not the exclusive cause of the condition.


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Question 16: A client with suspected Irritable Bowel Syndrome (IBS) asks the nurse about common symptoms. How should the nurse respond?

Explanation

A) Incorrect. The symptoms listed, including fever and bloody diarrhea, are not typically associated with IBS. These symptoms may suggest a different gastrointestinal condition.

B) Correct. Common symptoms of IBS include abdominal pain or discomfort, bloating, and alterations in bowel habits, such as diarrhea, constipation, or a combination of both.

C) Incorrect. Symptoms like jaundice, nausea, and vomiting are not characteristic of IBS. They may be indicative of other gastrointestinal disorders.

D) Incorrect. Weight loss and a decreased appetite are not primary symptoms of IBS. These may suggest a different underlying condition.


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Question 17: A nurse is discussing common symptoms of Irritable Bowel Syndrome (IBS) with a client. Which of the following statements accurately describes a characteristic symptom of IBS?

Explanation

A) Incorrect. While abdominal pain is a common symptom of IBS, it is not typically described as severe and constant. Additionally, abdominal pain in IBS may be relieved after a bowel movement.

B) Correct. A characteristic symptom of IBS is that individuals often experience relief from abdominal pain after having a bowel movement.

C) Incorrect. Significant weight loss and malnutrition are not typical features of IBS. These symptoms may suggest a different underlying condition.

D) Incorrect. The presence of blood in the stool is not a characteristic symptom of IBS. This may indicate a different gastrointestinal disorder.


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Question 18: A client with a suspected diagnosis of Irritable Bowel Syndrome (IBS) asks the nurse about the nature of abdominal pain associated with the condition. How should the nurse respond?

Explanation

A) Incorrect. Abdominal pain in IBS is typically described as crampy or spasmodic, not constant and severe. Additionally, it is not limited to the lower right quadrant.

B) Correct. The abdominal pain associated with IBS is often described as crampy or spasmodic and is usually located in the lower abdomen.

C) Incorrect. IBS-related abdominal pain is not typically described as sharp and stabbing, and it is not usually felt in the upper abdomen.

D) Incorrect. Abdominal pain is indeed a significant symptom of IBS, and it is often described as crampy or spasmodic, not primarily associated with nausea and vomiting.


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Question 19: A nurse is providing education to a client with newly diagnosed Irritable Bowel Syndrome (IBS). The client asks about the relationship between stress and IBS symptoms. How should the nurse respond?

Explanation

A) Incorrect. Stress can indeed impact IBS symptoms, exacerbating abdominal pain and altering bowel habits.

B) Correct. Stress is known to exacerbate IBS symptoms, leading to increased abdominal pain and changes in bowel habits.

C) Incorrect. While stress can influence IBS symptoms, it is not the sole cause of the condition. IBS has a complex multifactorial etiology.

D) Incorrect. IBS symptoms are influenced by various factors, including stress, but they are not solely related to dietary factors.


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Question 20: A client with Irritable Bowel Syndrome (IBS) asks the nurse about the consistency of bowel movements associated with the condition. How should the nurse respond?

Explanation

A) Incorrect. While constipation can be a symptom of IBS (specifically IBS-C, or constipation-predominant IBS), it is not the only presentation. Other forms of IBS may involve loose, watery stools.

B) Correct. IBS can be characterized by loose, watery stools and frequent bowel movements, particularly in cases of diarrhea-predominant IBS (IBS-D).

C) Incorrect. Constipation can be a symptom of IBS, particularly in cases of constipation-predominant IBS (IBS-C).

D) Incorrect. Bloody stools are not a characteristic symptom of IBS. This may suggest a different gastrointestinal condition.


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Question 21: A client asks the nurse about the common diagnostic tests for Irritable Bowel Syndrome (IBS). How should the nurse respond?

Explanation

A) Incorrect. Imaging studies like CT scans and MRI are not typically used to diagnose IBS. They may be done to rule out other conditions with similar symptoms.

B) Correct. The diagnosis of IBS is primarily based on clinical criteria, including the presence of characteristic symptoms, and a thorough medical history. There are no specific diagnostic tests for IBS.

C) Incorrect. While a colonoscopy may be performed to rule out other gastrointestinal conditions, it is not considered a specific diagnostic test for IBS.

D) Incorrect. Blood tests are not the primary diagnostic tool for IBS. They may be used to rule out other conditions or to check for signs of inflammation.


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Question 22: A nurse is explaining the diagnostic process for Irritable Bowel Syndrome (IBS) to a client. What is an important aspect to consider regarding diagnostic tests for IBS?

Explanation

A) Incorrect. Diagnostic tests for IBS do not primarily focus on identifying specific structural abnormalities in the intestines, as IBS is a functional disorder.

B) Correct. There is no specific test that definitively diagnoses IBS. Instead, it relies on clinical criteria, including the presence of characteristic symptoms and a thorough medical history.

C) Incorrect. While blood tests may be used to rule out other conditions, there is no specialized blood test that definitively diagnoses IBS.

D) Incorrect. Specialized imaging studies like PET scans are not typically used in the diagnosis of IBS. They may be performed to rule out other conditions.


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Question 23: A client asks the nurse if a specific blood test can confirm the diagnosis of Irritable Bowel Syndrome (IBS). How should the nurse respond?

Explanation

A) Incorrect. While blood tests may be used to rule out other conditions, there is no specialized blood test that definitively diagnoses IBS.

B) Correct. There is no specific blood test that definitively diagnoses IBS. Diagnosis is based on clinical criteria, including the presence of characteristic symptoms and a thorough medical history.

C) Incorrect. A standard complete blood count (CBC) is a general blood test and is not specific to diagnosing IBS.

D) Incorrect. There is no specific genetic marker blood test for diagnosing IBS. Diagnosis relies on clinical criteria and medical history.


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Question 24: A nurse is discussing diagnostic tests for Irritable Bowel Syndrome (IBS) with a client. What is an example of a test that may be performed to rule out other conditions with similar symptoms?

Explanation

A) Incorrect. There is no specialized genetic test for diagnosing IBS.

B) Correct. A colonoscopy is a diagnostic procedure that allows for direct visualization of the intestines, which can help rule out structural abnormalities or other gastrointestinal conditions with similar symptoms.

C) Incorrect. While bacterial infections can lead to similar symptoms, there is no specific test for bacterial infections associated with IBS.

D) Incorrect. While MRI may be used in certain cases to assess intestinal motility, it is not a primary diagnostic test for IBS and may not be performed in all cases.


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Question 25: A client with suspected Irritable Bowel Syndrome (IBS) asks the nurse about the role of diagnostic imaging tests in confirming the diagnosis. How should the nurse respond?

Explanation

A) Incorrect. Imaging tests like CT scans and MRI are not the primary diagnostic tools for IBS. They may be used to rule out other conditions with similar symptoms.

B) Correct. Diagnostic imaging tests may be used to rule out other conditions that mimic the symptoms of IBS, but they are not specific to diagnosing IBS. Diagnosis of IBS relies on clinical criteria.

C) Incorrect. An ultrasound is not the definitive imaging test for confirming IBS.

D) Incorrect. While specialized endoscopic procedures may be performed to rule out other conditions, they are not required to definitively diagnose IBS. Diagnosis is based on clinical criteria and medical history.


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Question 26: A client with Irritable Bowel Syndrome (IBS) asks the nurse about dietary recommendations. How should the nurse respond?

Explanation

A) Incorrect. While certain types of fiber can exacerbate symptoms in some individuals, it is not recommended to completely avoid all types of fiber. Soluble fiber, found in fruits and vegetables, can be beneficial for individuals with IBS.

B) Correct. Maintaining a well-balanced diet with a focus on soluble fiber, fruits, and vegetables can help manage IBS symptoms.

C) Incorrect. While some individuals may find relief from liquid diets, it is not a general recommendation for managing IBS. A well-balanced diet is preferred.

D) Incorrect. Eliminating all carbohydrates from the diet is not a recommended approach for managing IBS. It is important to have a balanced diet.


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Question 27: A nurse is providing education to a client with Irritable Bowel Syndrome (IBS) about lifestyle modifications. What should the nurse emphasize as an important aspect of managing IBS?

Explanation

A) Incorrect. Regular physical activity and exercise are generally recommended for individuals with IBS, as they can help improve symptoms.

B) Correct. Stress management techniques, such as deep breathing exercises and mindfulness, can be beneficial in managing IBS symptoms. Stress can exacerbate IBS symptoms, so learning techniques to manage stress can be helpful.

C) Incorrect. Avoiding social interaction and isolating oneself is not a recommended approach for managing IBS. Maintaining social connections can contribute to overall well-being.

D) Incorrect. Skipping meals and intermittent fasting are not recommended strategies for managing IBS. It is important to have regular, balanced meals to support digestive health.


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Question 28: A client with Irritable Bowel Syndrome (IBS) asks the nurse about the role of probiotics in managing symptoms. How should the nurse respond?

Explanation

A) Incorrect. Probiotics have shown promise in managing IBS symptoms, particularly strains like Bifidobacteria and Lactobacilli. While not every individual may experience benefits, they can be a helpful addition for some.

B) Correct. Probiotics, especially those containing Bifidobacteria and Lactobacilli strains, have been studied for their potential to alleviate some IBS symptoms. While not a universal solution, they can be a beneficial addition for some individuals.

C) Incorrect. Probiotics can be beneficial for various subtypes of IBS, not limited solely to IBS with constipation.

D) Incorrect. High-dose probiotics are not universally recommended for all individuals with IBS. The choice of probiotic and dosage should be individualized based on the specific needs of the client.


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Question 29: A nurse is discussing dietary modifications with a client who has Irritable Bowel Syndrome (IBS). What should the nurse advise regarding caffeine and alcohol consumption?

Explanation

A) Correct. It is generally recommended to completely avoid caffeine and alcohol, as they can exacerbate symptoms in individuals with IBS.

B) Incorrect. While moderation is key for many aspects of diet, caffeine and alcohol can be particularly problematic for individuals with IBS, and complete avoidance is often recommended.

C) Incorrect. Caffeine should be eliminated from the diet, and complete avoidance of alcohol is generally recommended for managing IBS.

D) Incorrect. While eliminating alcohol is generally recommended for individuals with IBS, complete avoidance of caffeine is also advised, as it can exacerbate symptoms.


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Question 30: A client with Irritable Bowel Syndrome (IBS) asks the nurse about the role of stress management techniques in symptom management. How should the nurse respond?

Explanation

A) Incorrect. Stress management techniques, such as deep breathing exercises and mindfulness, can be very beneficial in reducing and managing IBS symptoms. Stress can exacerbate IBS symptoms, so learning techniques to manage stress can be helpful.

B) Correct. Stress management techniques can be very beneficial in reducing and managing IBS symptoms. Stress can exacerbate IBS symptoms, so learning techniques to manage stress can be helpful.

C) Incorrect. Stress management techniques are beneficial for individuals with various subtypes of IBS, not limited to IBS-D (diarrhea-predominant).

D) Incorrect. Stress management techniques are an important aspect of managing IBS and should be considered regardless of the effectiveness of dietary modifications. They can complement other strategies for symptom management.


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Question 31: A client with Irritable Bowel Syndrome (IBS) asks the nurse about self-care strategies to manage symptoms. How should the nurse respond?

Explanation

A) Incorrect. Increasing stress levels is not a recommended approach for managing IBS symptoms. Instead, stress reduction techniques are advised.

B) Correct. Regular exercise can help improve bowel function and reduce stress, both of which can benefit individuals with IBS. It's important to engage in moderate, regular physical activity.

C) Incorrect. Avoiding all forms of physical activity is not recommended for managing IBS. Regular, moderate exercise can be beneficial.

D) Incorrect. While cardiovascular workouts can be part of a balanced exercise routine, they should not be the sole focus, and other forms of exercise should also be considered.


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Question 32: A nurse is providing education to a client with Irritable Bowel Syndrome (IBS) who experiences diarrhea-predominant symptoms. What dietary recommendation should the nurse emphasize for this client?

Explanation

A) Incorrect. Insoluble fiber can exacerbate diarrhea-predominant symptoms in individuals with IBS. Emphasis should be on soluble fiber sources.

B) Correct. Limiting intake of gas-producing foods like beans and cruciferous vegetables can help manage diarrhea in individuals with IBS. These foods can contribute to increased gas and bloating.

C) Incorrect. Consuming large quantities of high-fat foods is not a recommended approach for managing diarrhea-predominant symptoms in individuals with IBS.

D) Incorrect. Increasing caffeine intake is not recommended for managing diarrhea in individuals with IBS, as it can exacerbate symptoms.


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Question 33: A client with Irritable Bowel Syndrome (IBS) asks the nurse about the role of probiotics in managing symptoms. How should the nurse respond?

Explanation

A) Incorrect. Certain probiotics, particularly those containing Bifidobacteria and Lactobacilli strains, have been studied for their potential to alleviate some IBS symptoms.

B) Correct. Certain probiotics, particularly those containing Bifidobacteria and Lactobacilli strains, have been studied for their potential to alleviate some IBS symptoms. While not a universal solution, they can be a beneficial addition for some individuals.

C) Incorrect. Probiotics can be beneficial for various subtypes of IBS, not limited solely to IBS-C (constipation-predominant).

D) Incorrect. High-dose probiotics are not universally recommended for all individuals with IBS. The choice of probiotic and dosage should be individualized based on the specific needs of the client.


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Question 34: A nurse is discussing dietary modifications with a client who has Irritable Bowel Syndrome (IBS). What should the nurse advise regarding caffeine and alcohol consumption?

Explanation

A) Correct. It is generally recommended to completely avoid caffeine and alcohol, as they can exacerbate symptoms in individuals with IBS.

B) Incorrect. While moderation is key for many aspects of diet, caffeine and alcohol can be particularly problematic for individuals with IBS, and complete avoidance is often recommended.

C) Incorrect. Caffeine should be eliminated from the diet

, and complete avoidance of alcohol is generally recommended for managing IBS.

D) Incorrect. While eliminating alcohol is generally recommended for individuals with IBS, complete avoidance of caffeine is also advised, as it can exacerbate symptoms.


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Question 35: A client with Irritable Bowel Syndrome (IBS) asks the nurse about the role of stress management techniques in symptom management. How should the nurse respond?

Explanation

A) Incorrect. Stress management techniques, such as deep breathing exercises and mindfulness, can be very beneficial in reducing and managing IBS symptoms. Stress can exacerbate IBS symptoms, so learning techniques to manage stress can be helpful.

B) Correct. Stress management techniques can be very beneficial in reducing and managing IBS symptoms. Stress can exacerbate IBS symptoms, so learning techniques to manage stress can be helpful.

C) Incorrect. Stress management techniques are beneficial for individuals with various subtypes of IBS, not limited to IBS-D (diarrhea-predominant).

D) Incorrect. Stress management techniques are an important aspect of managing IBS and should be considered regardless of the effectiveness of dietary modifications. They can complement other strategies for symptom management.


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