In a client with Crohn's disease, which of the following symptoms should not be a direct result from antibiotic therapy?

Correct Answer: C

Rationale: In a client with Crohn's disease, the correct answer for the symptom that should not be a direct result of antibiotic therapy is option C) Decrease in body weight. Crohn's disease is a chronic inflammatory condition that affects the gastrointestinal tract, leading to symptoms such as abdominal pain, diarrhea, weight loss, and malnutrition. Antibiotic therapy is often used to manage infections or complications in Crohn's disease, but it is not primarily aimed at causing weight loss. Option A) Decrease in bleeding is incorrect because antibiotics can help resolve infections that may be contributing to gastrointestinal bleeding in Crohn's disease. Option B) Decrease in temperature is incorrect as antibiotics can help reduce fever associated with infections. Option D) Decrease in the number of stools is incorrect because antibiotics can help improve diarrhea by treating underlying infections or inflammation in Crohn's disease. From an educational perspective, understanding the expected outcomes of antibiotic therapy in Crohn's disease is essential for nurses caring for these patients. By knowing the appropriate responses to treatment, nurses can monitor and evaluate the effectiveness of interventions and provide comprehensive care to promote positive patient outcomes. Additionally, differentiating between expected and unexpected responses to therapy helps nurses identify potential complications and adjust the plan of care accordingly.

Correct Answer: A

Rationale: In the context of irritable bowel disease (IBD), the most appropriate medication for treating associated pain is Acetaminophen (Option A). Acetaminophen is preferred over other options for several reasons. Firstly, it is a non-opioid analgesic that helps relieve pain without causing the potential risks and side effects associated with opiates (Option B), such as respiratory depression, constipation, and the risk of dependence. Steroids (Option C) are not typically used for treating pain in IBD; they are more commonly used for reducing inflammation in conditions like Crohn's disease or ulcerative colitis. Stool softeners (Option D) are primarily used to prevent or treat constipation and do not directly address pain associated with IBD. Educationally, understanding the rationale behind selecting Acetaminophen for pain management in IBD is crucial for nursing students. It reinforces the importance of selecting appropriate analgesics based on the patient's condition, potential side effects, and overall treatment goals. This knowledge helps students develop critical thinking skills in pharmacology and patient care, ensuring safe and effective pain management practices in clinical settings.

Correct Answer: D

Rationale: In the context of recovery from ostomy surgery for ulcerative colitis, the first priority of client care should be skin care (option D). This is because proper skin care around the stoma is crucial to prevent skin breakdown, irritation, and infection which are common issues in ostomy patients. Maintaining skin integrity is essential for the overall well-being and comfort of the patient. Regarding why the other options are not the first priority: - Body image (option A): While body image is important for a patient's psychosocial well-being, immediate post-operative care should focus on physiological needs like skin care to prevent complications. - Ostomy care (option B): While important, the question specifies "during the first few days of recovery," where skin care takes precedence over routine ostomy care. - Sexual concerns (option C): While sexuality and intimacy are important aspects of a patient's life, they are not the immediate priority in the early days of post-operative care. In an educational context, understanding the prioritization of care based on the patient's immediate needs post-surgery is crucial for nursing students and healthcare professionals. Emphasizing the importance of skin care in ostomy patients can prevent complications and promote better outcomes for patients undergoing such surgeries.

Correct Answer: D

Rationale: In the context of medical-surgical nursing, understanding the association between colon cancer and various gastrointestinal conditions is crucial for providing quality patient care. In this scenario, the correct answer is option D: Ulcerative colitis. Ulcerative colitis is a chronic inflammatory bowel disease that primarily affects the colon and rectum. Patients with ulcerative colitis have an increased risk of developing colon cancer due to the chronic inflammation and changes that occur in the lining of the colon over time. This association underscores the importance of regular monitoring and surveillance for colon cancer in patients with ulcerative colitis. Now, let's discuss why the other options are incorrect: A) Appendicitis: Appendicitis is inflammation of the appendix, which is a different anatomical structure than the colon. It is not directly associated with an increased risk of colon cancer. B) Hemorrhoids: Hemorrhoids are swollen blood vessels in the rectum and anus. While they can cause discomfort and bleeding, they are not linked to an increased risk of colon cancer. C) Hiatal hernia: A hiatal hernia involves the protrusion of the stomach through the diaphragm into the chest cavity. This condition affects the upper gastrointestinal tract and is not related to colon cancer. Educationally, understanding these associations helps nurses in assessing and educating patients about their gastrointestinal health. It highlights the importance of thorough patient history-taking, symptom assessment, and recognizing risk factors for gastrointestinal conditions, including colon cancer. This knowledge empowers nurses to provide comprehensive care and support to patients with gastrointestinal issues.

Correct Answer: A

Rationale: In the context of medical-surgical nursing and gastrointestinal health, understanding the relationship between diet and colon cancer is crucial. The correct answer, A) Low-fiber, high fat, is most commonly associated with colon cancer for several reasons. A diet low in fiber and high in fat can lead to constipation and prolonged exposure of the colon to carcinogens present in the stool, increasing the risk of colon cancer development. Option B) Low-fat, high-fiber is actually a more favorable diet for colon health. High-fiber diets promote regular bowel movements and help to remove toxins from the body, reducing the risk of colon cancer. Option C) Low-protein, high-carbohydrate and Option D) Low carbohydrate, high protein are not directly linked to an increased risk of colon cancer. While a balanced intake of protein and carbohydrates is important for overall health, it is the low-fiber, high-fat diet that is particularly problematic in the context of colon cancer. Educationally, this question highlights the importance of nutritional factors in the development of gastrointestinal diseases such as colon cancer. Nurses need to be able to educate patients on the significance of a balanced diet rich in fiber and low in unhealthy fats to promote colon health and reduce the risk of colorectal cancer. Understanding these dietary relationships empowers nurses to provide evidence-based dietary guidance to their patients for optimal health outcomes.