Priority Decision: When caring for a patient with irritable bowel syndrome (IBS), what is most important for the nurse to do?

Correct Answer: B

Rationale: Rationale: 1. Building a trusting relationship is crucial for patients with IBS to provide emotional support. 2. Trust enables effective communication and understanding of the patient's symptoms. 3. Trust fosters adherence to treatment plans and promotes better outcomes. 4. Symptomatic care helps manage IBS symptoms and improve the patient's quality of life. Summary: - Choice A is incorrect because IBS is a real medical condition, not just psychogenic. - Choice C is incorrect as fiber intake may worsen symptoms for some IBS patients. - Choice D is incorrect because medication effectiveness varies, and not all patients may benefit.

Correct Answer: C

Rationale: The correct answer is C: Anorexia and right upper quadrant discomfort. During the incubation period of viral hepatitis, the virus is replicating in the liver without causing noticeable symptoms. Anorexia and right upper quadrant discomfort are common early symptoms due to liver inflammation. Pruritus and malaise (Choice A) typically occur during the symptomatic phase. Dark urine and easy fatigability (Choice B) are more indicative of liver damage during the acute phase. Constipation or diarrhea with light-colored stools (Choice D) are not specific to the incubation period of viral hepatitis.

Correct Answer: C

Rationale: The correct answer is C because patients with metastatic cancer of the liver typically have advanced disease and poor prognosis. Supportive care focuses on managing symptoms, providing comfort, and improving quality of life. Chemotherapy (choice A) may be used, but it is often palliative rather than curative. Surgery (choice B) is usually not an option for metastatic liver cancer. Choice D is incorrect as metastatic cancer is more difficult to treat compared to primary liver cancer. Therefore, choice C is the most appropriate plan of care for this patient.

Correct Answer: C

Rationale: The correct answer is C: Creamy pasta. Patients with cholecystitis should avoid high-fat foods to prevent triggering symptoms. Creamy pasta is typically high in fat content due to the cream-based sauce, which can exacerbate cholecystitis symptoms. Grilled chicken (A) and brown rice (D) are lower in fat and generally better options for patients with cholecystitis. Spinach (B) is a healthy, low-fat food choice that can be consumed by patients with cholecystitis.