A 42-year-old patient is newly diagnosed with inflammatory bowel disease (IBD). The patient asks, "Can this be cured?" Which of the following treatment goals are appropriate for a patient with IBD? (Select all that apply.)

Combat infection

Control inflammation

Correct and prevent malnutrition

Increase stress

Cure illness

Answer and Explanation

Correct Answer : B,C

Choice A rationale

While infections can occur in IBD, the primary goal is not to combat infection but to manage the underlying inflammation¹.

Choice B rationale

Controlling inflammation is a key treatment goal in IBD to alleviate symptoms and induce and maintain remission².

Choice C rationale

Correcting and preventing malnutrition is essential in IBD management due to potential nutrient absorption issues¹.

Choice D rationale

Increasing stress is not a treatment goal for IBD. In fact, reducing stress can help manage IBD symptoms².

Choice E rationale

While IBD currently has no cure, the goals are to manage symptoms, induce remission, and improve quality of life².

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Correct Answer is ["A","C","E"]

Explanation

Choice A rationale
Monitoring fluid and electrolytes is essential in managing ascites to prevent complications such as fluid overload or electrolyte imbalances, which can exacerbate the condition.

Choice B rationale
Providing a high-sodium diet is not recommended for patients with ascites. Sodium restriction is typically advised to help manage fluid retention.

Choice C rationale
Anticipating paracentesis is appropriate as it is a procedure used to remove excess fluid from the abdominal cavity, providing relief from discomfort and respiratory difficulty.

Choice D rationale
Encouraging high-fluid intake is not recommended for ascites management. Fluid restriction may be necessary to prevent further accumulation of fluid in the abdominal cavity.

Choice E rationale
Administering an albumin infusion can be part of the treatment for ascites, especially following paracentesis, to help maintain blood volume and pressure.

A. Canned soup B. Baked chicken breast C. Bowl of ice cream D. Spaghetti with commercial red sauce

Correct Answer is B

Explanation

Choice A rationale
Canned soup is typically high in sodium, which can worsen fluid volume excess (FVE). Patients with liver failure need to limit sodium intake to reduce fluid retention.

Choice B rationale
Baked chicken breast is a low-sodium and protein-rich option suitable for clients with liver failure. Protein is essential for tissue repair and maintaining fluid balance within the body.

Choice C rationale
A bowl of ice cream is high in sugar and fat, which can be difficult for a liver-compromised patient to process and may contribute to further fluid retention.

Choice D rationale
Spaghetti with commercial red sauce can be high in sodium due to the sauce, which is not recommended for clients with FVE as it may exacerbate their condition.

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A 42-year-old patient is newly diagnosed with inflammatory bowel disease (IBD). The patient asks, "Can this be cured?" Which of the following treatment goals are appropriate for a patient with IBD? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions would the nurse expect in the treatment plan for a patient who is admitted to the hospital with ascites? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is providing discharge education to a client diagnosed with fluid volume excess (FVE) due to liver failure. Which of the following meal options should the nurse recommend for the client?

Correct Answer is B

Explanation

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