A nurse is performing a Weber test on a client who reports difficulty hearing in his left ear. The client informs the nurse that he can hear the tone louder in his left ear. Which of the following does this result indicate?

Choice A Reason: An antifungal cream is not indicated for a sty, which is an infection of the eyelash follicle or sebaceous gland caused by bacteria.

Choice B Reason: This is the correct answer because warm compresses can help relieve pain and inflammation, and promote drainage of the sty.

Choice C Reason: Ice and cold compresses are not recommended for a sty, as they can constrict blood vessels and delay healing.

Choice D Reason: There is no need to test the other eye for vision loss, as a sty does not affect vision unless it is very large or obstructs the pupil.

Choice A reason: This is the correct answer because both ulcerative colitis and Crohn's disease are inflammatory bowel diseases (IBD) that cause chronic inflammation of the digestive tract. The inflammation can cause symptoms such as abdominal pain, diarrhea, bleeding, weight loss, or fever. The nurse should educate the client on how to manage inflammation and prevent complications.

Choice B reason: This is incorrect because both ulcerative colitis and Crohn's disease do not affect the entire alimentary canal, but different parts of it. Ulcerative colitis affects only the colon (large intestine) and rectum, while Crohn's disease can affect any part of the digestive tract from mouth to anus, most commonly the ileum (the last part of the small intestine). The nurse should explain the differences in location and extent of
the diseases.

Choice C reason: This is incorrect because both ulcerative colitis and Crohn's disease do not always require a bowel diversion, but only in some cases. A bowel diversion is a surgical procedure that creates an opening (stoma) in the abdomen to divert fecal matter into an external bag or pouch. It may be done to treat severe complications such as perforation, obstruction, fistula, or cancer. The nurse should inform the client about the indications, types, and care of bowel diversions.

Choice D reason: This is incorrect because both ulcerative colitis and Crohn's disease are not caused by low-fat, high-fiber diets, but by unknown factors. The exact causes of IBD are not clear, but they may involve genetic, immune, environmental, or microbial factors. Low-fat, high-fiber diets may help prevent or reduce symptoms of IBD, but they do not cause them. The nurse should advise the client on how to follow a balanced and nutritious diet that suits their individual needs and preferences.