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Practice Question

The nurse is caring for a patient with a new diagnosis of irritable bowel syndrome (IBS). The patient is upset and concerned about how they got IBS. What evidence-based information, related to the causes of IBS, will the nurse provide to this patient?

Answer Choices:

Correct Answer:

Environmental and psychosocial factors can be associated with the onset of this disease.

Rationale:

🔶 IBS is multifactorialbrain–gut axis dysregulation, visceral hypersensitivity, motility and microbiome changes.

🔶 Psychosocial stressors (anxiety/depression), post‑infectious states, and dietary triggers are recognized contributors.

🔶 Blood in stool is not typical of IBS and warrants evaluation for other pathology (e.g., IBD).

🔶 Bile duct disorders are unrelated to IBS pathogenesis.

🔶 While family patterns exist, a “psychiatric history + food allergies” narrative is not an established causal mechanism.

🔶 Management targets lifestyle, diet (FODMAP), gut‑brain therapy, and symptom modulators.

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This question is from Medical surgical Nursing exam (Viterbo University) which contains 58 questions.

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The nurse is caring for a patient with heart failure who is receiving lisinopril twice a day. What intervention will the nurse implement when administering this medication?

Answer Choices:

A. Hold medication if B-type natriuretic peptide (BNP) results are high.
B. Check serum potassium and creatinine levels.
C. Encourage the patient to add salt substitute with all meals.
D. Document extent of vision changes every shift.
The nurse is caring for a patient with end-stage kidney disease (ESKD). Which arterial blood gas results (ABG) will the nurse correlate with the patient's condition?

Answer Choices:

A. pH 7.21, PaCO2 36, HCO3 14
B. pH 7.50, PaCO2 29, HCO3 22
C. pH 7.47, PaCO2 45, HCO3 33
D. pH 7.31, PaCO2 48, HCO3 24
The nurse is caring for a patient diagnosed with rheumatoid arthritis

Answer Choices:

A. Osteoarthritis
B. Osteoporosis
C. Hyperglycemia
D. Mucositis
The nurse is caring for a patient with chronic kidney disease (CKD) who is at risk for renal osteodystrophy. Which intervention will the nurse implement to manage this condition?

Answer Choices:

A. Administer phosphate binders with meals.
B. Encourage the patient to increase potassium-rich foods.
C. Monitor calcium levels for signs of hypocalcemia.
D. Increase fluid intake to 3 litters per day.
From Exam
Medical surgical Nursing exam (Viterbo University)

58 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
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