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MS Sas 5 PDF

The document discusses a lesson on malabsorption syndrome and irritable bowel syndrome (IBS) for nursing students. It includes learning outcomes, a check for understanding activity with 10 multiple choice questions about the disorders and their management. The questions cover topics like the definition of malabsorption, diagnostic tests, dietary and vitamin supplementation recommendations, managing IBS symptoms, and conditions that can cause malabsorption.

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Gwenn Salazar
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210 views3 pages

MS Sas 5 PDF

The document discusses a lesson on malabsorption syndrome and irritable bowel syndrome (IBS) for nursing students. It includes learning outcomes, a check for understanding activity with 10 multiple choice questions about the disorders and their management. The questions cover topics like the definition of malabsorption, diagnostic tests, dietary and vitamin supplementation recommendations, managing IBS symptoms, and conditions that can cause malabsorption.

Uploaded by

Gwenn Salazar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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CARE OF CLIENTS WITH PROBLEM IN NUTRITION, AND GASTRO-INTERNAL, METABOLISM

AND ENDOCRINE, PERCEPTION AND COORDINATION, (ACUTE AND CHRONIC) STUDENT’S ACTIVITY SHEET
BS NURSING / THIRD YEAR
Session # 5 (2 hours and 30 minutes)

LESSON TITLE: IRRITABLE BOWEL SYNDROME (IBS), Materials:

CONDITIONS OF MALABSORPTION Book, pen and notebook, projector

References:
LEARNING OUTCOMES:
Smeltzer, S., Bare, B., Hinkle, J., & Cheever, K.
Upon completion of this lesson, the nursing student can:
(2008). Brunner &Suddarth’s Textbook of
1. Recognize the clinical manifestations of malabsorption
Medical-Surgical Nursing 11th Edition.
and IBS.
Lippincott Williams &Wilkins
2. Determine the diagnostic used to diagnose the disorders.
3. Identify the medical and nursing management of the disorders

CHECK FOR UNDERSTANDING (15 minutes)


The instructor will prepare 10-15 questions that can enhance critical thinking skills. Students will work by themselves to
answer these questions and write the rationale for each question.
Multiple Choice

(For 1-10 items, please refer to the questions in the Rationalization Activity)

RATIONALIZATION ACTIVITY (DURING THE FACE TO FACE INTERACTION WITH THE STUDENTS)
The instructor will now rationalize the answers to the students and will encourage them to ask questions and to discuss
among their classmates for 20 minutes.

1. Which of the following best describes Malabsorption syndrome?


A. Are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine.
B. It is the inability of the digestive system to absorb one or more of the major vitamins, minerals, and nutrients.
C. It is a digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the
esophagus.
D. An inflammatory disease which can lead to abdominal pain, severe diarrhea, fatigue, and weight loss.
ANSWER: B, It is the inability of the digestive system to absorb one or more of the major vitamins, minerals, and nutrients.
RATIO: Malabsorption is the inability of the digestive system to absorb one or more of the major vitamins (especially
vitamin B12), minerals (iron and calcium), and nutrients (carbohydrates, fats, and proteins). Diseases of the small
intestine are the most common cause of malabsorption.

2. A patient complains of abdominal pain and distention is suspected of having malabsorption syndrome when he/she has:
A. A bulky, foul-smelling stools with steatorrhea
B. Episodes of constipation and diarrhea
C. Chronic constipation
D. Severe abdominal pain after eating

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ANSWER: A, A bulky, foul-smelling stools with steatorrhea
RATIO: Hallmarks: diarrhea or frequent, loose, bulky, foul-smelling stools that have increased fat content (steatorrhea)
and are often grayish.

3. Which of the following diagnostic tests confirms malabsorption syndrome?


A. Complete blood count
B. Abdominal ultrasound
C. Panceatic function test
D. Endoscopy with biopsy
ANSWER: A, C, D
RATIO: Complete blood count, pancreatic function test and endoscopy with biopsy confirms malabsorption syndrome
expect for abdominal ultrasound

4. Which of the following recommended to a patient with malabsorption syndrome?


A. Encourage patient to eat pasta three times a day.
B. Instruct patient to increase milk consumption.
C. The patient is advised to limit fluid intake.
D. Vitamin supplementation is prescribed.
ANSWER: D, Vitamin supplementation is prescribed
RATIO: Vitamin supplements are water-soluble vitamins (B12, folic acid), fat-soluble vitamins (A, D, and K),and
minerals (calcium, iron)

5. A client with irritable bowel syndrome is being prepared for discharge. Which of the following meal plans should
the nurse give the client?
A. Low fiber, low-fat
B. High fiber, low-fat
C. Low fiber, high-fat
D. High-fiber, high-fat
ANSWER: B, High fiber, low-fat
RATIO: High-fiber diet – helps control diarrhea or constipation

6. Katrina is diagnosed with lactose intolerance. To avoid complications with lack of calcium in the diet, which food should
be included in the diet?
A. Fruit
B. Whole grains
C. Milk and cheese products
D. Dark green, leafy vegetables
ANSWER: D, Dark green, leafy vegetables
RATIO: Dark, green leafy vegetables are a rich source of calcium

7. A patient with IBS asks, “How can I manage abdominal discomfort?” Your best response would be:
A. “It is best managed by eating dry crackers.”
B. “Some patients maintain an antidepressant drugs.”
C. “You will be the one to choose what is best for you.”
D. “Abdominal pain can be reduced by avoiding carbonated beverages.”
ANSWER:D, “Abdominal pain can be reduced by avoiding carbonated beverages.”
RATIO: Restriction and then gradual reintroduction of foods that are possibly irritating eg, beans, caffeinated products,
corn, wheat, dairy lactose, fried foods, alcohol, spicy foods, aspartame) – help determine what types of food
are acting as irritant

8. Care for the postoperative client after gastric resection should focus on which of the following problems?
A. Body image

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B. Nutritional needs
C. Skin care
D. Spiritual needs
ANSWERB, Nutritional needs
RATIO: After gastric resection. a client may require total parenteral nutrition or jejunostomy tube feedings to maintain
adequate nutritional status.

9. A 30-year old client experiences weight loss, abdominal distention, crampy abdominal pain, and intermittent diarrhea after
birth of her 2nd child. Diagnostic tests reveal gluten-induced enteropathy. Which foods must she eliminate from her diet
permanently?
A. Milk and dairy products
B. Protein-containing foods
C. Cereal grains (except rice and corn)
D. Carbohydrates
ANSWER:C, Cereal grains (except rice and corn)
RATIO: To manage gluten-induced enteropathy. the client must eliminate gluten. which means avoiding all cereal grains
except for rice and corn. In initial disease management. clients eat a high calorie. high-protein diet with mineral and vitamin
supplements to help normalize nutritional status.

10. Which of the following conditions cause/s malabsorption? Select all that apply.
A. Celiac disease
B. Lactose intolerance
C. Gastritis
D. Gastric resection
E. E. GERD
ANSWER: A, B, C, D,
RATIO: The following conditions cause/s malabsorption

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