question archive A client in the clinic returns for a follow-up visit complaining of recurrent irritable bowel syndrome with such symptoms as nausea, bloating, flatulence, abdominal distention, and severe headache
A client in the clinic returns for a follow-up visit complaining of recurrent irritable bowel syndrome with such symptoms as nausea, bloating, flatulence, abdominal distention, and severe headache
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A client in the clinic returns for a follow-up visit complaining of recurrent irritable bowel syndrome with such symptoms as nausea, bloating, flatulence, abdominal distention, and severe headache. What does the nurse further assess to help determine the next course of action?
a. Complaints of constipation and straining at stool
b. Compliance with a high fiber diet, including green leafy vegetables
c. Share that they went out to eat Mexican food the evening before
d. Stated took an opioid twice in the last 12 hours for the severe headache.
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a. Complaints of constipation and straining at stool
Step-by-step explanation
After the other conditions are eliminated, the doctor will be required to use other diagnostic criteria such as Rome criteria and the type of Irritable Bowel Syndrome. Rome criteria include abdominal pain and discomfort which are associated to change in the frequency of defecation or stool consistency. On the type of irritable bowel syndrome, it is categorized into constipation-predominant, diarrhea-predominant or mixed, based on the symptoms. The doctor will them recommend additional tests which include stool tests.
