Chapter 34

The nurse is providing care for a patient diagnosed with obstipation. Which situation places the patient at risk for this?

The nurse is providing care for a patient who reports feeling constipated yet passes frequent small, liquid stools. Which statement by the patient is most concerning?

The nurse notes that a patient with a history of hypertension is straining during defecation. What teaching should the nurse include?

The nurse is providing care for a client postoperative for the placement of a colostomy for colon cancer. Which finding requires a nursing action?

The nurse is gathering fata on a patient with severe diarrhea for 3 days. The patient reports visiting a developing country recently. What follow-up question should the nurse ask?

The nurse is providing discharge teaching to a patient with diarrhea. Which patient statement indicates that teaching is effective?

The nurse is contributing to the plan of care for a patient with celiac disease. Which foods should be eliminated from the patient's diet?

The nurse is collecting data from a patient who is reporting abdominal pain. Which description is consistent with appendicitis?

The nurse is monitoring a patient recovering from an emergency appendectomy. Which finding is most concerning?

A patient is informed, after a colonoscopy, of the presence of diverticulosis. The patient asks the nurse about management of the condition. What instructions should the nurse give?

The nurse is collecting data for a client with abdominal pain. Which pain description is consistent with diverticulitis?

A patient receives a diagnosis of Crohn disease and asks the nurse, " Will they be able to cure this?" How should the nurse reply?

The nurse is providing care for a client with advanced Crohn disease who has developed multiple complications of the disease and no longer responds to treatment. The HCP is recommending surgery. Which understanding is correct?

The nurse is monitoring a patient and finds a bulging area in the patient's groin that disappears when the patient lies down. Which additional finding causes the nurse the most concern?

The nurse is providing care for a patient diagnosed with celiac disease. The patient presents with weight loss. What additional findings should the nurse monitor for?

The nurse is caring for a patient admitted with a possible bowel obstruction. Which patient symptom should cause the nurse the most concern?

A patient with ulcerative colitis is scheduled for a colectomy with formation of an ileoanal pouch. Which comment by the patient requires correction?

On admission, a patient with gastrointestinal(GI) bleeding has these vital signs: Blood pressure 140/88, pulse 72, respirations 14, and temperature 98.8 orally. Two hours later, the licensed practical nurse/ licensed vocational nurse reevaluates the client's data. Which finding needs to be reported to the registered nurse(RN) or HCP?

The nurse is providing care for a patient admitted with an acute small bowel obstruction. Which findings indicate improvement?

The spouse of a patient with an ascending ostomy asks if the patient will always have to wear an ostomy bag. What is the correct response by the nurse?

The nurse provides care to older adult residents in an extended-care facility. one resident is experiencing diarrhea, loss of appetite, weakness, and drowsiness. In which area of focus should the nurse collect data?

The nurse is reviewing teaching with a patient scheduled for an ileostomy and placement of a continent ostomy reservoir. Which teaching point is important?

A patient is scheduled for colon surgery that will require the placement of a colostomy. The wound, ostomy, and continence nurse(WOCN) will evaluate the patient for correct stoma placement. Which consideration by the nurse will most impact skin integrity?

The nurse is gathering data on a patient who was recently treated for colon cancer with surgery to remove a tumor. The patient has a drain in the perineal wound. Which finding is anticipated after surgery?

The nurse is gathering information from a patient who reports anal pain. Which finding upon physical examination supports the presence of an anal abscess?

The nurse is providing care for a patient diagnosed with an obstructed colon related to colon cancer. The client receives endoscopic treatment prior to surgical intervention to remove the obstructing tumor. Which observation will the nurse expect?

The nurse is reinforcing teaching with a patient about appropriate diet modifications to help prevent exacerbations of inflammatory bowel disease. Which patient statements indicate that teaching ahs been effective?(Select all that apply)

The nurse is reinforcing teaching to a patient who is being discharged with a new colostomy. Which comments by the patient indicate understanding of the discharger teaching?(Select all that apply)

The nurse is reinforces teaching to a patient prescribed budesonide for Crohn disease inflammation. Which patient statements indicate that additional teaching is necessary?(Select all that apply)

The nurse is reinforcing teaching a patient newly diagnosed with ulcerative colitis about triggers for exacerbation of the disease. Which recommendation does the nurse make to the patient to prevent a future exacerbation?(Select all that apply)

Obstipation risk factor

Concerning diarrhea symptom

Hypertension defecation strain

Post-colostomy concern

Diarrhea travel history

Effective diarrhea teaching

Celiac diet elimination

Appendicitis pain location

Concerning post-appendectomy finding

Diverticulosis management

Diverticulitis pain description

Crohn's Disease cure

Kock pouch candidacy

Groin bulge concern

Celiac weight loss

Bowel obstruction concern

Ileoanal pouch surgery

Gastrointestinal bleeding concern

Small bowel obstruction improvement

Ascending ostomy permanence

Diarrhea in older adults

Continent ostomy reservoir care

Colostomy skin integrity

Post-colon cancer drain

Anal abscess

Colonoscopy obstruction relief

IBD trigger avoidance

Colostomy discharge teaching understanding

Budesonide teaching (Crohn's)

Ulcerative colitis prevention