Chapter 34
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Questions and Answers

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

  • History of repeatedly ignoring the urge to defecate (correct)
  • Prolonged use of laxatives
  • Medical history of obesity and cardiovascular disorders
  • Medical history of inflammatory bowel disorders
  • 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?

  • I took some medication to stop the diarrhea (correct)
  • I have strained but cannot have a good bowel movement
  • When I do pass feces, they are small. hard and dry
  • My stomach is so bloated that I am uncomfortable
  • The nurse notes that a patient with a history of hypertension is straining during defecation. What teaching should the nurse include?

  • Be careful, you might get a headache when you push so hard
  • It is important that you not strain because it could cause damage to your heart (correct)
  • Your blood pressure gets very low when you strain like that and you could faint
  • Chronic constipation often causes a dilated colon; it is good that you are staying empty
  • The nurse is providing care for a client postoperative for the placement of a colostomy for colon cancer. Which finding requires a nursing action?

    <p>Dusky blue color and dry</p> Signup and view all the answers

    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?

    <p>Did you receive immunizations prior to your travel</p> Signup and view all the answers

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

    <p>It is important that I increase fluid intake to prevent dehydration</p> Signup and view all the answers

    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?

    <p>Wheat rye, oral and barley</p> Signup and view all the answers

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

    <p>Pain in the right lower abdominal quadrant</p> Signup and view all the answers

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

    <p>Abdomen rigid on palpation</p> Signup and view all the answers

    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?

    <p>The best way to manage it is to increase dietary fiber</p> Signup and view all the answers

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

    <p>Tender, cramping, constant pain</p> Signup and view all the answers

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

    <p>With treatment, the symptoms will disappear for good, as long as you take the medications</p> Signup and view all the answers

    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?

    <p>The patient is not a candidate for a Kock pouch</p> Signup and view all the answers

    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?

    <p>The patient develops pain at the site, fever and vomiting</p> Signup and view all the answers

    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?

    <p>Steatorrhea</p> Signup and view all the answers

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

    <p>Fecal vomiting</p> Signup and view all the answers

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

    <p>Formation of the pouch is part of the cure of my condition</p> Signup and view all the answers

    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?

    <p>BP 104/68 mm Hg</p> Signup and view all the answers

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

    <p>The abdominal circumference decreases</p> Signup and view all the answers

    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?

    <p>An ostomy bag will be needed all of the time</p> Signup and view all the answers

    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?

    <p>Cardiovascular system</p> Signup and view all the answers

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

    <p>The pouch must be emptied regularly to prevent rupture</p> Signup and view all the answers

    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?

    <p>The placement that will prevent leaking or poor appliance fit</p> Signup and view all the answers

    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?

    <p>Serosanguineous drainage</p> Signup and view all the answers

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

    <p>Fever and drainage</p> Signup and view all the answers

    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?

    <p>Rectal passage of stool</p> Signup and view all the answers

    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)

    <p>I should avoid caffeine and spicy foods</p> Signup and view all the answers

    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)

    <p>I will empty the pouch when it is less than half full</p> Signup and view all the answers

    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)

    <p>I must avoid the sun while taking this drug</p> Signup and view all the answers

    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)

    <p>Do not use tobacco</p> Signup and view all the answers

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