Ch 47- Mgmt of Pt with intestinal and rectal disorders
Fecal incontinence
The nurse is caring for a client with a suspected megacolon. The nurse anticipates that one of the findings of assessment will be
Ask the client to remain inactive for 5 minutes
a nurse applies an ostomy appliance to a client who is recovering from surgery. Which intervention should the nurse utilize to prevent leakage from the appliance?
Drink at least 8-10 large glasses of fluid every day.
A client is being treated for diverticulosis. Which information should the nurse include in the client's teaching plan?
every 4-6 hours
A client underwent a continent ileostomy. Within which time frame should the client expect to empty the reservoir?
Suggest fluid intake of atleast 2L/day
A client who has undergone colostomy surgery is experience constipation. Which intervention should a nurse consider for such a client?
Anal fissure
A longitudinal tear or ulceration in the lining of the anal canal is termed an
Nausea
A typical sign of appendicitis is
Hypokalemia
An elderly client diagnosed with diarrhea is taking digoxin. Which electrolyte imbalance should the nurse be alert to?
Inflammation of all layers on intestinal mucosa
Crohn's disease is a condition of malabsorption caused by which pathophysiological process?
high fiber diet
Diet therapy for clients diagnosed with IBS includes
The clusters of ulcers take on a cobblestone apperance
Which is a true statement regarding Crohn's disease?
Solid
The nurse teaches the client whose surgery will result in a sigmoid colostomy that the feces expelled through the colostomy will be
Antispasmodic
The nurse caring for a client with a client with diverticulitis is preparing to administer the clients medications. The nurse anticipates administration of which category of medication?
usual pattern of elimination
The nurse is assessing a client for constipation. Which review should the nurse conduct first to identify the cause of constipation?
2 inches
The nurse is assisting a client to drain his Kock pouch. The nurse should insert the catheter how far through the nipple/valve? (interesting word choice in the question lol)
Clamp the tubing and allow client to rest
The nurse is irrigating the client's colostomy when the client begins to report cramping. what is the appropriate action by the nurse?
Peritonitis
The nurse is monitoring a client post-op after an appendectomy. The nurse's assessment reveals that the client has vomited, has abdominal tenderness and rigidity, and tachycardia. The nurse reports to the physician that the client has signs and symptoms of which complication?
Dry skin thoroughly after washing
The nurse is teaching a client with an ostomy how to change the pouching system. what information should the nurse include when teaching a client with no peristomal skin irritation?
UlcerativeColitis
The presence of mucus and pus in the stools suggest which condition?
Adhesion
What is the most common cause of small-bowel obstruction?
Familial polyposis
Which characteristic is a risk factor for Colorectal cancer?
Diarrhea
Which is one of the primary symptoms of IBS?
Change in bowel habits
Which is the most common presenting symptom of colon cancer?
Intermittent pain
Which is the most prominent sign of inflammatory bowel disease?
Hernia
Which term refers to a protrusion of the intestine through a weakened area in the abdominal wall?
Borborygmus
Which term refers to intestinal rumbling?
Saline agents (magnesium hydroxide)
which category of laxatives draws water into the intestines by osmosis?