PrepU Ch. 41

Celiac disease (celiac sprue) is an example of which category of malabsorption? a. Infectious diseases b. Mucosal disorders causing generalized malabsorption c. Luminal problems causing malabsorption d. Postoperative malabsorption

B

The nurse is irrigating a colostomy when the patient says, "You will have to stop, I am cramping so badly." What is the priority action by the nurse? a. Inform the patient that it will only last a minute and continue with the procedure. b. Clamp the tubing and give the patient a rest period. c. Stop the irrigation and remove the tube. d. Replace the fluid with cooler water since it is probably too warm.

B

Which is the most common presenting symptom of colon cancer? a. Fatigue b. Change in bowel habits c. Anorexia d. Weight loss

B

A client realizes that regular use of laxatives has greatly improved bowel patterns. However, the nurse cautions this client against the prolonged use of laxatives for which reason? a. The client may develop inflammatory bowel disease. b. The client may develop arthritis or arthralgia. c. The client's natural bowel function may become sluggish. d. The client may lose his or her appetite.

C

In women, which of the following types of cancer exceeds colorectal cancer? a. Breast b. Lung c. Skin d. Liver

A

A client tells the nurse, "I am not having normal bowel movements." When differentiating between what are normal and abnormal bowel habits, what indicators are the most important? a. The consistency of stool and comfort when passing stool b. That the client has a bowel movement daily c. That the stool is formed and soft d. The client is able to fully evacuate with each bowel movement

A

A nurse is caring for a client admitted with symptoms of an anorectal infection; cultures indicate that the client has a viral infection. The nurse should anticipate the administration of what drug? a. Acyclovir b. Doxycycline c. Penicillin d. Metronidazole

A

A nurse is reviewing lab results for a client with an intestinal obstruction, and infection is suspected. What would be an expected finding? a. leukocytosis; elevated hematocrit; low sodium, potassium, and chloride b. leukopenia, decreased hematocrit; low sodium, potassium, and chloride c. leukocytosis; metabolic alkalosis; elevated sodium, potassium, and chloride d. leukopenia; metabolic acidosis; elevated sodium, potassium, and chloride

A

A resident at a long-term care facility lost the ability to swallow following a stroke 4 years ago. The client receives nutrition via a PEG tube, has adapted well to the tube feedings, and remains physically and socially active. Occasionally, the client develops constipation that requires administration of a laxative to restore regular bowel function. What is the most likely cause of this client's constipation? a. lack of free water intake b. lack of solid food c. lack of exercise d. increased fiber

A

The nurse is teaching a client with an ostomy how to change the pouching system. Which information should the nurse include when teaching a client with no peristomal skin irritation? a. Dry skin thoroughly after washing b. Apply barrier powder c. Apply triamcinolone acetonide spray d. Dust with nystatin powder

A

Which of the following is the most common symptom of a polyp? a. Rectal bleeding b. Abdominal pain c. Diarrhea d Anorexia

A

A client reports severe pain and bleeding while having a bowel movement. Upon inspection, the health care provider notes a linear tear in the anal canal tissue. The client is diagnosed with a: a. fissure. b. fistula. c. hemorrhoid. d. pilonidal cyst.

B

A client with Crohn's disease is losing weight. For which reason will the nurse anticipate the client being prescribed parenteral nutrition? a. Insufficient oral intake b. Impaired ability to absorb food c. Unwilling to ingest nutrients orally d. Prolonged preoperative nutritional needs

B

A client informs the nurse of having abdominal pain that is relieved when having a bowel movement. The health care provider diagnosed the client with irritable bowel syndrome. What does the nurse recognize as characteristic of this disorder? a. Weight loss due to malabsorption b. Blood and mucus in the stool c. Chronic constipation with sporadic bouts of diarrhea d. Client is awakened from sleep due to abdominal pain.

C

A client reports constipation. Which nursing measure would be most effective in helping the client reduce constipation? a. Provide adequate quantity of food. b. Obtain medical and allergy history. c. Assist client to increase dietary fiber. d. Obtain complete food history.

C

Which outcome indicates effective client teaching to prevent constipation? a. The client verbalizes consumption of low-fiber foods. b. The client maintains a sedentary lifestyle. c. The client limits water intake to three glasses per day. d. The client reports engaging in a regular exercise regimen.

D

An elderly client diagnosed with diarrhea is taking digoxin. Which electrolyte imbalance should the nurse be alert to? a. Hyperkalemia b. Hypokalemia c. Hyponatremia d. Hypernatremia

B

The nurse is performing a community screening for colorectal cancer. Which characteristic should the nurse include in the screening? a. Age younger than 40 years b. Low-fat, low-protein, high-fiber diet c. History of skin cancer d. Familial polyposis

D

Which characteristic is a risk factor for colorectal cancer? a. Age younger than 40 years b. Low-fat, low-protein, high-fiber diet c. History of skin cancer d. Familial polyposis

D

The nurse is performing a rectal assessment and notices a longitudinal tear or ulceration in the lining of the anal canal. The nurse documents the finding as which condition? a. Anorectal abscess b. Anal fistula c. Hemorrhoid d. Anal fissure

D