Chapter 47: Management of Patients With Intestinal and Rectal Disorders 3

Encourage the client to avoid exercise.

A client has been recently diagnosed with an anorectal condition. The nurse is reviewing interventions that will assist the client with managing the therapeutic regimen. What would not be included?

Chronic constipation with sporadic bouts of diarrhea

A client informs the nurse that he has been having abdominal pain that is relieved when having a bowel movement. The client states that the physician told him he has irritable bowel syndrome. What does the nurse recognize as characteristic of this disorder?

Crohn's disease

A client is having a diagnostic workup for reports of frequent diarrhea, right lower abdominal pain, and weight loss. The nurse is reviewing the results of the barium study and notes the presence of "string sign." What does the nurse understand that this is significant of?

Between the umbilicus and the anterior superior iliac spine

A client presents to the emergency room with a possible diagnosis of appendicitis. The health care provider asks the nurse to assess for tenderness at McBurney's point. The nurse knows to palpate which area?

Bowel perforation

A patient is admitted to the hospital after not having had a bowel movement in several days. The nurse observes the patient is having small liquid stools, a grossly distended abdomen, and abdominal cramping. What complication can this patient develop related to this problem?

Decreased abdominal strength

An older adult client seeks help for chronic constipation. What factor related to aging can cause constipation in elderly clients?

0.9% NS

Medical management of a patient with peritonitis includes fluid, electrolyte, and colloid replacement. The nurse knows to prepare the initial, most appropriate intravenous solution. Which of the following is the correct solution?

Flexible sigmoidoscopy

The nurse in an extended-care facility reports that a resident has clinical manifestations of fecal incontinence. The health care provider orders a diagnostic study to rule out inflammation. Which study will the nurse prepare the client for?

Bisacodyl

Which drug is considered a stimulant laxative?

The clusters of ulcers take on a cobblestone appearance.

Which is a true statement regarding regional enteritis (Crohn's disease)?

Diarrhea

Which is one of the primary symptoms of irritable bowel syndrome (IBS)?

Intermittent pain and diarrhea

Which is the most prominent signs of inflammatory bowel disease?

Rectal bleeding

Which of the following is the most common symptom of a polyp?

Enterostomal nurse

A surgeon is discussing surgery with a client diagnosed with colon cancer. The client is visibly shaken over the possibility of a colostomy. Based on the client's response, the surgeon should collaborate with which health team member?

Endoscopy with mucosal biopsy

The nurse is caring for a patient who has malabsorption syndrome with an undetermined cause. What procedure will the nurse assist with that is the best diagnostic test for this illness?

It is the third most common cancer in the United States.

The nurse is conducting a community education program on colorectal cancer. Which statement should the nurse include in the program?

Ulcerative colitis

The nurse is conducting a gastrointestinal assessment. When the client reports the presence of mucus and pus in the stool, the nurse assesses for additional signs/symptoms of which disease/condition?

High in fiber.

A patient diagnosed with IBS is advised to eat a diet that is:

Colonoscopy

A patient is suspected to have diverticulosis without symptoms of diverticulitis. What diagnostic test does the nurse anticipate educating the patient about prior to scheduling?