MedSurg Chapter 47: PrepU

Drink at least 8 to 10 large glasses of fluid every day

A client is being treated for diverticulosis. Which information should the nurse include in this client's teaching plan?

"I didn't eat anything I shouldn't have; I just ate roast beef on rye bread."

A client is readmitted with an exacerbation of celiac disease 2 weeks after discharge. Which statement by the client indicates the need for a dietary consult?

presents with a rigid, boardlike abdomen.

Which client requires immediate nursing intervention? The client who:

A 35-year-old female with Crohn's disease

Which of the following clients would be at greatest risk for the development of an anorectal fistula?

Colorectal cancer is the third most common site of cancer in the United States.

Which statement provides accurate information regarding cancer of the colon and rectum?

High in fiber.

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

Borborygmus

Which term refers to intestinal rumbling?

Test all stools for occult blood.

A client is admitted to the hospital for diagnostic testing to rule out colorectal cancer. Which intervention should the nurse include on the plan of care?

Assist client to increase dietary fiber.

A client with anorexia complains of constipation. Which of the following nursing measures would be most effective in helping the client reduce constipation?

Right lower quadrant

A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nurse would expect to find rebound tenderness at which location?

The client's natural bowel function may become sluggish.

A client realizes that regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions this client against the prolonged use of laxatives for which reason?

Fissure

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:

Suggest fluid intake of at least 2 L/day

A client who has undergone colostomy surgery is experiencing constipation. Which intervention should a nurse consider for such a client?

Gently washing the area surrounding the stoma using a facecloth and mild soap

A nurse is applying an ostomy appliance to the ileostomy of a client with ulcerative colitis. Which action is appropriate?

A change in bowel habits

A nurse is preparing a presentation for a local community group of older adults about colon cancer. Which of the following would the nurse include as the primary characteristic associated with this disorder?

"I need to use laxatives regularly to prevent constipation."

A nurse is teaching an older adult client about good bowel habits. Which statement by the client indicates to the nurse that additional teaching is required?

Appendicitis

A patient arrives in the emergency department with complaints of right lower abdominal pain that began 4 hours ago and is getting worse. The nurse assesses rebound tenderness at McBurney's point. What does this assessment data indicate to the nurse?

Keep a 1- to 2-week symptom and food diary to identify food triggers.

A patient with irritable bowel syndrome has been having more frequent symptoms lately and is not sure what lifestyle changes may have occurred. What suggestion can the nurse provide to identify a trigger for the symptoms?

high-fiber diet.

Diet therapy for clients diagnosed with irritable bowel syndrome (IBS) includes:

Breast

In women, which of the following types of cancer exceeds colorectal cancer?

severe abdominal pain with direct palpation or rebound tenderness.

Nursing assessment of a client with peritonitis reveals hypotension, tachycardia, and signs and symptoms of dehydration. The nurse also expects to find:

hypokalemia.

The nurse caring for an older adult client diagnosed with diarrhea is administering and monitoring the client's medications. Because one of the client's medications is digitalis (digoxin), the nurse monitors the client closely for:

Notify the physician.

The nurse is admitting a patient with a diagnosis of diverticulitis and assesses that the patient has a boardlike abdomen, no bowel sounds, and complains of severe abdominal pain. What is the nurse's first action?

usual pattern of elimination.

The nurse is assessing a client for constipation. To identify the cause of constipation, the nurse should begin by reviewing the client's:

Hypotension

The nurse is caring for a patient diagnosed with abdominal perforation. Which of the following is a clinical manifestation of this disease process?

Clamp the tubing and give the patient a rest period.

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?

Peritonitis

The nurse is monitoring a client's postoperative course after an appendectomy. The nurse's assessment reveals that the client has vomited, has abdominal tenderness and rigidity, and has tachycardia. The nurse reports to the physician that the client has signs/symptoms of which complication?

Familial polyposis

The nurse is performing a community screening for colorectal cancer. Which characteristic should the nurse include in the screening?