Non inflammatory Intestinal disorders
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My doctor told me that the fecal occult blood test was negative for colon cancer. I don't think I need the colonoscopy and would like to cancel it." How should the nurse respond?
"A negative fecal occult blood test does not rule out the possibility of colon cancer."
A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation should the nurse teach this client?
"Add vegetables such as broccoli and cauliflower to your new diet."
A nurse assesses a client who is prescribed alosetron (Lotronex). Which assessment question should the nurse ask this client?
"Have you been experiencing any constipation?"
A nurse cares for a client who states, "My husband is repulsed by my colostomy and refuses to be intimate with me." How should the nurse respond?
"Let's talk to the ostomy nurse to help you and your husband work through this."
A nurse teaches a client who is recovering from a colon resection. Which statement should the nurse include in this client's plan of care?
"Take a stool softener to promote softer stools for ease of defecation."
A nurse teaches a pt who is recovering from a colon resection. Which statement should the nurse include in this client's plan of care?
"Take a stool softener to promote softer stools for ease of defecation."
A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, "The stool in my pouch is still liquid." How should the nurse respond?
"The stool will always be liquid with this type of colostomy."
A nurse cares for a middle-aged male client who has irritable bowel syndrome (IBS). The client states, "I have changed my diet and take bulk-forming laxatives, but my symptoms have not gotten better. I heard about a drug called Amitiza. Do you think it might help?" How should the nurse respond?
"Unfortunately, lubiprostone is approved only for use in women."
A nurse cares for a client who has a family history of colon cancer. The client states, "My father and my brother had colon cancer. What is the chance that I will get cancer?" How should the nurse respond?
"You should have a colonoscopy more frequently to identify abnormal polyps early."
A nurse prepares to administer 12 mg/kg of 5-fluorouracil chemotherapy intravenously to a client who has colon cancer. The client weights 132 lb. How many milligrams should the nurse administer? (Record your answer using a whole number.) _____ mg
720 mg 132 lb = 60 kg. 60 kg ´ 12 mg/kg = 720 mg.
A nurse assesses clients at a community health center. Which client is at highest risk for the development of colorectal cancer?
A 72-year-old who eats fast food frequently
An emergency room nurse cares for a client who has been shot in the abdomen and is hemorrhaging heavily. Which action should the nurse take first?
Assess and maintain a patent airway
An emergency room nurse assesses a client after a motor vehicle crash and notes ecchymotic areas across the client's lower abdomen. Which action should the nurse take first?
Assess for abdominal guarding or rigidity.
A nurse assesses a client with a mechanical bowel obstruction who reports intermittent abdominal pain. An hour later the client reports constant abdominal pain. Which action should the nurse take next?
Assess the client's bowel sounds.
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding. Which menu selection indicates that the client correctly understands the dietary teaching?
Broiled chicken with brown rice, steamed broccoli, glass of apple juice
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the presence of visible peristaltic waves. Which action should the nurse take?
Contact the provider and recommend computed tomography
A nurse assesses a pt who is recovering from a hemorrhoidectomy that was done the day before. The nurse notes that the pt has lower abdominal distention accompanied by dullness to percussion over the distended area. Which action should the nurse take?
Determine when the client last voided.
A nurse assesses a pt who is recovering from a hemorrhoidectomy that was done the day before. The nurse notes that the pt has lower abdominal distention accompanied by dullness to percussion over the distended area. Which action should the nurse take?
Determine when the pt last voided
A nurse cares for a client who has a new colostomy. Which action should the nurse take?
Empty the pouch frequently to remove excess gas collection
A nurse cares for a client newly diagnosed with colon cancer who has become withdrawn from family members. Which action should the nurse take?
Encourage the client to verbalize feelings about the diagnosis.
After teaching a client who has a femoral hernia, the nurse assesses the client's understanding. Which statement indicates the client needs additional teaching related to the proper use of a truss?
I will put on the truss before I go to bed each night."
A nurse cares for a pt who is recovering from a hemorrhoidectomy. The pt states, "I need to have a bowel movement." Which action should the nurse take?
Stay with the pt while providing privacy
A nurse assesses a client who is prescribed 5-fluorouracil (5-FU) chemotherapy intravenously for the treatment of colon cancer. Which assessment finding should alert the nurse to contact the health care provider?
White blood cell (WBC) count of 1500/mm3
A nurse plans care for a client who has chronic diarrhea. Which actions should the nurse include in this client's plan of care? (Select all that apply.) a. Using premoistened disposable wipes for perineal care b. Turning the client from right to left every 2 hours c. Using an antibacterial soap to clean after each stool d. Applying a barrier cream to the skin after cleaning e. Keeping broken skin areas open to air to promote healing
a,b,d
A nurse plans care for a client who is recovering from an inguinal hernia repair. Which interventions should the nurse include in this client's plan of care? (Select all that apply.) a. Encouraging ambulation three times a day b. Encouraging normal urination c. Encouraging deep breathing and coughing d. Providing ice bags and scrotal support e. Forcibly reducing the hernia
a,b,d
A nurse assesses a client with irritable bowel syndrome (IBS). Which questions should the nurse include in this client's assessment? (Select all that apply.) a. "Which food types cause an exacerbation of symptoms?" b. "Where is your pain and what does it feel like?" c. "Have you lost a significant amount of weight lately?" d. "Are your stools soft, watery, and black in color?" e. "Do you experience nausea associated with defecation?
a,b,e
A nurse inserts a nasogastric (NG) tube for an adult client who has a bowel obstruction. Which actions does the nurse perform correctly? (Select all that apply.) a. Performs hand hygiene and positions the client in high-Fowler's position, with pillows behind the head and shoulders b. Instructs the client to extend the neck against the pillow once the NG tube has reached the oropharynx c. Checks for correct placement by checking the pH of the fluid aspirated from the tube d. Secures the NG tube by taping it to the client's nose and pinning the end to the pillowcase e. Connects the NG tube to intermittent medium suction with an anti-reflux valve on the air
a,c,e
A nurse cares for a client who has a nasogastric (NG) tube. Which actions should the nurse take? (Select all that apply.) a. Assess for proper placement of the tube every 4 hours. b. Flush the tube with water every hour to ensure patency .c. Secure the NG tube to the client's upper lip. d. Disconnect suction when auscultating bowel peristalsis. e. Monitor the client's skin around the tube site for irritation
a,d,e
After teaching a client who is recovering from a colon resection, the nurse assesses the client's understanding. Which statements by the client indicate a correct understanding of the teaching? (Select all that apply.) a. "I must change the ostomy appliance daily and as needed." b. "I will use warm water and a soft washcloth to clean around the stoma." c. "I might start bicycling and swimming again once my incision has healed." d. "Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown." e. "I will check the stoma regularly to make sure that it stays a deep red color." f. "I must avoid dairy products to reduce gas and odor in the pouch
b,c,d
A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are correctly paired with their physiologic processes? (Select all that apply.) a. Indirect inguinal hernia - An enlarged plug of fat eventually pulls the peritoneum and often the bladder into a sac b. Femoral hernia - A peritoneum sac pushes downward and may descend into the scrotum c. Direct inguinal hernia - A peritoneum sac passes through a weak point in the abdominal wall d. Ventral hernia - Results from inadequate healing of an incision e. Incarcerated hernia - Contents of the hernia sac cannot be reduced back into the abdominal cavity
c,d,e
