AH I Final- Bowel

A nurse is helping to plan a teaching session for a client who will be discharged with a colostomy. Which statement describes a healthy stoma?

"At first, the stoma may bleed slightly when touched."

After undergoing a total cystectomy and urinary diversion, a client has a Kock pouch (continent internal reservoir) in place. Which statement by the client indicates a need for further teaching?

"I'll have to wear an external collection pouch for the rest of my life."

In addition to teaching a client with constipation to increase dietary fiber intake to 25 g/day, which of the following would the nurse include as important?

Adding fiber-rich foods to the diet gradually.

The nurse caring for a patient with diverticulitis is preparing to administer the patient's medications. The nurse anticipates administration of which category of medications due to the patient's diverticulitis?

Antispasmodic

A client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, the nurse notes that the client's stoma appears dusky. How should the nurse interpret this finding?

Blood supply to the stoma has been interrupted.

The nurse is caring for a 77-year-old patient diagnosed with Crohn's disease.What would be especially important to monitor this patient for?

Dehydration

A client has a 10-year history of Crohn's disease and is seeing the physician in the GI group where you practice nursing due to increased diarrhea and fatigue. What is the recommended dietary approach to treat Crohn's disease?

Dietary approach varies

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

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

A nurse is caring for a patient with Crohn's disease. The patient is scheduled for a barium enema. What is an appropriate nursing intervention the day before the test?

Encourage plenty of fluids

An adult patient is scheduled for an upper GI series that will use a barium swallow. What teaching should the nurse include when the patient has completed the test?

Fluids must be increased to facilitate the evacuation of the stool.

An elderly patient diagnosed with diarrhea is taking digoxin (Lanoxin). Which of the following electrolyte imbalances should the nurse be alert to?

Hypokalemia

Acute diarrhea is most often associated with which of the following?

Infection

Crohn's disease is a condition of malabsorption caused by which of the following pathophysiological processes?

Inflammation of all layers of intestinal mucosa

A 74-year-old gentleman is a client on the hospital unit where you practice nursing. He is scheduled to undergo rhinoplasty in the morning, and you are completing his admission assessment and paperwork. He reports medications he uses on a daily basis, which you record on his chart. Which of his daily medications have the potential to result in constipation?

Laxative

If a client has abdominal surgery and a portion of the small intestine is removed, the client is at risk for which of the following?

Malabsorption syndrome

A client is being treated for prolonged diarrhea. Which of the following foods should the nurse encourage the client to consume?

Potassium-rich foods

A nurse is caring for a client who had an ileo conduit 3 days earlier. The nurse examines the stoma site and determines that she should consult with the ostomy nurse. Which assessment finding indicates the need for further consultation

Red, sensitive skin around the stoma site

Which of the following categories of laxatives draws water into the intestines by osmosis?

Saline agents (Milk of Magnesia)

Which of the following would indicate to the nurse that a client who has received three cleansing enemas in preparation for a barium enema is experiencing dehydration?

Signs of dizziness and confusion

The nurse is reviewing the laboratory test results of a client with Crohn's disease. Which of the following would the nurse most likely find?

Stool cultures negative for microorganisms or parasite

Blood shed in sufficient quantities into the upper GI tract, produces which color of stool?

Tarry-black

Which outcome indicates effective client teaching to prevent constipation?

The client reports engaging in a regular exercise regimen.

A client has a newly created colostomy. After participating in counseling with the nurse and receiving support from the spouse, the client decides to change the colostomy pouch unaided. Which behavior suggests that the client is beginning to accept the change in body image?

The client touches the altered body part.

A client presents to the emergency department with complaints of acute GI distress, bloody diarrhea, weight loss, and fever. Which condition in the family history is most pertinent to the client's current health problem?

Ulcerative colitis

A client has sustained a head injury to the occipital area. He cannot identify a familiar object by looking at it. The nurse knows that this deficit is which of the following?

Visual agnosia

The nursing instructor is discussing ulcerative colitis with her clinical group. What would she tell her students about the characteristics of the stools of these patients?

Watery with blood and mucus

A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of:

increasing fluid intake to prevent dehydration.

A nurse is performing focused assessment on her clients. She expects to hear hypoactive bowel sounds in a client with:

paralytic ileus.

The nurse teaches the patient whose surgery will result in a sigmoid colostomy that the feces expelled through the colostomy will be

solid.

A client is being treated for diverticulosis. Which of the following points should the nurse include in this client's teaching plan? Choose all correct options.

• Drink at least 8 to 10 large glasses of fluid every day. • Do not suppress the urge to defecate.

A 32-year-old client is seeing a physician in the primary care group where you practice nursing. Mostly, she describes being constipated, but she also experience abdominal cramping, pain, and urgent diarrhea. She notices these symptoms occur more often when she is nearing a deadline or is under emotional stress. What would you expect the physician to recommend to treat these symptoms? Select all that apply

• High-fiber diet • Psyllium (Metamucil)