Chapter 41 PrepU Management of Patients with Intestinal and Rectal Disorders

The nurse is performing an abdominal assessment for a patient with diarrhea and auscultates a loud rumbling sound in the left lower quadrant. What will the nurse document this sound as on the nurse's notes?

Borborygmus

Which is the most common presenting symptom of colon cancer?

Change in bowel habits

A client has a 10-year history of Crohn disease and is seeing the physician due to increased diarrhea and fatigue. What is the recommended dietary approach to treat Crohn disease?

Dietary approach varies

What information should the nurse include in the teaching plan for a client being treated for diverticulosis?

Drink at least 8 to 10 glasses of fluid everyday

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:

Fissure

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

High in fiber

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:

Hypokalemia

The instructor is teaching a group of students about irritable bowel syndrome (IBS) and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an antidiarrheal agent commonly administered for IBS?

Loperamide

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

Low fat, low protein, high fiber diet.

Diet modifications for patient diagnosed with chronic inflammatory bowel disease include which of the following?

Low residue

A client with a diagnosis of acute appendicitis is awaiting surgical intervention. The nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and board-like. What complication does the nurse determine may be occurring at this time?

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?

Peritonitis

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

Usual pattern of elimination

A client is admitted to the emergency department with reports right lower quadrant pain. Blood specimens are drawn and sent to the laboratory. Which laboratory finding should be reported to the health care provider immediately?

White blood cell count 22.8

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

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

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

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

Post appendectomy, a nurse should assess the patient for abdominal rigidity and tenderness, fever, loss of bowel sounds, and tachycardia, all clinical signs of:

Peritonitis