Chapter 47: Management of Patients With Intestinal and Rectal Disorders 5

The client touches the altered body part.

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?

One part of the intestine telescopes into another portion of the intestine.

The nurse is caring for a client with intussusception of the bowel. What does the nurse understand occurs with this disorder?

solid

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

Rovsing's sign; acute appendicitis

A client presents to the ED with acute abdominal pain, fever, nausea, and vomiting. During the client's examination, the lower left abdominal quadrant is palpated, causing the client to report pain in the RLQ. This positive sign is referred to as ________ and suggests the client may be experiencing ________.

Every 4 to 6 hours

A client underwent a continent ileostomy. Within which time frame should the client expect to empty the reservoir?

Constipation

A nurse is reviewing the history and physical of a client admitted for a hemorrhoidectomy. Which predisposing condition does the nurse expect to see?

2 in.

The nurse is assisting a client to drain his continent ileostomy (Kock pouch). The nurse should insert the catheter how far through the nipple/valve?

Defecography

The nurse is preparing a client for a test that involves inserting a thick barium paste into the rectum with radiographs taken as the client expels the barium. What test will the nurse prepare the client for?

Adhesions

What is the most common cause of small-bowel obstruction?

Exacerbations and remissions

Which of the following is accurate regarding regional enteritis?