GI Prep U

A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)?

"I've had trouble getting started when I urinate, often straining to do so."

Common clinical manifestations of Crohn's disease include:

Abdominal pain and diarrhea

A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather that ulcerative colitis, as the cause of the patient's signs and symptoms?

An absence of blood in the stool

A patient with a peptic ulcer disease has had metronidazole (Flagyl) added to his current medication regimen. What health education related to this medication should the nurse provide?

Avoid drinking alcohol while taking the drug.

The nurse is to check residual urine amounts for a client experiencing urinary retention. Which of the following would be most important?

Catheterize the client immediately after the client voids.

A client is being seen in the gastroenterology office where you practice nursing. He presents with an infection in the area between the internal and external sphincters. In which of the following chronic diseases is this condition commonly seen?

Crohn's Disease

In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention?

Frequency

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

A client is complaining of problems with constipation. What dietary suggestion can the nurse inform the client may help facilitate the passage of stool?

Increase dietary fiber

A nurse is assessing a patient who has peptic ulcer disease. The patient requests more information about the typical causes of Helicobacter pylori infection. What would it be appropriate for the nurse to instruct the patient?

Infection typically occurs due to ingestion of contaminated food and water.

Which of the following is the most prominent sign of inflammatory bowel disease?

Intermittent pain

The nurse is caring for an older adult patient experiencing fecal incontinence. When planning the care of this patient, what should the nurse designate as a priority goal?

Maintaining skin integrity

Which of the following is the most common symptom of gastrointestinal (GI) problems in general?

Nausea

A female client is undergoing a bladder training program as treatment for urinary incontinence. Which of the following techniques would be the most appropriate suggestion?

Performing Kegel exercises

A client with a history of peptic ulcer disease is admitted for hematemesis associated with gastric bleeding. Which is the most appropriate action of the nurse?

Prepare for nasogastric irrigations

A client with peptic ulcer disease complains of sharp mid-epigastric pain. Which assessment finding is most important to the care of this client?

Rigid abdomen

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

Saline agents (Milk of Magnesia)

Which of the following herbal remedies is used to treat symptoms of benign prostatic hypertrophy (BPH)?

Saw palmetto

Which of the following are signs/symptoms of perforation?

Sudden, severe upper abdominal pain

The nurse is working with a patient who has been experiencing episodes of urinary retention. What assessment finding would suggest that the patient is experiencing retention?

The patient's suprapubic region is dull on percussion.

James Roth, a 63-year-old accountant, is a client on the hospital unit where you practice nursing. Mr. Roth has developed urinary incontinence and is beginning bladder training to regain control over his urine elimination. Why is the catheter being clamped and unclamped?

To promote normal bladder function

A patient admitted with inflammatory bowel disease asks the nurse for help with menu selections. What menu selection is most likely the best choice for this patient?

Tofu

An older adult has a diagnosis of Alzheimer's disease and has recently been experiencing fecal incontinence. However, the nurse has observed no recent change in the character of the patient's stools. What is the nurse's most appropriate intervention?

Toilet the patient on a frequent, scheduled basis.

A patient is to undergo a TURP for BPH. Which of the following is accurate with regard to a TURP?

Urethral strictures are more frequent for TURP than with nontransurethral procedures.

A nurse's colleague has applied an incontinence pad to an older adult patient who has experienced occasional episodes of functional incontinence. What principle should guide the nurse's management of urinary incontinence in older adults?

Urinary incontinence is not considered a normal consequence of aging.