History 46

D

. A client at a long-term care facility informs the nurse that he is having cramping when trying to have a bowel movement, and all that is coming out is liquid. When the nurse reviews the client's last bowel movement history, it is determined that the client has not had a bowel movement in 7 days. What does the nurse understand is most likely occurring with this client? A. Scybala B. The history is incorrect of the last bowel movement. C. Diarrhea D. Encopresis

D

. A client is complaining of problems with constipation. What dietary suggestion can the nurse inform the client may help facilitate the passage of stool? A. Increase the carbohydrate content of the diet. B. Increase dietary fat consumption. C. Increase dietary protein such as lean meats. D. Increase dietary fiber.

C

. A client realizes that regular use of laxatives has led to bowel pattern improvement. However, the nurse cautions this client against the prolonged use of laxatives for which reason? A. The client may develop inflammatory bowel disease. B. The client may develop arthritis or arthralgia. C. The client's natural bowel function may become sluggish. D. The client's appetite may be depleted

A

. A client reports taking a stimulant laxative in order to be able to have a bowel movement daily. What should the nurse inform the client about taking a stimulant laxative? A. They can be habit forming and will require increasing doses to be effective. B. If the client is drinking 8 glasses of water per day, it is all right to continue taking them. C. The laxative is safe to take with other medication the client is taking. D. The client should take a fiber supplement along with the stimulant laxative

A

. A client tells the nurse, "I am not having normal bowel movements." When differentiating between what are normal and abnormal bowel habits, what indicators are the most important? A. The consistency of stool and comfort when passing stool B. That the client has a bowel movement daily C. That the stool is formed and soft D. The client is able to fully evacuate with each bowel movement

C

. A nurse is preparing a presentation for a local community group of older adults about colon cancer. What would the nurse include as the primary characteristic associated with this disorder? A. Abdominal distention B. Frank blood in the stool C. A change in bowel habits D. Abdominal pain

D

. The instructor is teaching a group of students about intestinal obstruction. The instructor determines that the teaching was effective when the students identify which of the following as a cause of a functional obstruction? A. Volvulus B. Intussusception C. Tumor D. Abdominal surgery

A

. The nurse is talking with a group of clients who are older than age 50 years about the recognition of colon cancer to access early intervention. What should the nurse inform the clients to report immediately to their primary care providers? A. Change in bowel habits B. Excess gas C. Daily bowel movements D. Abdominal cramping when having a bowel movement

B

. The nurse is teaching a client with constipation to increase dietary fiber intake to 25 g/day. Which recommendation would the nurse include? A. Avoiding bran cereals and beans in the diet B. Adding fiber-rich foods to the diet gradually C. Limiting fluid intake to 5 to 6 glasses per day D. Minimizing activity levels for at least 2 months

A

A client has developed an anorectal abscess. Which client is likely at risk for the development of this type of abscess? A. A client with Crohn disease B. A client with hemorrhoids C. A client with colon cancer D. A client with diverticulosis

C

A client informs the nurse of having abdominal pain that is relieved when having a bowel movement. The health care provider diagnosed the client with irritable bowel syndrome. What does the nurse recognize as characteristic of this disorder? A. Weight loss due to malabsorption B. Blood and mucus in the stool C. Chronic constipation with sporadic bouts of diarrhea D. Client is awakened from sleep due to abdominal pain.

C

A client is diagnosed with colon cancer, located in the lower third of the rectum. What does the nurse understand will be the surgical treatment option for this client? A. Colectomy B. Segmental resection C. Abdominoperineal resection D. A low colectomy

D

A client is recently diagnosed with Crohn disease and is beginning treatment. What first-line treatment does the nurse expect that the client will be placed on to decrease the inflammatory response? A. Ciprofloxacin B. Methotrexate C. Azathioprine D. Sulfasalazine

C

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? A. Constipation B. Paralytic ileus C. Peritonitis D. Accumulation of gas

D

A client with a hernia decides to manage the herniation with a truss. The nurse would emphasize which of the following? A. Using laxatives to ensure regular bowel movement B. Wearing warm, woolen clothes to avoid dryness C. Applying a sunscreen to prevent exposure to direct sunlight D. Using cornstarch to absorb moisture in the area

A

The instructor is teaching a group of students about Crohn disease and antidiarrheal agents. The instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate-based antidiarrheal agent? A. Diphenoxylate with atropine B. Bismuth subsalicylate C. Kaolin and pectin D. Bisacody

A

The nurse is assessing a client for fecal impaction, and when inserting a lubricated, gloved finger, the stool feels like small rocks. What does the nurse document this finding as? A. Scybala B. Hard stool C. Fecal Impaction D. Obstruction

BCD

The nurse is caring for a client who has had diarrhea for 3 days. What major problem(s) associated with severe or prolonged diarrhea should the nurse monitor for when caring for this client? Select all that apply. A. Oral candidiasis B. Dehydration C. Electrolyte imbalances D. Vitamin deficiencies E. Rectal fissures

B

The nurse is caring for a client with intussusception of the bowel. What does the nurse understand occurs with this disorder? A. The bowel twists and turns itself and obstructs the intestinal lumen. B. One part of the intestine telescopes into another portion of the intestine. C. The bowel protrudes through a weakened area in the abdominal wall. D. A loop of intestine adheres to an area that is healing slowly after surgery.

A

The nurse is interviewing a client with internal hemorrhoids. What would the nurse expect the client to report? A. Rectal bleeding B. Pain C. Itching D. Soreness

C

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? A. Kidneys, ureters, bladder (KUB) B. Colonic transit studies C. Defecography D. Abdominal radiography

C

The nurse is reviewing the laboratory test results of a client with Crohn disease. Which of the following would the nurse most likely find? A. Decreased white blood cell count B. Increased albumin levels C. Stool cultures negative for microorganisms or parasite D. Decreased erythrocyte sedimentation rate

C

The nurse observes the physician palpating the abdomen of a client that is suspected of having acute appendicitis. When the abdomen is pressed in the left lower quadrant the client complains of pain on the right side. What does the nurse understand this assessment technique is referred to? A. Referred pain B. Rebound pain C. Rovsing sign D. Cremasteric reflex