321 Exam 3 - Ch 47: Management of Pts with Intestinal/Rectal Disorders
Which statement provides accurate information regarding cancer of the colon and rectum?
colorectal cancer is the 3rd most common site of cancer in the US
The nurse in an extended-care facility reports that a resident has clinical manifestations of fecal incontinence. The health care provider orders a diagnostic study to rule out inflammation. Which study will the nurse prepare the client for?
flexible sigmoidoscopy
As part of the management of constipation, the client is instructed to take 30 mL of mineral oil orally. How does mineral oil facilitate bowel evacuation?
lubricates and softens fecal matter
A client is readmitted with an exacerbation of celiac disease 2 weeks after discharge. Which statement by the client indicates the need for a dietary consult?
I didn't eat anything I shouldn't have; I just ate roast beef on rye bread
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?
WBC count 22.8/mm3
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 diet gradually
What is the most common cause of small-bowel obstruction?
adhesions
A client with anorexia reports constipation. Which nursing measure would be most effective in helping the client reduce constipation?
assist client to increase dietary fiber
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
The nurse is performing and documenting the findings of an abdominal assessment. When the nurse hears intestinal rumbling and the client then experiences diarrhea, the nurse documents the presence of which condition?
borborygmus
In women, which of the following types of cancer exceeds colorectal cancer?
breast
A client realizes that regular use of laxatives has greatly improved bowel patterns. However, the nurse cautions this client against the prolonged use of laxatives for which reason?
client's natural bowel movement function may become sluggish
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?
consistency of stool and comfort when passing stool
What information should the nurse include in the teaching plan for a client being treated for diverticulosis?
drink at least 8-10 large glasses of fluid every day
The nurse is performing a community screening for colorectal cancer. Which characteristic should the nurse include in the screening?
familial polyposis
Which characteristic is a risk factor for colorectal cancer?
familial polyposis
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 nurse is applying an ostomy appliance to the ileostomy of a client with ulcerative colitis. Which action is appropriate?
gently washing area surrounding stoma using a facecloth and mild soap
The nurse is admitting a client with a diagnosis of diverticulitis and assesses that the client has a boardlike abdomen, no bowel sounds, and reports of severe abdominal pain. What is the nurse's first action?
notify health care provider
A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nurse would expect to find rebound tenderness at which location?
right lower quadrant
