chapter 41 - prepu
C
A client is diagnosed with Zollinger-Ellison syndrome. The nurse knows to assess the client for which characteristic clinical feature of this syndrome? A. Decreased intestinal lactose B. Lymphadenopathy C. Steatorrhea D. Folate deficiency
B
A positive Roving's sign is indicative of appendicitis. A nurse knows to assess for this indicator by palpating the: A. Left upper quadrant. B. Left lower quadrant. C. Right lower quadrant. D. Right upper quadrant.
A
During assessment of a client for a malabsorption disorder, the nurse notes a history of abdominal pain and weight loss, marked steatorrhea, azotorrhea, and frequent glucose intolerance. Based on these clinical features, what diagnosis will the nurse suspect? A. Pancreatic insufficiency B. Lactose intolerance C. Ileal dysfunction D. Celiac disease
D
The nurse is caring for a patient who has malabsorption syndrome with an undetermined cause. What procedure will the nurse assist with that is the best diagnostic test for this illness? A. Stool specimen for ova and parasites B. Ultrasound C. Pancreatic function tests D. Endoscopy with mucosal biopsy
A
The nurse teaches the client whose surgery will result in a sigmoid colostomy that the feces expelled through the colostomy will be A. solid. B. semi mushy. C. mushy. D. fluid.
B
Which is a true statement regarding regional enteritis (Crohn's disease)? A. It has a progressive disease pattern. B. The clusters of ulcers take on a cobblestone appearance. C. It is characterized by pain in the lower left abdominal quadrant. D. The lesions are in continuous contact with one another.
D
Which is one of the primary symptoms of irritable bowel syndrome (IBS)? A. Pain B. Bloating C. Abdominal distention D. Diarrhea
B
A client's large bowel obstruction has failed to resolve spontaneously and the client's worsening condition has warranted admission to the medical unit. Which of the following aspect of nursing care is most appropriate for this client? A. Administering bowel stimulants as prescribed B. Preparing the client for surgical bowel resection C. Performing deep palpation as prescribed to promote peristalsis D. Administering bulk-forming laxatives as prescribed
A
A nurse is caring for a client who had an ileal conduit 3 days earlier. The nurse examines the stoma site and determines that she should consult with the ostomy nurse. Which assessment finding indicates the need for further consultation? A. Red, sensitive skin around the stoma site B. Clear mucus mixed with yellow urine drained from the appliance bag C. Stoma site not sensitive to touch D. Beefy red stoma site
D
A teenage client with a pilonidal cyst has been brought for care by her mother. The nurse who is contributing to the client's care knows that treatment will be chosen based on what risk? A. Risk for constipation B. Risk for impaired tissue perfusion C. Risk for bowel incontinence D. Risk for infection
D
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 erythrocyte sedimentation rate B. Decreased white blood cell count C. Increased albumin levels D. Stool cultures negative for microorganisms or parasite
C
A client is having a diagnostic workup for reports of frequent diarrhea, right lower abdominal pain, and weight loss. The nurse is reviewing the results of the barium study and notes the presence of "string sign." What does the nurse understand that this is significant of? A. Ulcerative colitis B. Diverticulitis C. Crohn's disease D. Irritable bowel syndrome
D
The nurse is comparing Crohn's disease (regional enteritis) with ulcerative colitis. Which of the following describes Crohn's disease? A. Fistulas are rare B. Bleeding is common and severe C. Diarrhea is more severe D. Its course is prolonged and variable
A
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. Defecography B. Abdominal radiography C. Colonic transit studies D. Kidneys, ureters, bladder (KUB)
C
Which drug is considered a stimulant laxative? A. Mineral oil B. Psyllium hydrophilic mucilloid C. Bisacodyl D. Magnesium hydroxide