Chapter 57

After teaching a client with diverticular disease, a nurse assesses the client's understanding. Which menu selection made by the client indicates the client correctly understood the teaching?

Baked fish with steamed carrots and a glass of apple juice

A nurse teaches a client who has viral gastroenteritis. Which dietary instruction should the nurse include in this client's teaching?

Drink plenty of fluids to prevent dehydration

A nurse cares for a client with a new ileostomy. The client states, I don't think my friends will accept me with this ostomy. How should the nurse respond?

Tell me more about your concerns

A nurse cares for a client who is prescribed mesalamine (Asacol) for ulcerative colitis. The client states, I am having trouble swallowing this pill. Which action should the nurse take?

Ask the health care provider to prescribe the medication as an enema instead

A nurse cares for an older adult client who has Salmonella food poisoning. The clients vital signs are heart rate: 102 beats/min, blood pressure: 98/55 mm Hg, respiratory rate: 22 breaths/min, and oxygen saturation: 92%. Which action should the nurse complete first?

Administer intravenous fluids

A nurse assesses a client with Crohns disease and colonic strictures. Which clinical manifestation should alert the nurse to urgently contact the health care provider?

Distended abdomen

A nurse assesses a client with peritonitis. Which clinical manifestations should the nurse expect to find? (Select all that apply)

Distended abdomen. Inability to pass flatus. Decreased urine output.

A nurse assesses a client who has ulcerative colitis and severe diarrhea. Which assessment should the nurse complete first?

Heart rate and rhythm

A nurse assesses a client who is hospitalized with an exacerbation of Crohns disease. Which clinical manifestation should the nurse expect to find?

High-pitched, rushing bowel sounds in the right lower quadrant

After teaching a client with a parasitic gastrointestinal infection, a nurse assesses the client's understanding. Which statements made by the client indicate that the client correctly understands the teaching? (Select all that apply)

I must take a shower or bathe everyday. I should have my well water tested. I will ask my sexual partner to have a stool test.

After teaching a client with perineal excoriation caused by diarrhea from acute gastroenteritis, a nurse assesses the client's understanding. Which statement by the client indicates a need for additional teaching?

I will clean my rectal area thoroughly with toilet paper after each stool and then apply aloe vera gel

After teaching a client who has diverticulitis, a nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

I will take a laxative nightly at bedtime to avoid becoming constipated

After teaching a client who is prescribed adalimumab (Humira) for severe ulcerative colitis, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

I will take this medication with by breakfast each morning

After teaching a client who was hospitalized for Salmonella food poisoning, a nurse assesses the clients understanding. Which statement by the client indicates a need for additional teaching?

I'll take the ciprofloxacin until the diarrhea has resolved

A nurse cares for a client with ulcerative colitis. The client states, I feel like I am tied to the toilet. This disease is controlling my life. How should the nurse respond?

Lets discuss potential factors that increase your symptoms

A nurse cares for a teenage girl with a new ileostomy. The client states, I cannot go to prom with an ostomy. How should the nurse respond?

Lets talk to the enterostomal therapist about option for ostomy supplies and dress styles

A nurse assesses a client with ulcerative colitis. Which complications are paired correctly with their physiologic processes? (Select all that apply)

Lower gastrointestinal bleeding: Erosion of the bowel wall. Abcess formation: Localized pockets of infection develop in the ulcerated bowel lining. Nonmechanical bowel obstruction: Paralysis of colon resulting from colorectal cancer.

A nurse cares for a client who has a Giardia infection. Which medication should the nurse anticipate being prescribed for this client?

Metronidazole (Flagyl)

A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation should alert the nurse to urgently contact the health care provider?

Pale and bluish stoma

A nurse cares for a client who has food poisoning resulting from a Clostridium botulinum infection. Which assessment should the nurse complete first?

Respiratory rate

A nurse teaches a community group about food poisoning and gastroenteritis. Which statements should the nurse include in this group's teaching? (Select all that apply)

Rotavirus is more common among infants and younger children. To prevent E. coli infection, don't drink water when swimming. Parasitic diseases may not show up for 1 to 2 weeks after infection.

A nurse assesses a client who has appendicitis. Which clinical manifestation should the nurse expect to find?

Severe, steady right lower quadrant pain

A nurse plans care for a client with Crohns disease who has a heavily draining fistula. Which intervention should the nurse indicate as the priority action in this client's plan of care?

Skin protection

A nurse assesses a client who is hospitalized for botulism. The client's vital signs are temperature: 99.8 F (37.6 C), heart rate: 100 beats/min, respiratory rate: 10 breaths/min, and blood pressure: 100/62 mm Hg. Which action should the nurse take?

Stay with the client while another nurse calls the provider

After teaching a client with an anal fissure, a nurse assesses the client's understanding. Which client actions indicate that the client correctly understands the teaching? (Select all that apply)

Taking a warm sitz bath several times each day. Using bulk-producing agents to aid elimination. Self-administering anti-inflammatory suppositories.

A nurse teaches a client how to avoid becoming ill with Salmonella infection again. Which statements should the nurse include in this client's teaching? (Select all that apply)

Wash leafy vegetables carefully before eating or cooking them. Wash your hands before and after using the bathroom. Be sure meat is cooked to the proper temperature. Avoid eating eggs that are sunny side up or undercooked.

A nurse teaches a community group ways to prevent Escherichia coli infection. Which statements should the nurse include in this group's teaching? (Select all that apply)

Wash your hands after contact with animals. Use separate cutting boards for meat and vegetables.

After teaching a client who has a new colostomy, the nurse provides feedback based on the client's ability to complete self-care activities. Which statement should the nurse include in this feedback?

You cleaned the stoma well. Now you need to practice putting on the appliance

A nurse reviews the chart of a client who has Crohns disease and a draining fistula. Which documentation should alert the nurse to urgently contact the provider for additional prescriptions?

Serum potassium of 2.6 mEq/L