Module IV Weekly Questions

A colostomy is scheduled for a patient with a bowel obstruction. The nurse expects that which intervention will be included in the patient's preoperative preparation?

Administration of an IV antibiotic

A patient presents to the Emergency Department with pain at McBurney's Point. The nurse knows that this manifestation is most common in what condition? Appendicitis Irritable Bowel Syndrome Intestinal Obstruction Crohn's Disease

Appendicitis

A patient is being seen for complaints of nausea, bloating, and diarrhea approximately 30 minutes after eating. He was diagnosed with chronic peptic ulcer disease and underwent a gastric resection surgery three weeks ago. What condition is this patient most likely experiencing? Hypoglycemia New peptic ulcer formation Dumping syndrome Irritable bowel syndrome (IBS)

Dumping syndrome

The nurse is caring for a patient who states, "I am unable to swallow food, and I feel like food gets stuck in my esophagus." What condition is the patient experiencing? Cheilitis Eructation Dyspepsia Dysphagia

Dysphagia

What of the following statements is correct regarding a capsule endoscopy? Teach the patient to maintain a clear liquid diet throughout the procedure. Have the patient return to the procedure room for removal of the capsule. Ensure the patient understands the required bowel preparation and is NPO for 8 hours prior to the procedure. Explain to the patient that conscious sedation will be used during placement of the capsule.

Ensure the patient understands the required bowel preparation and is NPO for 8 hours prior to the procedure.

A patient presents to the Emergency Department with a gastric bleed. The nurse knows that which of the following is a clinical manifestation of this disorder that indicates a serious complication and should be reported to the health care provider immediately? Coffee ground emesis Diarrhea BP 86/42 Temperature of 99.2 F

BP 86/42

The nurse is providing post-procedural care to a patient who had a colonoscopy. The nurse should report what assessment finding to the primary health care provider immediately? Vomiting Blood in the feces Abdominal cramping An urge to defecate

Blood in the feces

A patient has returned from surgery with an ileostomy. The nurse assesses the patient in the immediate post-operative period for which of the following must frequent complication of this type of surgery? Intestinal obstruction Fluid and electrolyte imbalance Malabsorption of fat Folate deficiency

Fluid and electrolyte imbalance

A patient has frequent abdominal pain and diarrhea and a 5-lb weight loss over the past two weeks. The health care provider orders a capsule endoscopy. The nurse understands a capsule endoscopy is most helpful in diagnosing which of the following conditions Irritable bowel disease Crohn's disease Ulcerative colitis Diverticulosis

Crohn's disease

The patient with a new ileostomy needs discharge teaching. What should the nurse plan to include in this teaching? The pouch can be worn for up to 2 weeks before changing it. Decrease the amount of fluid intake to decrease the amount of drainage. The pouch can be removed when bowel movements have been regulated. If leakage occurs, promptly remove the pouch, clean the skin, and apply a new pouch.

If leakage occurs, promptly remove the pouch, clean the skin, and apply a new pouch.

A patient with irritable bowel syndrome is ordered loperamide every eight hours. Which of the following best describes the action of this medication? It decreases inflammation. It slows intestinal transit. It increases fluid in the intestine. It reduces nausea.

It slows intestinal transit.

A patient with gastroesophageal reflux disease (GERD) has undergone an esophagogastroduodenoscopy (EGD). The nurse is assessing the patient after the procedure and notes a sudden spike in body temperature. What could be the cause of the increase in temperature? Bleeding ulcer Organ perforation Severe esophageal stricture Obstruction in the gastrointestinal tract

Organ perforation

A patient is admitted to the hospital with left upper quadrant (LUQ) pain. A possible source of the pain may be by which organ? Liver Pancreas Appendix Gallbladder

Pancreas

During auscultation of the abdomen, which of the following statements is correct? The presence of borborygmi indicates hyperperistalsis. The bell of the stethoscope is used to auscultate high-pitched sounds. High-pitched, rushing and tinkling bowel sounds are heard after eating. The absence of bowel sounds for 3 minutes in each quadrant is reported as abnormal.

The presence of borborygmi indicates hyperperistalsis.

The nurse is preparing to administer a dose of metoclopramide. what potential adverse effect should the nurse instruct the patient to report while taking this medication? Headache Tremors Dry mouth Cold hands

Tremors

Which of the following mechanisms can facilitate the development of diverticulosis into diverticulitis? Undigested food blocking the diverticulum, predisposing the area to bacteria invasion. Chronic constipation causing an obstruction, reducing the forward flow of intestinal contents. Treating constipation with chronic laxative use, leading to dependence on laxatives. Herniation of the intestinal mucosa, rupturing the wall of the intestine.

Undigested food blocking the diverticulum, predisposing the area to bacteria invasion.