Chapter 46 and 47 prequiz
A patient with gastritis required hospital treatment for an exacerbation of symptoms and receives a subsequent diagnosis of pernicious anemia due to malabsorption. When planning the patient's continuing care in the home setting, what assessment question is MOST relevant?
"Does anyone in your family have experience at giving injections?"
A nurse is conducting health screening with a diverse group of clients. Which client likely has the most risk factors for developing hemorrhoids?
A pregnant woman at 28 weeks' gestation
A nurse is caring for a client who has been admitted to the hospital with diverticulitis. What would be appropriate nursing diagnosis for this client? Select all that apply.
Acute pain related to increased peristalsis and GI inflammation Activity intolerance related to generalized weakness Deficient fluid volume related to anorexia, nausea, and diarrhea
An older adult who resides in an assisted living facility has sought care from the nurse because of recurrent episodes of constipation. Which of the following actions should the nurse first perform?
Assess the client's food and fluid intake
A nurse is teaching a group of adults about screening and prevention of colorectal cancer. The nurse should describe which of the following as the most common sign of possible colon cancer?
Change in bowel habits
A patient with gastric cancer has been scheduled for a total gastrectomy. During the pre-operative assessment, the patient confides in the nurse that she feels like she will be 'mutilated by the surgery'. The nurse should plan interventions that address what nursing diagnosis?
Deficient knowledge related to risks and expectations of surgery.
A client is scheduled for the creation of continent ileostomy. What dietary guidelines should the nurse encourage during the weeks following surgery?
High intake of strained fruits and vegtables
An adult client has been diagnosed with diverticular disease after ongoing challenges with constipation. The client will be treated on an outpatient basis. What components of treatment should the nurse anticipate? Select all that apply.
Increased fiber intake Reduced fat intake
Which of the following is the most plausible nursing diagnosis for a client whose treatment for colon cancer has necessitated a colostomy?
Ineffective sexuality patterns related to changes in self concept.
Following gastric surgery, the patient is experiencing dumping syndrome. To what physiologic phenomenon does the nurse attribute this syndrome?
Influx of extracellular fluid into the small intestine.
Your patient has been diagnosed with peptic ulcer disease and prescribed omaprazole. Which statement below describes this medications therapeutic action?
Omeprazole reduces the amount of acid secreted in your stomach.
A client's large bowel obstruction has failed to resolve spontaneously and the client's worsening condition has warranted admission tot he medical unit. Which of the following aspect of nursing care is most appropriate for this client?
Preparing the client for surgical bowel resection
A nurse at an outpatient surgery center is caring for a client who had a hemorrhoidectomy. What discharge education topics should the nurse address with this client?
The correct procedure for a sitz bath
Which of the following are potential complications for a 2-day post-operative patient who had gastric surgery? (choose all that apply).
Atelectasis Pneumonia Hemorrhage
A college professor with a history of dyspepsia has been diagnosed with chronic gastritis. The nurse's health education should include what guidelines? (select all that apply)
Avoid drinking alcohol Avoid non-steroidal anti-inflammatories
A patient is being admitted with a diagnosis of "late-stage gastric cancer". The patient and their family is very upset and anger that she was not diagnosed earlier in the course of her disease. Which of the following factors MOST likely contributed to the client's late diagnosis?
The early symptoms of gastric cancer are usually not alarming of highly unusual.
The nurse is providing care for a client whose peptic ulcer disease will be treated with a Billroth 1 procedure (Gastroduodenostomy). The nurse should address which of the following topics when providing health education?
The patient carries a risk for dumping syndrome The patient's Vagus nerve may be altered.
Diagnostic testing of a client with a history of dyspepsia and abdominal pain has resulted in a diagnosis of gastric cancer. The nurse's anticipatory guidance should include what information?
The possibility of surgery, chemotherapy, and radiotherapy.
A nurse caring for a client with colorectal cancer is preparing the client for upcoming surgery. The nurse administers cephalexin to the client and explains what rationale?
To reduce intestinal bacteria levels.
A community health nurse is going to the home of a patient that had a total gastrectomy for the treatment of gastric cancer. What vitamin, that is given as an injection, would the nurse anticipate being on the patient's MAR?
Vitamin B12
