Quiz 1 - Amenorrhea, Constipation, Diarrhea

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? A Distended abdomen B Temperature of 100.0 F (37.8 C) C Loose and bloody stool D Lower abdominal cramps

A Distended abdomen

The home health nurse is caring for a patient who has frequent bouts of diverticulitis accompanied by increased flatulence, diarrhea, and nausea. Which of the following is the most appropriate suggestion to lessen these symptoms? A Eat a diet high in fiber content B Increase dietary fat intake C Exercise to increase intra-abdominal pressure D Take daily laxatives

A Eat a diet high in fiber content

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? A Lets discuss potential factors that increase your symptoms. B If you take the prescribed medications, you will no longer have diarrhea. C To decrease distress, do not eat anything before you go out. D You must retake control of your life. I will consult a therapist to help.

A Lets discuss potential factors that increase your symptoms.

The nurse is providing care for a 68-year-old woman who is complaining of constipation. What concern exists regarding her nutritional status? A. Absorption of nutrients may be impaired. B. Constipation may represent a food allergy. C. The patient may need emergency surgery to correct the problem. D. Gastrointestinal problems will increase her caloric demand.

A. Absorption of nutrients may be impaired.

During a health history of a patient who complains of chronic constipation, the patient asks the nurse about high-fiber foods. The nurse relates that an example of a high-fiber food would be: A. Broccoli B. Hamburger C. Iceberg lettuce D. Yogurt

A. Broccoli

If amenorrhea is reported by the female patient, the clinician should attribute this to ____ until proven otherwise. A. Pregnancy B. Ovarian Failure C. Lack of progesterone D. Menopause

A. Pregnancy

17-year-old female patient complains of amenorrhea for the last 8 months, weight gain, excessive hair growth on the arms and chest, and development of acne. Pelvic examination is normal. The clinician should recognize these are signs of: A. Ovarian cancer B. Endometriosis C. Hormonal imbalance D. Stress-induced anovulation

C. Hormonal imbalance

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? A Apply oxygen via nasal cannula. B Administer intravenous fluids. C Provide perineal care with a premedicated wipe. D Teach proper food preparation to prevent contamination.

B Administer intravenous fluids.

After teaching a client with perineal excoriation caused by diarrhea from acute gastroenteritis, a nurse assesses the clients understanding. Which statement by the client indicates a need for additional teaching? A I'll rinse my rectal area with warm water after each stool and apply zinc oxide ointment. B I will clean my rectal area thoroughly with toilet paper after each stool and then apply aloe vera gel. C I must take a sitz bath three times a day and then pat my rectal area gently but thoroughly to make sure I am dry. D I shall clean my rectal area with a soft cotton washcloth and then apply vitamin A and D ointment.

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

After teaching a client who was hospitalized for Salmonella food poisoning, a nurse assesses the clients understanding. Which statement made by the client indicates a need for additional teaching? A I will let my husband do all of the cooking for my family. B I'll take the ciprofloxacin until the diarrhea has resolved. C I should wash my hands with antibacterial soap before each meal. D I must place my dishes into the dishwasher after each meal.

B I'll take the ciprofloxacin until the diarrhea has resolved.

A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: A Diarrhea B Peritonitis C Laxative use D Gastroenteritis

B Peritonitis

A 55-year-old woman complains of amenorrhea and hot flashes for the last 3 months. Pregnancy test is negative. The clinician should recognize that menopause is defined as the absence of menses for: A. 3 months B. 6 months C. 1 year D. 18 months

B. 6 months

A 30-year-old woman is visiting the clinic because of pain in my bottom when I have a bowel movement. The nurse should assess for which problem? A. Pinworms B. Hemorrhoids C. Colon cancer D. Fecal incontinence

B. Hemorrhoids

Which of the following is regarded as a "quality of care" indicator? A. Frequent episodes of dehydration B. Pattern of weight loss C. Chronic constipation D. Repeat urinary tract infections

B. Pattern of weight loss

. A nurse assesses a client who has ulcerative colitis and severe diarrhea. Which assessment should the nurse complete first? A Inspection of oral mucosa B Recent dietary intake C Heart rate and rhythm D Percussion of abdomen

C Heart rate and rhythm

A nurse is teaching a client about magnesium hydroxide with aluminum hydroxide (Maalox). What instruction is most appropriate? A. Aspirin must be avoided. B Do not worry about black stools. C Report diarrhea to your provider. D Take 1 hour before meals.

C Report diarrhea to your provider.

A patient who is visiting the clinic complains of having stomach pains for 2 weeks and describes his stools as being soft and black for approximately the last 10 days. He denies taking any medications. The nurse is aware that these symptoms are mostly indicative of: A. Excessive fat caused by malabsorption. B. Increased iron intake, resulting from a change in diet. C. Occult blood, resulting from gastrointestinal bleeding. D. Absent bile pigment from liver problems.

C. Occult blood, resulting from gastrointestinal bleeding.

A patient with Crohn's disease complains of extreme muscle weakness, fatigue, diarrhea, bruising, 10-pound weight loss over the last few weeks, and dypnea on exertion. On physical examination, the patient is afebrile, pulse 110, resps 20/min, and BP 100/ 50. BMI is 15. The patient is pale and frail looking, with bilateral ankle edema and bruises noted on cachetic thighs. Which of the following diagnostic tests is most helpful in the diagnosis of intestinal malabsorption? A. Liver Enzymes B. Vit B12 assay C. Stool for fat D. INR

C. Stool for fat

To confirm the diagnosis of amenorrhea due to menopause, blood should be drawn for hormones. Which are the changes that occur with menopause? A. FSH rises B. LH Decreases C. LH rises D. A&C

D. A&C