ADN 240 Exam 3
Which statement indicates the client understands the lifestyle modifications required when managing ulcerative colitis?
"I will have to stop smoking"
A client newly diagnosed with ulcerative who has been placed on steroids asks the nurse why steroids are prescribed. The nurse should tell the client:
"Steroids are used in severe flare-ups because they can decrease the incidence of bleeding."
A client who has had ulcerative colitis for the past 5 years is admitted to the hospital with an exacerbation of the disease. Which factor is of greatest significance in causing an exacerbation of ulcerative colitis?
A demanding and stressful job
A nurse is caring for a female client with diarrhea. What instruction should the nurse give the client with regard to perineal hygiene?
Clean the perineal area from the front to back.
A client has had abdominal surgery and in 72 hours develops abdominal distention and absence of bowel sounds with pain. The nurse suspects the client has:
Paralytic ileus
A nurse is providing care for a patient who has a diagnosis or irritable bowel syndrome (IBS). When planning this patient's care, the nurse should collaborate with the patient and prioritize what goal?
Patient will accurately identify foods that trigger symptoms.
When planning care for a client with ulcerative colitis who is experiencing exacerbation of symptoms, which client care activities can the nurse appropriately delegate to a UAP? (SAP)
Providing skin care following bowel movements Maintaining intake and output records Obtaining the clients weight
The nurse is assessing the postoperative client on the second postoperative day. Which assessment finding requires immediate physician notification?
The client has an absence of bowel sounds.
Which is an appropriate nursing goal for the client who has ulcerative colitis? The client:
Verbalizes the importance of small, frequent feedings.
An elderly woman has been admitted to the hospital with a suspected bowel obstruction. The nurse is reviewing the admitting physician's orders and reads the order "NPO" Based on this order, what action should the nurse take?
Ensure that the client does not eat or drink anything.
Which would be the most appropriate measure for preventing the development of a paralytic ileus in a client who has undergone renal surgery?
Encourage the client to ambulate every 2-4 hours
A postpartum client tells the nurse she's having trouble moving her bowels. The nurse should recommend that she do which of the following to combat constipation?
Add more vegetables to her diet.
What is the most common cause of small-bowel obstruction?
Adhesions
A client who reports a number of GI-related symptoms is diagnosed with ulcerative colitis. The nurse explains that ulcerative colitis is:
An inflammatory disease of the colon and rectum
A client is admitted with a diagnosis of ulcerative colitis. The nurse should assess the client for:
Bloody, diarrheal stools.
On the first postpartum day after a cesarean birth, the client is prescribed a full liquid diet as tolerated. Before providing a full liquid breakfast, the nurse should asses which factor?
Bowel sounds
Which diagnostic test would determine whether a client's diagnosis is Crohn's disease or ulcerative colitis?
Colonoscopy with biopsy
Ignoring the urge to defecate on a continual basis leads to:
Constipation and hard stool
Which of the following is one of the primary symptoms irritable bowel syndrome (IBS)?
Diarrhea
A 60 y.o. patient is experiencing pain that can be attributed to distention of the veins in her rectum. What health problem is this patient most likely experiencing?
Hemorrhoids
A client has had an exacerbation of ulcerative colitis with cramping and diarrhea persisting longer than 1 week. The nurse should assess the client for which complication?
Hypokalemia
An elderly client is reporting changes in bowel movements from every day to every 3-4 days. The client also states that the stools are hard. Nursing interventions include instructing the client to:
Increase fluid intake
Mr.Munster, a client in the primary care office where you work, reports having increase incidence of constipation. You complete your assessment and discuss the potential causes with Mr. Munster. What can cause constipation?
Insufficient Fiber Emotional stress Inactivity (ALL)
As part of the management of constipation, the client is instructed to take 30 mL of mineral oil orally. Mineral oil facilitates bowel evacuation by
Lubricating and softening fecal matter
The health care provider prescribes sulfasalazine for the client with ulcerative colitis. Which instruction should the nurse give the client about taking this medication?
Take it with a full glass (240 mL) of water.
