Chapter 47: Management of Patients With Intestinal and Rectal Disorders 4
Explain to the client why analgesics are being withheld.
A client has been brought into the ED via ambulance, reporting acute generalized abdominal pain, nausea, fever, and constipation. The healthcare provider suspects appendicitis, but testing has not been performed yet to make a definitive diagnosis. What will the nurse most likely do while initially caring for this client?
Increase dietary fiber.
A client is complaining of problems with constipation. What dietary suggestion can the nurse inform the client may help facilitate the passage of stool?
Steatorrhea
A client is diagnosed with Zollinger-Ellison syndrome. The nurse knows to assess the client for which characteristic clinical feature of this syndrome?
"I'll have to wear an external collection pouch for the rest of my life."
After undergoing a total cystectomy and urinary diversion, a client has a Kock pouch (continent internal reservoir) in place. Which statement by the client indicates a need for further teaching?
Maintaining skin integrity
The nurse is caring for an older adult patient experiencing fecal incontinence. When planning the care of this patient, what should the nurse designate as a priority goal?
Clamp the tubing and allow client to rest.
The nurse is irrigating a client's colostomy when the client begins to report cramping. What is the appropriate action by the nurse?
Peritonitis
The nurse is monitoring a client's postoperative course after an appendectomy. The nurse's assessment reveals that the client has vomited, has abdominal tenderness and rigidity, and has tachycardia. The nurse reports to the physician that the client has signs/symptoms of which complication?
Nausea
The nurse working in the ED is evaluating a client for signs and symptoms of appendicitis. Which of the client's signs/symptoms should the nurse report to the physician?
Ulcerative colitis
The presence of mucus and pus in the stools suggests which condition?
The client exhibits signs of adequate GI perfusion.
A nurse is caring for a client who has experienced an acute exacerbation of Crohn's disease. Which statement best indicates that the disease process is under control?
Mucosal disorders causing generalized malabsorption
Celiac sprue is an example of which category of malabsorption?
Increasing fluid intake to prevent dehydration
A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, what would the nurse stress the importance of?
inflammatory bowel disease (IBD)
A nurse is assessing a client and obtains the following findings: abdominal discomfort, mild diarrhea, blood pressure of 100/80 mm Hg, pulse rate of 88 beats/minute, respiratory rate of 20 breaths/minute, temperature 100° F (37.8° C). What diagnosis will the nurse suspect for this client?
paralytic ileus.
A nurse is performing focused assessment on her clients. She expects to hear hypoactive bowel sounds in a client with:
Broiled chicken with low-fiber pasta
A patient with IBD would be encouraged to increase fluids, use vitamins and iron supplements, and follow a diet designed to reduce inflammation. Select the meal choice that would be recommended for a low-residue diet.
Absent
After assessing a client with peritonitis, how would the nurse most likely document the client's bowel sounds?
Loperamide
After teaching a group of students about irritable bowel syndrome and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate-related antidiarrheal agent?
Bisacodyl
Which drug is considered a stimulant laxative?
Diarrhea
Which is one of the primary symptoms of irritable bowel syndrome (IBS)?
Metamucil
Which of the following is considered a bulk-forming laxative?