inflammation

A client diagnosed with colon cancer has a colostomy. The nurse has completed discharge teaching. Which statement would indicate that the client is in need of further teaching?

"I will have to adapt my daily routine around my colostomy changing schedule."

The nurse is teaching a client with ulcerative colitis about maintaining a healthy lifestyle. Which statement indicates the client understands the nurse's instructions?

"I'll have to stop smoking."

The nurse is caring for a client who had a bowel resection one week ago. Which interventions are most appropriate to promote wound healing and reduce risk of infection at the incision site? Select all that apply.

**?Increase intake of protein and vitamin C in the diet. Resume nasogastric suctioning to decrease pressure on the abdomen. Administer corticosteroids to stimulate the immune system. Teach the client to wash hands before touching the incision.

A client is admitted with inflammatory bowel syndrome (Crohn's disease). When planning care for the healthcare team, which would be included? Select all that apply.

-antidiarrheal medications -corticosteroid therapy

An adolescent client is brought to the emergency department with suspected appendicitis. Which assessment findings does the nurse expect to find with this diagnosis? Select all that apply.

-white blood cell count of 12,000 -rebound pain at McBurney's point -vomited 100 mL of stomach contents

A client with right lower quadrant pain is admitted to the emergency department with a white blood cell (WBC) count of 17.8/mm3. What should the nurse do next?

Assess vital signs

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.

A client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, the nurse notes that the client's stoma appears dusky. How should the nurse interpret this finding?

Blood supply to the stoma has been interrupted.

A client arrives to the emergency department with suspected appendicitis. The admitting nurse performs an assessment. Order the following steps according to the sequence in which they are performed. All options must be used.

Obtain a health history. Inspect the abdomen, noting the shape, contours, and any visible peristalsis or pulsations. Auscultate bowel sounds in all four quadrants. Percuss all four abdominal quadrants. Gently palpate all four quadrants, saving the painful area for last.

What is the most common assessment finding in a child with ulcerative colitis?

Profuse diarrhea

An adolescent client reports right lower quadrant pain, nausea, vomiting, and a low-grade fever for the past 12 hours. A physical examination reveals rebound tenderness and a positive psoas sign. Based on these findings, what should the nurse suspect?

appendicitis

A 13-year-old client is being evaluated for possible Crohn's disease. The nurse expects to prepare the client for which diagnostic study?

colonoscopy with biopsy

A client is admitted from the emergency department reporting severe right lower quadrant abdominal pain and an elevated white blood cell count and a low grade fever. The nurse continues to monitor the patient while waiting for the physician. The nurse will identify the following as a major concern:

hypotension

A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of

increasing fluid intake to prevent dehydration.

A nurse is assessing a client and obtains the following findings: abdominal discomfort, mild diarrhea, and a temperature of 100°F (37.8°C). The nurse questions the client about a past diagnosis of what condition?

inflammatory bowel disease (IBD)

An adolescent, age 14, is hospitalized for nutritional management and drug therapy after experiencing an acute episode of ulcerative colitis. Which nursing intervention is appropriate?

providing small, frequent meals

Nursing assessment of a client with peritonitis reveals hypotension, tachycardia, and signs and symptoms of dehydration. Which additional assessment finding will the nurse assess for?

severe abdominal pain with direct palpation or rebound tenderness

The caregivers of a school-aged client with a new diagnosis of ulcerative colitis ask the nurse how to manage the condition at school. How should the nurse respond? Select all that apply.

"Work with the school nurse to develop a plan." "Your child will need to drink plenty of liquids at school." "Your child should keep a change of clothing at school."