lower GI system

Post appendectomy, a nurse should assess the patient for abdominal rigidity and tenderness, fever, loss of bowel sounds, and tachycardia, all clinical signs of: A pelvic abscess. An ileus. An abscess under the diaphragm. Peritonitis

Peritonitis

A typical sign/symptom of appendicitis is: nausea. left lower quadrant pain. pain when pressure is applied to the right upper quadrant. high fever.

nausea

A client who has undergone colostomy surgery is experiencing constipation. Which intervention should a nurse consider for such a client? Suggest fluid intake of at least 2 L/day Instruct the client to keep a record of food intake Assist the client regarding the correct diet or to minimize food intake Instruct the client to avoid prune or apple juice

suggest fluid intake of at least 2 L/day

A client has been experiencing lower GI difficulties that have increased in severity, and the gastroenterologist is concerned that the client's bowel is not functioning properly. What function of the lower GI tract is most likely to be affected by the client's disorder? water and electrolyte absorption fat digestion All options are correct. protein digestion

water and electrolyte absorption

5-aminosalicyates

-used for IBD -diarrhea, headache, nausea, abdominal cramping, fever, and rash are common side affects -do not use with kidney problems

A client informs the nurse of having abdominal pain that is relieved when having a bowel movement. The health care provider diagnosed the client with irritable bowel syndrome. what does the nurse recognize as characteristic of this disorder? Weight loss due to malabsorption Blood and mucus in the stool Chronic constipation with sporadic bouts of diarrhea Client is awakened from sleep due to abdominal pain

Chronic constipation with sporadic bouts of diarrhea

A client has been recently diagnosed with an anorectal condition. The nurse is reviewing interventions that will assist the client with managing the therapeutic regimen. what would not be included? Encourage the client to avoid exercise Instruct the client to cleanse perianal area with warm water Encourage the client to follow diet and medication instructions Teach the client how to do sitz baths at home using war water three to four times each day

Encourage the client to avoid exercise

A nurse is applying an ostomy appliance to the ileostomy of a client with ulcerative colitis. which action is appropriate? Cutting the faceplate opening no more than 2 inchss larger than the stoma Gently washing the area surrounding the stoma using a facecloth and mild soap Maintaining wrinkles in the faceplate so it doesn't irritate the skin Scrubbing fecal material from the skin surrounding the stoma

Gently washing the area surrounding the stoma using a facecloth and mild soap

Diet modifications for patient diagnosed with chronic inflammatory bowel disease include which of the following? Low residue Low protein Calorie restriction Iron restriction

Low residue

It is important for the nurse to monitor serum electrolytes in a patient with acute diarrhea. Select the electrolyte result that should be immediately reported. Sodium of 136 mEq/L Potassium of 2.8 mEq/L Calcium of 9 mg/dL Chloride of 100 mEq/L

Potassium of 2.8 mEq/L

A client is being treated for prolonged diarrhea. Which foods should the nurse encourage the client to consume? High-fiber foods Potassium-rich foods High-fat foods Protein-rich foods

Potassium-rich foods

A nurse is caring for a client who had an ileal conduit 3 days earlier. The nurse examines the stoma site and determines that she should consult with the ostomy nurse. Which assessment finding indicates the need for further consultation? Red, sensitive skin around the stoma site Clear mucus mixed with yellow urine drained from the appliance bag Beefy red stoma site Stoma site not sensitive to touch

Red, sensitive skin around the stoma site

A client tells the nurse, "I am not having normal bowel movements." When differentiating between what are normal and abnormal bowel habits, what indicators are the most important? That the stool is formed and soft The consistency of stool and comfort when passing stool That the client has a bowel movement daily The client is able to fully evacuate with each bowel movement

The consistency of stool and comfort when passing stool

Which statement provides accurate information regarding cancer of the colon and rectum? Colorectal cancer is the third most common site of cancer in the United States Rectal cancer affects more than twice as many people as colon cancer Colon cancer has no hereditary component The incidence of colon and rectal cancer decreases with age

colorectal cancer is the third most common site of cancer in the united states

The nurse caring for an older adult client diagnosed with diarrhea is administering and monitoring the client's medications. Because one of the client's medications is digitalis (digoxin), the nurse monitors the client closely for: hypokalemia hyperkalemia hypernatremia hyponatremia

hypokalemia

A client tells the nurse, "I am not having normal bowel movements." When differentiating between what are normal and abnormal bowel habits, what indicators are the most important? That the client has a bowel movement daily The consistency of stool and comfort when passing stool That the stool is formed and soft The client is able to fully evacuate with each bowel movement

the consistency of stool and comfort when passing stool

Which drug is considered a stimulant laxative? Bisacodyl Mineral oil Psyllium hydrophilic mucilloid Magnesium hydroxide

Bisacodyl

Which is one of the primary symptoms of irritable bowel syndrome (IBS)? Pain Diarrhea Bloating Abdominal distention

Diarrhea

The nurse is caring for a patient who has malabsorption syndrome with an undetermined cause. What procedure will the nurse assist with that is the best diagnostic test for this illness? Ultrasound Endoscopy with mucosal biopsy Pancreatic function tests Stool specimen for ova and parasites

Endoscopy with mucosal biopsy

location of descending colon

LLQ

Which of the following is considered a bulk-forming laxative? Milk of Magnesia Metamucil Mineral oil Dulcolax

Metamucil

location of liver

RUQ

A nurse is interviewing a client about past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer? Polyps Hemorrhoids Weight gain Duodenal ulcers

Polyps

A client is readmitted with an exacerbation of celiac disease 2 weeks after discharge. Which statement by the client indicates the need for a dietary consult? "I don't understand why this happened again; I didn't travel out of the country." "I don't understand this; I took the medication the doctor ordered and followed the diet." "I didn't eat anything I shouldn't have; I just ate roast beef on rye bread." "I don't like oatmeal, so it doesn't matter that I can't have it."

"I didn't eat anything I shouldn't have; I just ate roast beef on rye bread."

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? "I'll have to wear an external collection pouch for the rest of my life." "I should eat foods from all the food groups." "I'll need to drink at least eight glasses of water a day." "I'll have to catheterize my pouch every 2 hours."

"I'll have to wear an external collection pouch for the rest of my life."

corticosteroids

-lower the activity of the immune system and limit inflammation in the digestive tract -short term treatment for Chron's and UC

The nurse is assisting a client to drain his continent ileostomy (Kock pouch). The nurse should insert the catheter how far through the nipple/valve? 2 in. 3 in. 4 in. 5 in.

2 in.

A nurse is preparing a presentation for a local community group of older adults about colon cancer. What would the nurse include as the primary characteristic associated with this disorder? Frank blood in the stool Abdominal pain Abdominal distention A change in bowel habits

A change in bowel habits

A client has developed an anorectal abscess. Which client is likely at risk for the development of this type of abscess? A client with colon cancer A client with diverticulosis A client with Crohn's disease A client with hemorrhoids

A client with Crohn's disease

The nurse is teaching a client with constipation to increase dietary fiber intake to 25 g/day. Which recommendation would the nurse include? Limiting fluid intake to 5 to 6 glasses per day Avoiding bran cereals and beans in the diet Minimizing activity levels for at least 2 months Adding fiber-rich foods to the diet gradually

Adding fiber-rich foods to the diet gradually

What is the most common cause of small-bowel obstruction? Adhesions Neoplasms Hernias Volvulus

Adhesions

When preparing a client for a hemorrhoidectomy, the nurse should take which action? Administer an enema as ordered. Administer topical antibiotics as ordered. Administer analgesics as ordered. Administer oral antibiotics as ordered.

Administer an enema as ordered.

The American Cancer Society recommends routine screening to detect colorectal cancer. Which screening test for colorectal cancer should a nurse recommend? Proctosigmoidoscopy after age 30 Annual digital examination after age 40 Barium enema after age 20 Carcinoembryonic antigen (CEA) test after age 50

Annual digital examination after age 40

A client presents to the emergency room with a possible diagnosis of appendicitis. the health care provider asks the nurse to assess for tenderness at McBurney's point. The nurse knows to palpate which area? Between the umbilicus and the anterior superior iliac spine Between the umbilicus and the left iliac crest In the left periumbilical area In the upper right quadrant slightly below the diaphragm

Between the umbilicus and the anterior superior iliac spine

The nurse is performing an abdominal assessment for a patient with diarrhea and auscultates a loud rumbling sound in the left lower quadrant. What will the nurse document this sound as on the nurse's note? Tenesmus Peristalsis Borborygmus Loud bowel sounds

Borborygmus

A patient is admitted to the hospital after not having had a bowel movement in several days. the nurse observes the patient is having small liquid stools, grossly distended abdomen, and abdominal cramping. what complication can this patient develop related to this problem? Bowel perforation Rectal fissures Appendicitis Diverticulitis

Bowel perforation

In women, which of the following types of cancer exceeds colorectal cancer? Breast Lung Skin Liver

Breast

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. A fruit salad with yogurt Broiled chicken with low-fiber pasta A peanut butter sandwich and fruit cup Salami on whole grain bread and V-8 juice

Broiled chicken with low-fiber pasta

A client informs the nurse of having abdominal pain that is relieved when having a bowel movement. The health care provider diagnosed the client with irritable bowel syndrome. What does the nurse recognize as characteristic of this disorder? Chronic constipation with sporadic bouts of diarrhea Weight loss due to malabsorption Blood and mucus in the stool Client is awakened from sleep due to abdominal pain.

Chronic constipation with sporadic bouts of diarrhea

A patient is suspected to have diverticulosis without symptoms of diverticulitis. What diagnostic test does the nurse anticipate educating the patient about prior to scheduling? Colonoscopy Flexible sigmoidoscopy Barium enema CT scan

Colonoscopy

A client is having a diagnostic workup for reports of frequent diarrhea, right lower abdominal pain, and weight loss. The nurse is reviewing the results of the barium study and notes the presence of "string sign." What does the nurse understand that this is significant of? Irritable bowel syndrome Ulcerative colitis Diverticulitis Crohn's disease

Crohn's disease

An older adult client seeks help for chronic constipation. What factor related to aging can cause constipation in elderly clients? Increased intestinal bacteria Decreased abdominal strength Decreased production of hydrochloric acid Increased intestinal motility

Decreased abdominal strength

What would the nurse identify as a characteristic finding when assessing a client for pilonidal sinus? Abdominal pain Purulent drainage from the gluteal fold Dilated pits of hair follicles in the cleft Pain in the perianal area

Dilated pits of hair follicles in the cleft

What information should the nurse include in the teaching plan for a client being treated for diverticulosis? Avoid daily exercise; indulge only in mild activity Drink at least 8 to 10 large glasses of fluid every day Avoid unprocessed bran in the diet Use laxatives or enemas at least once a week

Drink at least 8 to 10 large glasses of fluid every day

The nurse is teaching a client with an ostomy how to change the pouching system. Which information should the nurse include when teaching a client with no peristomal skin irritation? Apply triamcinolone acetonide spray Dust with nystatin powder Dry skin thoroughly after washing Apply barrier powder

Dry skin thoroughly after washing

A surgeon is discussing surgery with a client diagnosed with colon cancer. The client is visibly shaken over the possibility of a colostomy. Based on the client's response, the surgeon should collaborate with which health team member? Staff nurse Enterostomal nurse Clinical educator Social worker

Enterostomal nurse

The nurse is performing a community screening for colorectal cancer. Which characteristic should the nurse include in the screening? Familial polyposis Age younger than 40 years History of skin cancer Low-fat, low-protein, high-fiber diet

Familial polyposis

The nurse in an extended-care facility reports that a resident has clinical manifestations of fecal incontinence. The health care provider orders a diagnostic study to rule out inflammation. Which study will the nurse prepare the client for? Transit study Anorectal manometry Barium enema Flexible sigmoidoscopy

Flexible sigmoidoscopy

What is the most prominent sign of inflammatory bowel disease? Hyperactive bowel sounds and constipation Intermittent pain and diarrhea Abdominal distention and constipation Increased peristalsis and diarrhea

Intermittent pain and diarrhea

The nurse is comparing Crohn's disease (regional enteritis) with ulcerative colitis. Which of the following describes Crohn's disease? Bleeding is common and severe Its course is prolonged and variable Fistulas are rare Diarrhea is more severe

Its course is prolonged and variable

When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for Infection related to inflammation, perforation, and surgery. what is the rationale for choosing this nursing diagnosis? Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of the appendix Infection of the appendix diminishes necrotic arterial blood flow and increases venous drainage The appendix may develop gangrene and rupture, especially in a middle-aged client Obstruction of the appendix may increase venous drainage and cause the appendix to rupture

Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of the appendix

The nurse is caring for a client with intussusception of the bowel. What does the nurse understand occurs with this disorder? The bowel twists and turns itself and obstructs the intestinal lumen. The bowel protrudes through a weakened area in the abdominal wall. A loop of intestine adheres to an area that is healing slowly after surgery. One part of the intestine telescopes into another portion of the intestine.

One part of the intestine telescopes into another portion of the intestine.

During assessment of a client for a malabsorption disorder, the nurse notes a history of abdominal pain and weight loss, marked steatorrhea, azotorrhea, and frequent glucose intolerance. Based on these clinical features, what diagnosis will the nurse suspect? Pancreatic insufficiency Lactose intolerance Ileal dysfunction Celiac disease

Pancreatic insufficiency

A client with a diagnosis of acute appendicitis is awaiting surgical intervention. The nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and board-like. What complication does the nurse determine may be occurring at this time? Peritonitis Accumulation of gas Paralytic ileus Constipation

Peritonitis

Which of the following is the most common symptom of a polyp? Diarrhea Rectal bleeding Anorexia Abdominal pain

Rectal bleeding

A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nurse would expect to find rebound tenderness at which location? Left lower quadrant Left upper quadrant Right upper quadrant Right lower quadrant

Right lower quadrant

A client is diagnosed with Zollinger-Ellison syndrome. The nurse knows to assess the client for which characteristic clinical feature of this syndrome? Decreased intestinal lactose Lymphadenopathy Steatorrhea Folate deficiency

Steatorrhea

The nurse is reviewing the laboratory test results of a client with Crohn disease. Which of the following would the nurse most likely find? Decreased erythrocyte sedimentation rate Decreased white blood cell count Stool cultures negative for microorganisms or parasite Increased albumin levels

Stool cultures negative for microorganisms or parasite

A client is recently diagnosed with Crohn's disease and is beginning treatment. What first-line treatment does the nurse expect that the client will be placed on to decrease the inflammatory response? Sulfasalazine Ciprofloxacin Methotrexate Azathioprine

Sulfasalazine

A client is admitted to the hospital for diagnostic testing to rule out colorectal cancer. Which intervention should the nurse include on the plan of care? Administer topical ointment to the rectal area to decrease bleeding. Test all stools for occult blood. Prepare the client for a gastrostomy tube placement. Administer morphine (Duramorph PF) routinely, as ordered.

Test all stools for occult blood.

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? The client expresses positive feelings about himself. The client exhibits signs of adequate GI perfusion. The client maintains skin integrity. The client verbalizes a manageable level of discomfort.

The client exhibits signs of adequate GI perfusion.

A client realizes that regular use of laxatives has greatly improved bowel patterns. However, the nurse cautions this client against the prolonged use of laxatives for which reason? The client may develop arthritis or arthralgia. The client's natural bowel function may become sluggish. The client may lose his or her appetite. The client may develop inflammatory bowel disease.

The client's natural bowel function may become sluggish

Which is a true statement regarding regional enteritis (Crohn's disease)? It is characterized by pain in the lower left abdominal quadrant. It has a progressive disease pattern. The lesions are in continuous contact with one another. The clusters of ulcers take on a cobblestone appearance.

The clusters of ulcers take on a cobblestone appearance.

A client is being seen in the clinic for reports of painful hemorrhoids. The nurse assesses the client and observes the hemorrhoids are prolapsed but able to be placed back in the rectum manually. The nurse documents the hemorrhoids as what degree? Fourth degree Third degree Second degree First degree

Third degree

The presence of mucus and pus in the stools suggests which condition? Intestinal malabsorption Disorders of the colon Ulcerative colitis Small-bowel disease

Ulcerative colitis

The presence of mucus and pus in the stools suggests which condition? Small-bowel disease Ulcerative colitis Intestinal malabsorption Disorders of the colon

Ulcerative colitis

The nurse is assessing a client for constipation. Which review should the nurse conduct first to identify the cause of constipation? Current medications Activity levels Usual pattern of elimination Alcohol consumption

Usual pattern of elimination

The nurse is assessing a client for constipation. Which review should the nurse conduct first to identify the cause of constipation? Activity levels Alcohol consumption Usual pattern of elimination Current medications

Usual pattern of elimination

A longitudinal tear or ulceration in the lining of the anal canal is termed a(n): anal fissure. anal fistula. hemorrhoid. anorectal abscess.

anal fissure

Diet therapy for clients diagnosed with irritable bowel syndrome (IBS) includes: fluids with meals. caffeinated products. high-fiber diet. spicy foods.

high-fiber diet

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? inflammatory bowel disease (IBD) colorectal cancer liver failure diverticulitis

inflammatory bowel disease (IBD)

A nurse is performing focused assessment on her clients. She expects to hear hypoactive bowel sounds in a client with: Crohn's disease. paralytic ileus. gastroenteritis. complete bowel obstruction.

paralytic ileus.

a client with a diagnosis of acute appendicitis is awaiting surgical intervention. the nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and board-like. what complication does the nurse determine may be occurring at this time? Constipation Paralytic ileus Peritonitis Accumulation of gas

peritonitis

which client requires immediate nursing intervention? the who client who: Presents with ribbonlike stools Complains of epigastric pain after eating presents with a rigid, board-like abdomen complains of anorexia and periumbilical pain

presents with rigid, board-like abdomen

When the nurse interviews a client with internal hemorrhoids, what would the nurse expect the client to report? Rectal bleeding Severe pain Discharge that includes pus Constipation

rectal bleeding

The nurse teaches the client whose surgery will result in a sigmoid colostomy that the feces expelled through the colostomy will be ___ fluid. solid. semi mushy. mushy.

solid.

alosetron

-taken for severe IBS -do not take if constipated -do not take with fluvoxamine (luvox) -slows movement of stools by blocking serotonin affects on the intestines

lubiprostone

-treats chronic constipation -report light headedness or severe diarrhea -take with food and water -do not alter capsules -tightening of the chest or shortness of breath with each dose is normal

Medical management of a patient with peritonitis includes fluid, electrolyte, and colloid replacement. The nurse knows to prepare the initial, most appropriate intravenous solution. Which of the following is the correct solution? 0.45% of NS 0.9% of NS D10W D5W

0.9% of NS

Which client would be at greatest risk for the development of an anorectal fistula? A 42yo female with IBS A 50yo male with diverticulosis A 60yo male with polyps of the colon A 35yo female with Crohn's

A 35yo female with Crohn's

The nurse caring for a client with diverticulitis is preparing to administer the client's medications. The nurse anticipates administration of which category of medication because of the client's diverticulitis? Antianxiety Anti-inflammatory Antiemetic Antispasmodic

Antispasmodic

A client reports constipation. Which nursing measure would be most effective in helping the client reduce constipation? Obtain complete food history. Obtain medical and allergy history. Assist client to increase dietary fiber. Provide adequate quantity of food.

Assist client to increase dietary fiber.

The nurse is talking with a group of clients who are older than age 50 years about the recognition of colon cancer to access early intervention. What should the nurse inform the clients to report immediately to their primary care provider? Daily bowel movements Excess gas Change in bowel habits Abdominal cramping when having a bowel movement

Change in bowel habits

The nurse is preparing a client for a test that involves inserting a thick barium paste into the rectum with radiographs taken as the client expels the barium. What test will the nurse prepare the client for? Abdominal radiography Defecography Colonic transit studies Kidneys, ureters, bladder (KUB)

Defecography

A nurse is caring for a client with cardiac disease. The client asks the nurse which medication is best for help with regular bowel movements. What is the best response by the nurse? Docusate Magnesium hydroxide Mineral oil Bisacodyl

Docusate

The nurse is teaching a client with an ostomy how to change the pouching system. which information should the nurse include when teaching a client with no peristomal skin irritation? Dust with nystatin powder Apply triamcinolone acetonide spray Dry skin thoroughly after washing Apply barrier powder

Dry skin thoroughly after washing

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? Increasing fluid intake to prevent dehydration Consuming a low-protein, high-fiber diet Taking only enteric-coated medications Wearing an appliance pouch only at bedtime

Increasing fluid intake to prevent dehydration

The instructor is teaching a group of students about irritable bowel syndrome (IBS) and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an antidiarrheal agent commonly administered for IBS? Peppermint oil Dicyclomine Lubiprostone Loperamide

Loperamide

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? Beginning a bowel program to establish continence Maintaining skin integrity Instituting a diet high in fiber and increase fluid intake Determining the need for surgical intervention to correct the problem

Maintaining skin integrity

Vomiting results in which of the following acid-base imbalances? Metabolic alkalosis Respiratory alkalosis Respiratory acidosis Metabolic acidosis

Metabolic alkalosis

Celiac disease (celiac sprue) is an example of which category of malabsorption? Mucosal disorders causing generalized malabsorption Postoperative malabsorption Infectious diseases Luminal problems causing malabsorption

Mucosal disorders causing generalized malabsorption

A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nurse would expect to find rebound tenderness at which location? Right upper quadrant Right lower quadrant Left lower quadrant Left upper quadrant

Right lower quadrant

A client presents to the ED with acute abdominal pain, fever, nausea, and vomiting. During the client's examination, the lower left abdominal quadrant is palpated, causing the client to report pain in the RLQ. This positive sign is referred to as ________ and suggests the client may be experiencing ________. Rovsing's sign; perforation McBurney's sign; perforation Rovsing's sign; acute appendicitis McBurney's sign; acute appendicitis

Rovsing's sign; acute appendicitis

Which category of laxatives draws water into the intestines by osmosis? Bulk-forming agents (e.g., psyllium) Fecal softeners (e.g., docusate) Stimulants (e.g., bisacodyl) Saline agents (e.g., magnesium hydroxide)

Saline agents (e.g., magnesium hydroxide)

A client suspected of having colorectal cancer requires which diagnostic study to confirm the diagnosis? Stool Hematest Carcinoembryonic antigen (CEA) Sigmoidoscopy Abdominal computed tomography (CT) scan

Sigmoidoscopy

A client reports taking a stimulant laxative in order to be able to have a bowel movement daily. What should the nurse inform the client about taking a stimulant laxative? The laxative is safe to take with other medication the client is taking If the client is drinking 8 glasses of water per day, it is alright to continue taking them They can be habit forming and will require increasing doses to be effective The client should take a fiver supplement along with the stimulant laxative

They can be habit forming and will require increasing doses to be effective

A client is admitted to the emergency department with reports right lower quadrant pain. Blood specimens are drawn and sent to the laboratory. Which laboratory finding should be reported to the health care provider immediately? Hematocrit 42% Serum potassium 4.2 mEq/L White blood cell (WBC) count 22.8/mm3 Serum sodium 135 mEq/L

White blood cell (WBC) count 22.8/mm3

After assessing a client with peritonitis, how would the nurse most likely document the client's bowel sounds? high-pitched hyperactive mild absent

absent

The nurse is irrigating a colostomy when the patient says, "You will have to stop, I am cramping so badly." What is the priority action by the nurse? Clamp the tubing and give the patient a rest period. Stop the irrigation and remove the tube. Inform the patient that it will only last a minute and continue with the procedure Replace the fluid with cooler water since it is probably to warm.

clamp the tubing and give the patient a rest period

A client underwent a continent ileostomy. within which time frame should the client expect to empty the reservoir? Every 4 to 6 hours At least once a day Three or four times daily At least once every 2 days

every 4 to 6 hours

A client reports severe pain and bleeding while having a bowel movement. upon inspection, the health care provider notes a linear tear in the anal canal tissue. The client is diagnosed with a: hemorrhoid fistula fissure pilonidal cyst

fissure

A client describes being constipated, but also experiencing abdominal cramping, pain, and urgent diarrhea. These symptoms occur more often when the client is nearing a deadline or is under emotional stress. what would be recommended to treat these symptoms? select all that apply. low-residue diet cholinergic high-fiber diet psyllium

high-fiber diet psyllium

A resident at a long-term care facility lost the ability to swallow following a stroke 4 years ago. The client receives nutrition via a PEG tube, has adapted well to the tube feedings, and remains physically and socially active. Occasionally, the client develops constipation that requires administration of a laxative to restore regular bowel function. What is the most likely cause of this client's constipation? lack of free water intake lack of exercise increased fiber lack of solid food

lack of free water intake

A nurse is reviewing lab results for a client with an intestinal obstruction, and infection is suspected. What would be an expected finding? leukopenia; metabolic acidosis; elevated sodium, potassium, and chloride leukocytosis; metabolic alkalosis; elevated sodium, potassium, and chloride leukocytosis; elevated hematocrit; low sodium, potassium, and chloride leukopenia, decreased hematocrit; low sodium, potassium, and chloride

leukocytosis; elevated hematocrit; low sodium, potassium, and chloride

A client with enteritis reports frequent diarrhea. What assessment should the nurse should anticipate? respiratory acidosis metabolic acidosis respiratory alkalosis metabolic alkalosis

metabolic acidosis

A client is admitted to the emergency department with reports right lower quadrant pain. Blood specimens are drawn and sent to the laboratory. Which laboratory finding should be reported to the health care provider immediately? Serum potassiumm 4.2 mEq/L Serum sodium 135 mEq/L Hematocrit 42% White blood cell (WBC) count 22.8mm^3

White blood cell (WBC) count 22.8mm^3