Help
Options
An adult male with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. Which laboratory data would the nurse identify as consistent with these symptoms?
a.
RBC count of 4,500,000/L
b. Hematocrit (Hct) value of 38%
c. No
a.
RBC count of 4,500,000/L
b. Hematocrit (Hct) value of 38%
c. No
click to flip
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't know
Which menu choice indicates that the patient understands the nurse’s recommendations about dietary choices for iron-deficiency anemia?
a. Omelet and whole wheat toast
b. Cantaloupe and cottage cheese
c. Strawberry and banana fruit plate d. Cornmeal muffin
a. Omelet and whole wheat toast
b. Cantaloupe and cottage cheese
c. Strawberry and banana fruit plate d. Cornmeal muffin
Remaining cards (128)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Unit 1 GI
| An adult male with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. Which laboratory data would the nurse identify as consistent with these symptoms? a. RBC count of 4,500,000/L b. Hematocrit (Hct) value of 38% c. No | ANS: D The patient’s symptoms indicate moderate anemia, which is consistent with a Hgb of 6 to 10 g/dL. The other values are all within the range of normal. |
| Which menu choice indicates that the patient understands the nurse’s recommendations about dietary choices for iron-deficiency anemia? a. Omelet and whole wheat toast b. Cantaloupe and cottage cheese c. Strawberry and banana fruit plate d. Cornmeal muffin | ANS: A Eggs and whole grain breads are high in iron. The other choices are appropriate for other nutritional deficiencies but are not the best choice for a patient with iron-deficiency anemia. |
| Which nursing action will the nurse include in the plan of care for a patient admitted with an exacerbation of inflammatory bowel disease A restrict IV fluid intake B monitor stools for blood C ambulate six times daily D increase, favor and take | B. Monitor stools for blood. |
| Which finding is likely in the nurses assessment of a patient who has a large bowel obstruction enter referred back pain. metabolic alkolosis projectile vomiting abdominal distention | |
| Abdominal distention | |
| Which screening test with the nurse plan to teach a 45-year-old male during an annual wellness exam Colonoscopy Endoscopy Computerized tomography CEA | Colonoscopy |
| A patient is transferred from the recovery room to a surgical unit after a transverse colostomy. The nurse observes the stoma to be pink with Edema and a small amount of Sarah sanguinous drainage. Which action would the nurse take? Play ice packs around t | Document stoma assessment findings |
| A patient calls the clinic to report severe diarrhea last thing for days. What would the nurse anticipate that the patient will need to do Collect a stool specimen Prepare for colonoscopy Schedule a barium enema Have blood cultures drawn | Collect a stool specimen |
| Critically ill patient with sepsis is frequently incontinent of watery stools. Which action by the nurse will prevent complications associated with ongoing incontinence? Apply incontinence briefs Use a fecal management Insert a rectal tube with a drainage | Use a fecal management system |
| A patient in the emergency room has just been diagnosed with peritonitis from a ruptured diverticulum which prescribed intervention with the nurse implement first Send a patient for a CT scan Insert a urinary catheter to drainage Infuse Flagyl 500 mg IV P | Infuse 500 mg IV |
| Which action would the nurse include in the plan of care for a patient who is being admitted with CDiff? Teach the patient about proper food storage Order a diet without dietary products for the patient Play the patient in a private room on contact isolat | Play the patient in a private room and contact isolation |
| A 70 year old patient tells the nurse that growing old causes constipation so he has been using a suppository to prevent constipation every morning which action would the nurse take first Encourage the patient to increase oral fluid intake Question the pa | Question the patient about risk factors for constipation |
| A 22-year-old female patient with an acute exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin which patient behavior indicates the nurse is teaching about skin Integrity has been affective. The patient uses | Patient uses witch hazel compresses to soothe irritation |
| An adult male with chronic anemia is experiencing increased fatigue and occasional palpitations at rest which laboratory data with a nurse identify as consistent with the symptoms? Red blood cell 4500000. Hematocrit 38%. Normal red blood cell in dices. He | Hemoglobin 8.6. |
| Which many choices indicates that the patient understands the nurses recommendations about dietary choices for iron deficiency, anemia? Omelette and whole wheat toast. Cantaloupe and cottage cheese. Strawberry and banana fruit plate. Cornmeal muffin and o | Omelette and whole wheat toast |
| A patient who is receiving methotrexate for severe rheumatoid arthritis, develops a mega plastic anemia, which nutrient supplement. Should the nurse plan to explain to the patient? Iron. Folick acid. Cobalamin vitamin B 12. Ascorbic acid, vitamin C. | Folic acid |
| Which patient statement to the nurse in the case of the patient understands self-care for pernicious anemia? I need to start eating more red meat in Liver. I will stop having a glass of wine with dinner. I could choose nasal spray rather than injections o | I could use nasal spray rather than injections of vitamin B 12 |
| Which is an appropriate nursing intervention for a hospitalized. Patient with severe hemolytic anemia? Provide a diet high in vitamin K. Teach the patient how to avoid injury. Encourage alternating rest and activity. Placed a patient on protective, isolat | Encourage alternating rest and activity |
| Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate? I could take a stool softener if I feel constipated. I can take the iron with orange juice before eating. I should notify my healthcare pro | I should notify my healthcare provider if my stools turn black |
| Which potential complications to the nurse identify as a high risk for a patient admitted to the hospital with idiopathic aplastic anemia? Seizures. Infection. Neurogenic shock. Pulmonary edema. | Infection |
| Which nursing intervention is important when providing care for a patient with sickle cell crisis? Limiting the patient intake of oral an IV fluids. Evaluating the effectiveness of opioid analgesics. Encouraging the patient ambulate as much as tolerated. | Evaluating the effectiveness of opioid analgesics |
| Which statement by the patient indicates good understanding of the nurse is teaching about preventing sickle cell crisis? Home oxygen therapy is frequently used to decrease sickling. There are no effective medication that can help prevent sickling. Routin | Restore crisis is decreased by having an annual influenza vaccination |
| Which instruction will the nurse plan to include in discharge teaching for a patient admitted with a sickle cell crisis? Limit Lewis a 2 to 3 quarts per day. Avoid exposure to crowds when possible. Take a daily vitamin supplement with iron. Drink no more | Avoid exposure to crowds when possible |
| The nurse observes Carol Johnson, a patient being admitted with hemolytic anemia. Which laboratory results to the nurse check? Schilling test. Bilirubin level. Stole occult blood. Gastric acid analysis. | Bilirubin level |
| Which intervention will be included in the nursing care plan for a patient with immune thrombocytopenic purpura? Assign the patient to a private room. Avoid intramuscular injections. Use France rather than a soft toothbrush for oral care. Restrict activit | Avoid intramuscu |
| Which laboratory result will the nurse expect to show a decrease value if a patient develops heparin induced thrombocytopenIA? Prothrombin time. Erythrocyte count. Fibrinogen degradation products. Activated partial thromboplastin time. | Activated partial, thromboplastin time |
| The nurse is caring for a patient with type a hemophiliac being admitted to the hospital a severe pain and swelling in the right knee. Which action should the nurse take? Apply heat to the knee. Immobilized a knee joint. Assist patient with light weight b | Immobilize the knee joint |
| A young adult who has von Willebrand disease is admitted to the hospital for a minor knee injury which laboratory value should the nurse monitor? Platelet count. Bleeding time. thrombin time .prothrombin time. | Bleeding time |
| The nurse identifies a need for additional teaching when a patient with acute infectious diarrhea makes which statement? I can use ointment or jelly around the anal area part to protect my skin. Gatorade is a good liquid to drink because it replaces the f | I may use over-the-counter loperamide or paregoric when I need to control the diarrhea |
| What is the most important thing that the nurse should do when caring for a patient who has contracted CDiff? Clean the entire room with ammonia. Feed the patient yogurt with probiotics. Wear gloves and wash hands with soap and water. Teach the family to | Work gloves and wash hands with soap and water |
| Instituting a vowel training program for a patient with Declan continent. What should the nurse plan to do first? Teach the patient to use a peroneal pouch. Inside a rectal suppository at the same time every morning. Placed a patient on a bedpan 30 minute | Assisted patient to the bathroom at the time of normal defecation |
| A nurse is doing assessment on a patient with chronic constipation. What date of tender in the interview may be a factor contributing to the constipation? Taking Citrucel daily. Hi dietary fiber in High fluid intake. History of hemorrhoids and hypertensio | Suppressing the urge to defecate while at work |
| The nurse teach the patient with chronic constipation that which food has the highest dietary fiber? Peach. Popcorn. Dried beans. Shredded wheat. | Dried beans |
| Which method is preferred for immediate treatment of an acute episode of constipation? Enema. Increase fluid. Stool softeners. Bulk forming medication. | Enema |
| When considering the following causes of acute abdomen, the nurse should know that surgery would be indicated for select all that apply? Pancreatitis. Acute ischemic bowel. Foreign body perforation. Ruptured ectopic pregnancy. Pelvic inflammatory disease. | Acute ischemic bowel. Foreign body preparation. Ruptured ectopic pregnancy. Ruptured abdominal aneurysm. |
| A patient returns to the surgical unit with an NG tube to load intermittent suction IV fluids in a Jackson-Pratt drain at the surgical site following exploratory, laparotomy and repair of a bowel perforation four hours after admission the patient experien | Check the characteristics of gastric drainage in the patency of the NG tube |
| The nurse formulates the nursing diagnosis of acute pain from the effects of the medication in de Cristian motility for a postoperative patient with abdominal pain and extension with an inability to pass Platis, which nursing intervention is most appropri | Ambulate the patient more frequently |
| A 22-year-old patient calls the outpatient clinic, reporting nausea and vomiting and right lower abdominal pain. What should the nurse advise this patient to do? Use a heating pad to relax the muscles at the side of the pain. drink at least 2 quarts of ju | Have this sentence valuated right away by healthcare provider at a hospital ed |
| When caring for a patient with irritable bowel syndrome, what is the most important thing for the nurse to do? Recognize that IBS is a psycho, genic illness. That cannot be definitively diagnose. Develop a trusting relationship with a patient. Provide sup | Develop a trusting relationship with the patient to provide support and symptomatic care |
| A patient with a gunshot wound to the Adam reports increasing abdominal pain several hours after the surgery to repair the bowel. What action should the nurse take first? Notify the HCP. Assess the patient’s vital signs. Position the patient with knees fl | Assess the patient’s vital signs |
| The patient has persistent and continuous pain and McBurney’s point the nursing assessment reveals rebound tenderness and muscle guarding with the patient prefer until I still with the right leg flexed. What should the nurse in inventions for this patient | NPO in preparation for surgery |
| The patient has peritonitis, which is a major complication of ruptured appendix. What treatment should the nurse plan to include? Paratonia Lavidge. Peritoneal dialysis. IV fluid replacement. Increase oral fluid intake. | IV. Fluid replacement. |
| A 20 year old. Patient with a history of Crohn’s disease comes to the clinic with persistent diarrhea. What are common characteristics of chrome disease select all that apply? Weight loss. Rectal bleeding. Abdominal pain. Toxic megacolon. Has segment dist | Weight loss, abdominal pain, segment and distribution involves the entire thickness of the bowel wall |
| What laboratory findings are expected in ulcerative colitis because of diarrhea and vomiting? Increase albumin. Elevated white blood cells. Decrease serum, sodium potassium. Magnesium chloride and bicarb. Decreased hemoglobin and hematocrit. | Decrease serum, sodium potassium, magnesium chloride, and bicarb |
| What extra intestinal manifestations are seen in both ulcerative colitis and Crohn’s disease? Celiac disease and gall stones. Peptic ulcer disease and virus. Conjunctivitis and colonic dilation. Erythema nodosum and osteoporosis. | Erythema, nodosum and osteoporosis |
| For the patient hospitalized with inflammatory bowel disease which treatment would be used to rest about select all that apply? NPO. IV fluids. BEDREST. Sedatives. Ng suction. Parenteral nutrition. | NPO IV, fluids in ng suction parent Terrell nutrition |
| The medication as prescribed for the patient with IBD include Kvammen an iron injections. What is the reason for using these drugs? Alleviate stress. Combat infection. Correct amount nutrition. Improve quality of life. | Correct malnutrition |
| The patient is receiving the following medication’s which one is prescribed to relieve symptoms rather than treat a disease? Corticosteroids. Six mercaptopurine. Antidiarrheal agent. Sulfasalazine. | Antidiarrheal agents |
| A patient with ulcerative colitis, and I go to the first phase of a total proctocolectomy with a little pouch in anal and ostomies on initial post operative assessment of the patient. What should the nurse expect to find? A rectal tube set to low continuo | A loop ileostomy with a plastic rod to hold it in place |
| A patient with ulcerative colitis has a total proctocolectomy with formation of terminal ileum stoma what is the most important nursing intervention for this patient postoperatively? Measure the ileostomy output determine the status of the patient’s fluid | Measure the ileostomy output to determine the status of the patient’s fluid balance |
| A patient with inflammatory bowel disease has a nursing diagnosis of impaired nutritional status, Elliot ideology, decrease nutritional intake and decrease intestinal absorption. Which assessment data support this nursing diagnosis? Pallar and hair loss. | Pallor in hair loss |
| Doctor just told the patient that she has a volvulus. When the patient ask the nurse what this is what is the best description for the nurse to give her? Val folding in on itself. Twisting about one itself. Emboli of arterial supply to the battle. Protrus | Twisting of bowel on itself |
| The patient comes to the hospital with intermittent crampy, abdominal pain, nausea, vomiting, dehydration, the nurse suspects, G.I. obstruction based on the manifestations what area of the bells to the nurse suspects obstructed? Large intestine. Esophagea | Proximal small intestine |
| An important nursing intervention for a patient with small intestine obstruction who has an NG tube is she? Offer ice chips as needed. Provide mouth there frequently. Irrigate the tube with normal saline every eight hours. Keeping the patient supinewith t | Provide mouth care frequently |
| Turn the routine screening colonoscopy on a 56-year-old patient a rectosigmoid a polyp was identified and removed the patient as a nurse of his rest for colon cancer is increase because of the Pollock. What is the best response by the nurse? | All polyps are abnormal and should be removed but the risk for cancer depends on the type, and if malignant changes are present |
| When obtaining a nursing history from the patient with colorectal cancer, the nurses should specifically asked the patient about? Dietary intake. Sports involvement. Environmental exposure to carcinogens. Long-term use of anti-inflammatory drugs | Dietary intake |
| When a patient returns to the clinical unit after an abdominal, peroneal resection, what should the nurse expect the patient to have? An abdominal dressing. And abdominal wound drains. A temporary colostomy and drains. A perineal wound drains and stoma. | Peroneal wounds drains in a stoma |
| The patient with a New ileostomy need to discharge teaching. What should the nurse plan to include in the teaching? The pouch can be worn for up to two weeks. Decrease the mount of fluid intake to decrease the amount of drainage. The pouch can be removed | If leakage occurs promptly remove the pouch, clean the skin, and apply pouch |
| When examining a patient eight hours after having surgery to create a colostomy, what should the nurse expect to find? Hyperactive high pitch bowel sounds. A brick, red, puffy, stoma that is his blood. A purple stoma, shiny and moist with mucus. A small a | Brick, red, puffy, stoma that oozes blood |
| The nurse coordinating care for a patient who is today’s postoperative following in a domino peroneal resection with colostomy may delegate which interventions to the license. Practical nurse select all that apply? Your get a colostomy. Teach ostomy and s | Monitor and record the volume color and odor of the drainage. Empty the ostomy bag and measure and record the amount of drainage. |
| A male patient who is scheduled for an abdominal peroneal. Resection is worried about his sexuality. What is the best nursing intervention for this patient? Have the patient sexual partner reassure the patient he is still desirable. Reassure the patient t | Explain the physical and emotional factors can affect sexual function, but not necessarily the patient sexuality |
| And report the nurse learned that the patient has a transverse colostomy. What should the nurse expect when providing care for this patient? Semiliquid stores with increase fluid requirements. Liquids tools in a pulse. An increase fluid requirements. Form | Semi formed stool in a pouch with the need to monitor fluid balance |
| The nurse plans teaching for the patient with a colostomy, but the patient refuses to look at the nurse or the stoma, stating I just can’t see myself with this thing. What is the best nursing intervention for this patient? Encourage the patient to share c | Encourage the patient to share concerns and ask questions |
| What should the nurse teach the patient with diverticulosis to do? Use antibiotics routinely to prevent future inflammation have an annual colonoscopy to detect malignant changes in the lesions. Maintain a high fiber diet and encourage fluid intake of at | Maintain a high fiber diet and encourage fluid intake of at least 2 L daily |
| An 82-year-old man is admitted with acute attack of diverticulitis. What is the most important facts for the nurse to include in his care? Monitor for signs of peritonitis. treat with daily medicated, enemas. prepare for surgery. provide a heating pad to | Monitor for signs of peritonitis |
| The patient calls the clinic and describes a bump, the side of a previous incision that it disappears when he lies down. The nurse suspects that this is which type of hernia select all that apply? Ventral. Inguinal. Femmoral. Reducible. Incarcerated. Stra | Ventral reducible |
| The patient ask the nurse why she needs to have surgery for for moral strangulated hernia. What is the best explanation the nurse can give the patient? The surgery will relieve your constipation. The abnormal hernia must be replaced into the admin. The su | The surgery is needed to allow intestinal flow and prevent necrosis |
| What is a Nursin Monroe Vision? Service indicated for a male patient follow me an inguinal hernia repair? Apply heat to inguinal area. Elevate the scrotum with scrotal support. Apply trust to support the operative site. Encourage the patient to cough and | elevate, scrotum with scrotum support |
| How is the most common form of malabsorption syndrome treated? Administration of antibiotics. Avoidance of milk and milk products. Supplementation with pancreatic enzymes. Avoidance of gluten found in wheat barley out and rye. | Avoidance of milk and milk products |
| A patient is diagnosed with celiac disease following will work up for iron deficiency, anemia, and decreased bone density. The nurse identifies the additional teaching about disease management is needed when the patient makes which statement? I should ask | I don’t need to restrict gluten take because I don’t have diarrhea or bowel symptoms |
| Which patient is most likely to be diagnosed with short bowel syndrome? History of ulcerative colitis. Extensive resection of the ileum. Diagnosis of irritable bowel syndrome. Colectomy perform for cancer of the bowel. | Extensive resection of the ileum |
| The patient asked the nurse to explain what the doctor meant when he said the patient had an inner rectal abscess which description should the nurse use to explain this to the patient? Ulcer in anal wall. Collection of perianal pus. Sacrococcygeal hairy t | Collection of peroneal pus |
| A 60 year old black woman is afraid she may have anal cancer. What assessment finding puts her at risk for anal cancer? Alcohol use. One sexual partner. Human papillomavirus. Use a condom with intercourse. | Human papillomavirus |
| Following a hemorrhoid ectomy, what should the nurse advise the patient to do? Use daily laxatives to facilitate about emptying. Use ice packs to the perineum to prevent swelling. Avoid having a bowel movement for several days until healing occurs. Take w | Take warm, sits bath several times a day to promote comfort and cleaning |
| Which action will the nurse include in the plan of care for a patient who is being admitted with Clostridium difficile? a. Teach the patient about proper food storage. b. Order a diet without dairy products for the patient. c. Place the patient in a priva | C |
| A 74-yr-old male patient tells the nurse that growing old causes constipation, so he has been using a suppository to prevent constipation every morning. Which action should the nurse take first? a. Encourage the patient to increase oral fluid intake. b. | B |
| A patient who has chronic constipation asks the nurse about the use of psyllium (Metamucil). Which information will the nurse include in the response? a. Fiber-containing laxatives may reduce the absorption of fat-soluble vitamins. b. Dietary sources of | D |
| A 26-yr-old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful in determining the cause of the patient’s symptoms? a. “What type of foods do you eat?” b. “Is it possible that you are pregnant?” c. “ | C |
| A patient reports gas pains and abdominal distention 2 days after a small bowel resection. USNT O Which nursing action should the nurse take? a. Administer morphine sulfate. b. Encourage the patient to ambulate. c. Offer the prescribed promethazine. d. I | B |
| A patient with blunt abdominal trauma from a motor vehicle crash undergoes peritoneal lavage. If the lavage returns brown fecal drainage, which action will the nurse plan to take next? a. Auscultate the bowel sounds. b. Prepare the patient for surgery. c | B |
| A young adult patient is admitted to the hospital for evaluation of right lower quadrant abdominal pain with nausea and vomiting. Which action should the nurse take? a. Assist the patient to cough and deep breathe. b. Palpate the abdomen for rebound tend | C |
| Which nursing action will be included in the plan of care for a 25-yr-old male patient with a new diagnosis of irritable bowel syndrome (IBS)? a. Encourage the patient to express concerns and ask questions about IBS. b. Suggest that the patient increase t | A |
| A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 bloody stools a day. What should the nurse include in the plan of care? a. Administer IV metoclopramide (Reglan). b. Discontinue the pat | B |
| Which nursing action will the nurse include in the plan of care for a patient admitted with an exacerbation of inflammatory bowel disease (IBD)? a. Restrict oral fluid intake. b. Monitor stools for blood. c. Ambulate six times daily. d. Increase dietary f | B |
| Which patient statement indicates that the nurse’s teaching about sulfasalazine (Azulfidine) for ulcerative colitis has been effective? a. “I should apply sunscreen before going outdoors.” N R I G B.C M USNT O b. “The medication will be tapered if I need | A |
| A 22-yr-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin. Which patient behavior indicates that teaching regarding maintenance of skin integrity has been effective? a. The patie | B |
| Which diet choice by the patient with an acute exacerbation of inflammatory bowel disease (IBD) indicates a need for more teaching? a. Scrambled eggs b. White toast and jam c. Oatmeal with cream d. Pancakes with syrup | C |
| After a total proctocolectomy and permanent ileostomy, the patient tells the nurse, “I cannot manage all this. I don’t want to look at the stoma.” What action should the nurse take? a. Reassure the patient that ileostomy care will become easier. b. Ask th | B |
| After having frequent diarrhea and a weight loss of 10 lb (4.5 kg) over 2 months, a patient has a new diagnosis of Crohn’s disease. What should the nurse plan to teach the patient? a. Medication use b. Fluid restriction c. Enteral nutrition d. Activity re | A |
| A young woman with Crohn’s disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. What information will the nurse add to a general teaching plan about UTIs in order to individualize the teaching for this p | A |
| What is a likely finding in the nurse’s assessment of a patient who has a large bowel obstruction? a. Referred back pain b. Metabolic alkalosis c. Projectile vomiting d. Abdominal distention | D |
| What should the nurse preparing for the annual physical exam of a 45-yr-old man plan to teach the patient about? a. Endoscopy b. Colonoscopy c. Computerized tomography screening d. Carcinoembryonic antigen (CEA) testing | B |
| The nurse is providing preoperative teaching for a patient scheduled for an abdominal-perineal resection. Which information will the nurse include? a. The patient will need to remain on bedrest for three days after surgery. b. An additional surgery in 8 t | D |
| A patient preparing to undergo a colon resection for cancer of the colon asks about the elevated carcinoembryonic antigen (CEA) test result. What should the nurse explain as the reason for the test? a. Identify any metastasis of the cancer. b. Monitor th | B |
| A patient had an abdominal-perineal resection for colon cancer. Which nursing action is most important to include in the plan of care for the day after surgery? a. Teach about a low-residue diet. b. Monitor output from the stoma. c. Assess the perineal dr | C |
| A patient is transferred from the recovery room to a surgical unit after a transverse colostomy. The nurse observes the stoma to be deep pink with edema and a small amount of sanguineous drainage. What action should the nurse take? a. Place ice packs arou | D |
| Which information will the nurse include in teaching a patient who had a proctocolectomy and ileostomy for ulcerative colitis? N R I G B.C M a. Restrict fluid intake to prevent constant liquid drainage from the stoma. USNT O b. Use care when eating high-f | B |
| A patient with a new ileostomy asks how much it will drain. How many cups of drainage per day should the nurse explain for the patient to expect? a. 2 b. 3 c. 4 d. 5 | A |
| What should the nurse admitting a patient with acute diverticulitis plan for initial care? a. Administer IV fluids. b. Prepare for colonoscopy. c. Encourage a high-fiber diet. d. Give stool softeners and enemas. | A |
| A 40-yr-old male patient has had a herniorrhaphy to repair an incarcerated inguinal hernia. Which patient teaching will the nurse provide before discharge? a. Soak in Sitz baths several times each day. b. Cough 5 times each hour for the next 48 hours. c. | D |
| Which breakfast choice indicates a patient’s good understanding of information about a diet for celiac disease? a. Wheat toast with butter b. Oatmeal with nonfat milk c. Bagel with low-fat cream cheese d. Corn tortilla with scrambled eggs | D |
| After a patient has had a hemorrhoidectomy at an outpatient surgical center, which instructions will the nurse include in discharge teaching? a. Maintain a low-residue diet until the surgical area is healed. | C |
| A patient calls the clinic to report a new onset of severe diarrhea. What should the nurse anticipate that the patient will need to do? a. Collect a stool specimen. b. Prepare for colonoscopy. c. Schedule a barium enema. d. Have blood cultures drawn. | A |
| What should the nurse plan to teach about to a patient with Crohn’s disease who has megaloblastic anemia? a. Iron dextran infusions b. Oral ferrous sulfate tablets c. Routine blood transfusions d. Cobalamin (B12) supplements | D |
| The nurse is assessing a patient with abdominal pain. How will the nurse document ecchymosis around the area of umbilicus? a. Cullen sign b. Rovsing sign c. McBurney sign d. Grey-Turner’s sign | A |
| A critically ill patient with sepsis is frequently incontinent of watery stools. What action by the nurse will prevent complications associated with ongoing incontinence? a. Apply incontinence briefs. b. Use a fecal management system. c. Insert a rectal t | B |
| Which question from the nurse would help determine if a patient’s abdominal pain might indicate irritable bowel syndrome (IBS)? N R I G B.C M USNT O a. “Have you been passing a lot of gas?” b. “What foods affect your bowel patterns?” c. “Do you have any a | D |
| A patient in the emergency department has just been diagnosed with peritonitis from a ruptured diverticulum. Which prescribed intervention will the nurse implement first? a. Send the patient for a CT scan. b. Insert a urinary catheter to drainage. c. Infu | C |
| A 25-yr-old male patient calls the clinic reporting diarrhea for 24 hours. Which action should the nurse take first? a. Inform the patient that testing of blood and stools will be needed. b. Suggest that the patient drink clear liquid fluids with electrol | C |
| A patient is admitted to the emergency department with severe abdominal pain and rebound tenderness. Vital signs include temperature 102° F (38.3° C), pulse 120 beats/min, respirations 32 breaths/min, and blood pressure (BP) 82/54 mm Hg. Which prescribed | C |
| Four hours after a bowel resection, a 74-yr-old male patient with a nasogastric tube to suction reports nausea and abdominal distention. What should be the nurse’s first action? a. Auscultate for hypotonic bowel sounds. b. Notify the patient’s health care | C |
| A 19-yr-old woman is brought to the emergency department with a knife handle protruding from her abdomen. What should the nurse do during the initial assessment of the patient? a. Remove the knife and assess the wound. b. Determine the presence of Rovsing | C |
| Which activity in the care of a patient with a new colostomy could the nurse delegate to unlicensed assistive personnel (UAP)? a. Document the appearance of the stoma. b. Place a pouching system over the ostomy. c. Drain and measure the output from the os | C |
| Which information obtained by the nurse interviewing a 30-yr-old male patient is most important to communicate to the health care provider? a. The patient has a history of constipation. b. The patient has noticed blood in the stools. c. The patient had an | B |
| Which care activity for a patient with a paralytic ileus is appropriate for the registered nurse (RN) to delegate to unlicensed assistive personnel (UAP)? a. Auscultating for bowel sounds b. Brushing the teeth and tongue c. Assessing the nares for irritat | B |
| After several days of antibiotic therapy for pneumonia, an older hospitalized patient develops watery diarrhea. Which action should the nurse take first? a. Notify the health care provider. b. Obtain a stool specimen for analysis. c. Teach the patient abo | D |
| Which patient should the nurse assess first after receiving change-of-shift report? a. A 30-yr-old patient who has a distended abdomen and tachycardia b. A 60-yr-old patient whose ileostomy has drained 800 mL over 8 hours c. A 40-yr-old patient with ulcer | A |
| A patient with Crohn’s disease who is taking infliximab (Remicade) calls the nurse in the outpatient clinic about new symptoms. Which symptom is most important to communicate to the health care provider? A.Fever b. Nausea c. Joint pain d. Headache | Fever |
| A 33-yr-old male patient with a gunshot wound to the abdomen undergoes surgery, and a colostomy is formed as shown in the accompanying figure. Which information will be included in patient teaching? a. Stool will be expelled from both stomas. b. This type | B |
| A 76-yr-old patient with obstipation has a fecal impaction and is incontinent of liquid stool. Which action should the nurse take first? a. Administer bulk-forming laxatives. b. Assist the patient to sit on the toilet. c. Manually remove the impacted sto | C |
| A patient is awaiting surgery for acute peritonitis. Which action will the nurse plan to include in the preoperative care? a. Position patient with the knees flexed. b. Avoid use of opioids or sedative drugs. c. Offer frequent small sips of clear liquids. | A |
| A 72-yr-old male patient with dehydration caused by an exacerbation of ulcerative colitis is receiving 5% dextrose in normal saline at 125 mL/hour. Which assessment finding by the nurse is most important to report to the health care provider? a. Skin is d | C |
| A 19-yr-old patient has familNial aRdenIomGatouBs.poClypMosis (FAP). Which action will the nurse in USNT O the gastrointestinal clinic include in the plan of care? a. Obtain blood samples for DNA analysis. b. Schedule the patient for yearly colonoscopy. c | B |
| Which menu choice by the patient with diverticulosis is best for preventing diverticulitis? a. Navy bean soup and vegetable salad b. Whole grain pasta with tomato sauce c. Baked potato with low-fat sour cream d. Roast beef sandwich on whole wheat bread | A |
| After change-of-shift report, which patient should the nurse assess first? a. A 40-yr-old male patient with celiac disease who has frequent frothy diarrhea b. A 30-yr-old female patient with a femoral hernia who has abdominal pain and vomiting c. A 30-yr- | B |
| The nurse is admitting a 67-yr-old patient with new-onset steatorrhea. Which question is most important for the nurse to ask? a. “How much milk do youNusuRallyIdrinGk?”B.C M USNT O b. “Have you noticed a recent weight loss?” c. “What time of day do your b | B |
| Which information will the nurse plan to teach a patient who has lactose intolerance? a. Ice cream is relatively low in lactose. b. Live-culture yogurt is usually tolerated. c. Heating milk will break down the lactose. d. Nonfat milk is tolerated better t | B |
| Which prescribed intervention for a patient with chronic short bowel syndrome should the nurse question? a. Senna 1 tablet daily b. Ferrous sulfate 325 mg daily c. Psyllium (Metamucil) 3 times daily d. Diphenoxylate with atropine (Lomotil) PRN loose stool | A |
| Which information will the nurse include when teaching a patient how to avoid chronic constipation? (Select all that apply.) a. Stimulant and saline laxatives can be used regularly. b. Bulk-forming laxatives are an excellent source of fiber. c. Walking or | BCDE |
Created by:
Destinynichimp
Popular Nursing sets