Chapter 45 Lower Gastro Problems

Question 1

1. The appropriate collaborative therapy for the client with acute diarrhea caused by a viral infection is to do which of the following?
   a. Increase fluid intake
   b. Administer an antibiotic
   c. Administer antimotility drugs
   d. Quarantine the client to prevent spread of the virus

Answer 1

A

Question 2

2. When a 35-year-old female client is admitted to the emergency department with acute abdominal pain, which possible diagnosis should the nurse consider that may be the cause of her pain? (Select all that apply)
   a. Gastro-enteritis
   b. Ectopic pregnancy
   c. Gastro-intestinal bleeding
   d. Irritable bowel syndrome
   e. Inflammatory bowel disease

Answer 2

A B C D E

Question 3

3. Assessment findings suggestive of peritonitis include which of the following?
   a. Rebound abdominal pain
   b. A soft, distended abdomen
   c. Dull, continuous abdominal pain
   d. Restlessness

Answer 3

A

Question 4

4. In planning care for the client with Crohn’s disease, the nurse recognizes which major factor about Crohn’s disease that differentiates it from ulcerative colitis?
   a. It frequently results in toxic megacolon.
   b. It causes fewer nutritional deficiencies than ulcerative colitis.
   c. It often recurs after surgery, whereas ulcerative colitis is curable with a colectomy.
   d. It is manifested by rectal bleeding and anemia more frequently than ulcerative colitis is.

Answer 4

C

Question 5

5. The nurse performs a detailed assessment of the abdomen of a client with a possible bowel obstruction, knowing that which of the following are manifestations of an obstruction in the large intestine? (Select all that
   apply)
   a. Persistent abdominal pain
   b. Marked abdominal distention
   c. Diarrhea that is loose or liquid
   d. Colicky, severe, intermittent pain
   e. Profuse vomiting that relieves abdominal pain

Answer 5

A B

Question 6

6. A client with stage I colorectal cancer is scheduled for surgery. Teaching for this client would include an explanation of which of the following?
   a. That chemotherapy will begin after recovery from the surgery
   b. That both chemotherapy and radiation can be used as palliative treatments
   c. That follow-up colonoscopies will be needed to ensure that the cancer does not recur
   d. That a wound nurse, ostomy nurse, and continence nurse will visit to identify an abdominal site for the ostomy

Answer 6

C

Question 7

7. The nurse explains to the client undergoing ostomy surgery that the procedure that maintains the most normal functioning of the bowel is which of the following?
   a. A sigmoid colostomy
   b. A transverse colostomy
   c. A descending colostomy
   d. An ascending colostomy

Answer 7

A

Question 8

8. In contrast to the client with diverticulitis, which of the following is true for the client with diverticulosis?
   a. Has rectal bleeding
   b. Often has no symptoms
   c. Has localized cramping pain
   d. Frequently develops peritonitis

Answer 8

B

Question 9

9. Which of the following is a nursing intervention that is most appropriate to decrease postoperative edema and pain after an inguinal herniorrhaphy?
   a. Applying a truss to the hernia site
   b. Allowing the client to stand to void
   c. Supporting the incision during coughing
   d. Applying a scrotal support with ice bag

Answer 9

D

Question 10

10. The nurse determines that the goals of dietary teaching have been met when the client with celiac disease selects which of the following from the menu?
    a. Scrambled eggs and sausage
    b. Buckwheat pancakes with syrup
    c. Oatmeal, skim milk, and orange juice
    d. Yogurt, strawberries, and rye toast with butter

Answer 10

A

Question 11

11. What should a client be taught after a hemorrhoidectomy?
    a. Take mineral oil before bedtime.
    b. Eat a low-fibre diet to rest the colon.
    c. Administer oil-retention enema to empty the colon.
    d. Use prescribed pain medication before a bowel movement.

Answer 11

D