GI

Question 1

A nurse is preparing a presentation for a local community group of older adults about colon cancer. Which of the following would the nurse include as the primary characteristic associated with this disorder?

a.) Frank blood in the stool
b.) Abdominal pain
c.) Abdominal distention
d.) A change in bowel habits

Answer 1

d.) A change in bowel habits

Question 2

What is the most common cause of small-bowel obstruction?

a.) Volvulus
b.) Adhesions
c.) Neoplasms
d.) Hernias

Answer 2

b.) Adhesions

Question 3

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?

a.) This is a normal finding 1 day after surgery.
b.) Blood supply to the stoma has been interrupted.
c.) The ostomy bag should be adjusted.
d.) An intestinal obstruction has occurred.

Answer 3

b.) Blood supply to the stoma has been interrupted

Question 4

Effie Geitgey, a 93-year-old retired waitress, obsesses about the regularity of her bowel movements, which is a common complaint among the residents of the long-term care facility where you practice nursing. During one of your education sessions, you reinforce the medically acceptable definition of “regularity.” What is the actual measurement of “regular”?

a.) Stool consistency and client comfort are the proper measurements.
b.) One bowel movement daily
c.) Two bowel movements daily
d.) One bowel movement every other day

Answer 4

a.) Stool consistency & patient comfort are the proper measures

Question 5

Which client requires immediate nursing intervention? The client who:

a.) presents with ribbonlike stools.
b.) complains of anorexia and periumbilical pain.
c.) complains of epigastric pain after eating.
d.) presents with a rigid, boardlike abdomen.

Answer 5

d.) Presents with a rigid, boardlike abdomen

Question 6

The nurse is assessing a client for constipation. Which of the following is the first review that the nurse should conduct to identify the cause of constipation? Choose the correct option.

a.) Review the client’s alcohol consumption.
b.) Review the client’s current medications.
c.) Review the client’s activity levels.
d.) Review the client’s usual pattern of elimination.

Answer 6

d.) Review the patient’s usual pattern of elimination