Lower Gastro Flashcards
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
a. Increase fluid intake
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
A, b, c, d, e
Assessment findings suggestive of peritonitis include which of the following?
a. Rebound abdominal pain
b. A sot, distended abdomen
c. Dull, continuous abdominal pain
d. Restlessness
a. Rebound abdominal pain
In planning care for the client with Crohn’s disease, the nurse
recognizes which major factor about Crohn’s disease that diferentiates it from ulcerative colitis?
a. It frequently results in toxic megacolon.
b. It causes fewer nutritional deiciencies 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.
c. It often recurs after surgery, whereas ulcerative colitis is curable with a colectomy.
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
a. Persistent abdominal pain
b. Marked abdominal distention
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 ater 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
c. That follow-up colonoscopies will be needed to ensure that the cancer does not recur
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
a. A sigmoid colostomy
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
b. Often has no symptoms
Which of the following is a nursing intervention that is most
appropriate to decrease postoperative edema and pain ater 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
d. Applying a scrotal support with ice bag
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
a. Scrambled eggs and sausage
What should a client be taught ater a hemorrhoidectomy?
a. Take mineral oil before bedtime.
b. Eat a low-ibre diet to rest the colon.
c. Administer oil-retention enema to empty the colon.
d. Use prescribed pain medication before a bowel movement
d. Use prescribed pain medication before a bowel movement
______ _____ _________is a chronic functional disorder characterized by intermittent and recurrent abdominal pain associated with an alteration in bowel function (diarrhea or constipation or both). Other symptoms commonly found include abdominal distension, excessive flatulence, bloating, urge to defecate, urgency, and
sensation of incomplete evacuation.
Irritable bowel syndrome
__________ is an inflammation of the appendix, a narrow blind tube that extends from the inferior part of the cecum
Appendictitis
_______-_______ is an inflammation of the mucosa of the stomach and small intestine
• Gastro-enteritis
________ ______ ______ is an autoimmune disease that currently refers to two disorders of the GI tract (Crohn’s disease and ulcerative colitis)
characterized by idiopathic inflammation and ulceration.
Inflammatory bowel disease (IBD)
