Question 1

Which foods should an individual with diverticulosis avoid?

Accepted Answer

A)  Peanuts and raspberries 
B)  Apples and pears 
C)  Red meat and dairy products 
D)  Bran and whole grains 
A)  Peanuts and raspberries 
B)  Apples and pears 
C)  Red meat and dairy products 
D)  Bran and whole grains A

Question 2

A nurse is performing an assessment of a patient after an abdominoperineal resection.How many incision sites will be present?

Accepted Answer

A)  Two 
B)  Three 
C)  Four 
D)  Five 
A)  Two 
B)  Three 
C)  Four 
D)  Five B

Question 3

Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD)in a patient admitted to the hospital with diarrhea.What information should the nurse include when preparing patient education regarding diet?

Accepted Answer

A)  Dairy products are encouraged. 
B)  No added salt is required. 
C)  Low roughage should be followed. 
D)  Protein foods are restricted. 
A)  Dairy products are encouraged. 
B)  No added salt is required. 
C)  Low roughage should be followed. 
D)  Protein foods are restricted. C

Question 4

A nurse identifies a risk factor in an older man that places him at risk for developing diverticulosis.What patient information indicates such a risk factor?

Accepted Answer

A)  Eats a low-fiber diet 
B)  Chronic diarrhea 
C)  History of using nonsteroidal anti-inflammatory drugs (NSAIDs) 
D)  Family history of colon cancer 
A)  Eats a low-fiber diet 
B)  Chronic diarrhea 
C)  History of using nonsteroidal anti-inflammatory drugs (NSAIDs) 
D)  Family history of colon cancer

Question 5

A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4$\degree$ F and abdominal rigidity.What should the nurse be aware is the most likely cause of these signs and symptoms?

Accepted Answer

A)  Infection 
B)  Constipation 
C)  Perforation 
D)  Obstruction 
A)  Infection 
B)  Constipation 
C)  Perforation 
D)  Obstruction

Question 6

Which statement by a patient with an ileostomy as a remedy for ulcerative colitis indicates the need for further teaching?

Accepted Answer

A)  "I will avoid milk products." 
B)  "I should select food with less dietary fiber." 
C)  "I'll miss my martini before dinner." 
D)  "I will be glad when the surgeon closes this ileostomy." 
A)  "I will avoid milk products." 
B)  "I should select food with less dietary fiber." 
C)  "I'll miss my martini before dinner." 
D)  "I will be glad when the surgeon closes this ileostomy."

Question 7

A nurse notes a diagnosis of pilonidal cyst on a patient's admission assessment.What anatomical location should the nurse expect to assess this cyst?

Accepted Answer

A)  Rectum 
B)  Sacrococcygeal area 
C)  Abdomen 
D)  Anus 
A)  Rectum 
B)  Sacrococcygeal area 
C)  Abdomen 
D)  Anus

Question 8

A nurse is caring for a 34-year-old patient admitted with severe diarrhea that has been going on for 2 weeks.What assessment should the nurse anticipate?

Accepted Answer

A)  Edema of lower legs and feet 
B)  Hypotension and fatigue 
C)  Hypertension and hunger 
D)  Metabolic alkalosis 
A)  Edema of lower legs and feet 
B)  Hypotension and fatigue 
C)  Hypertension and hunger 
D)  Metabolic alkalosis

Question 9

A patient is diagnosed with cancer of the large intestine.What is the most likely initial recommended medical intervention?

Accepted Answer

A)  Repeat colonoscopy 
B)  Surgery 
C)  Radiation therapy 
D)  Chemotherapy 
A)  Repeat colonoscopy 
B)  Surgery 
C)  Radiation therapy 
D)  Chemotherapy

Question 10

Which instruction given to a patient with irritable bowel syndrome (IBS)should lessen discomfort?

Accepted Answer

A)  Eat only whole grains. 
B)  Take small bites and chew well. 
C)  Include dietary fiber in at least two meals per day. 
D)  Drink herbal teas and low-calorie cola drinks. 
A)  Eat only whole grains. 
B)  Take small bites and chew well. 
C)  Include dietary fiber in at least two meals per day. 
D)  Drink herbal teas and low-calorie cola drinks.

Question 11

A nurse provides education to a patient after a hemorrhoidectomy.Which statement by the patient demonstrates the need for further instruction?

Accepted Answer

A)  "Sitz baths are ordered to soothe the area." 
B)  "Imagery may help control pain." 
C)  "Bleeding should be reported." 
D)  "Fluids are restricted." 
A)  "Sitz baths are ordered to soothe the area." 
B)  "Imagery may help control pain." 
C)  "Bleeding should be reported." 
D)  "Fluids are restricted."

Question 12

A nurse describes a patient as morbidly obese because the patient has a weight of 387 lb and a height of 2 meters.What is the patient's body mass index (BMI)?

Accepted Answer

A)  58.4 
B)  52.8 
C)  43.9 
D)  31.6 
A)  58.4 
B)  52.8 
C)  43.9 
D)  31.6

Question 13

A home health nurse is instructing an older adult patient regarding dietary changes to help prevent constipation.What changes should the nurse indicate when providing this education? (Select all that apply.)

Accepted Answer

A)  Addition of whole-grain cereal 
B)  Cessation of laxative use 
C)  Increase in liquid intake 
D)  Increase in sugar intake 
E)  Eating fresh vegetables 
A)  Addition of whole-grain cereal 
B)  Cessation of laxative use 
C)  Increase in liquid intake 
D)  Increase in sugar intake 
E)  Eating fresh vegetables

Question 14

A patient reports severe pain after an abdominoperineal resection.What position should the nurse assist this patient into in order to promote comfort?

Accepted Answer

A)  Side-lying 
B)  Supine 
C)  Prone 
D)  Semi-Fowler 
A)  Side-lying 
B)  Supine 
C)  Prone 
D)  Semi-Fowler

Exam 39: Lower Digestive Tract Disorders

Which foods should an individual with diverticulosis avoid?

A nurse is performing an assessment of a patient after an abdominoperineal resection.How many incision sites will be present?

Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD)in a patient admitted to the hospital with diarrhea.What information should the nurse include when preparing patient education regarding diet?

A nurse identifies a risk factor in an older man that places him at risk for developing diverticulosis.What patient information indicates such a risk factor?

A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4 °\degree° F and abdominal rigidity.What should the nurse be aware is the most likely cause of these signs and symptoms?

Which statement by a patient with an ileostomy as a remedy for ulcerative colitis indicates the need for further teaching?

A nurse notes a diagnosis of pilonidal cyst on a patient's admission assessment.What anatomical location should the nurse expect to assess this cyst?

A nurse is caring for a 34-year-old patient admitted with severe diarrhea that has been going on for 2 weeks.What assessment should the nurse anticipate?

A patient is diagnosed with cancer of the large intestine.What is the most likely initial recommended medical intervention?

Which instruction given to a patient with irritable bowel syndrome (IBS)should lessen discomfort?

A nurse provides education to a patient after a hemorrhoidectomy.Which statement by the patient demonstrates the need for further instruction?

A nurse describes a patient as morbidly obese because the patient has a weight of 387 lb and a height of 2 meters.What is the patient's body mass index (BMI)?

A home health nurse is instructing an older adult patient regarding dietary changes to help prevent constipation.What changes should the nurse indicate when providing this education? (Select all that apply.)

A patient reports severe pain after an abdominoperineal resection.What position should the nurse assist this patient into in order to promote comfort?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

Filters

A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4 $\degree$ F and abdominal rigidity.What should the nurse be aware is the most likely cause of these signs and symptoms?