Exam 34: Nursing Care of Patients With Lower Gastrointestinal Disorders

The nurse is providing care for a patient who reports feeling constipated, yet passes frequent small liquid stools. The nurse suspects an impaction. Which statement by the patient causes the nurse concern?

The nurse is contributing to the plan of care for a patient with gluten enteropathy (celiac disease). Which food(s) does the nurse recommend be eliminated from the diet of the patient?

On admission, a patient with gastrointestinal bleeding had the following vital signs: blood pressure (BP) 140/80 mm Hg, pulse 72 beats/min, respirations 14 breaths/min, and temperature 98.8°F (37.1°C) orally. Which finding does the licensed practical nurse/licensed vocational nurse (LPN/LVN) report immediately to the registered nurse (RN) or HCP?

The nurse is providing care for a patient diagnosed with celiac disease. The patient initially presented with a skin rash with severe pruritus and blistering. Which additional manifestation is the nurse unlikely to associate with the patient's condition?

The nurse is gathering data on a patient with severe diarrhea for 3 days. The patient reports being out of the country for 2 weeks. Laboratory results indicate the presence of red blood cells (RBCs) and mucus in a stool sample. For which conditions does the nurse expect further testing?

The nurse is reinforcing teaching to a patient who is being discharged with a new colostomy. Which comments by the patient indicate understanding of the discharge teaching? (Select all that apply.)

The nurse is gathering information from a patient who reports anal pain. Which finding upon physical examination supports the presence of an anal abscess?

The nurse is reinforcing teaching to a patient newly diagnosed with ulcerative colitis about triggers for exacerbation of the disease. Which recommendation does the nurse make to the patient to prevent a future exacerbation? (Select all that apply.)

The nurse is collecting data from a patient who is reporting abdominal pain. Which symptom suggests that the patient is experiencing appendicitis?

The nurse is reviewing teaching with a patient scheduled for an ileostomy and placement of a continent ostomy reservoir. Which teaching is most important for the nurse to review?

The nurse is providing care for a client postoperative for the placement of a colostomy for colon cancer. When examining the stoma, which finding causes the nurse to immediately contact the health care provider (HCP)?

A patient is scheduled for colon surgery that will require the placement of a colostomy. The wound, ostomy, and continence nurse (WOCN) will evaluate the patient for correct stoma placement. Which consideration by the nurse will directly impact skin integrity?

The nurse is providing discharge teaching to a patient with diarrhea. Which patient statement indicates that teaching has been effective?

The nurse reinforces teaching to a patient prescribed budesonide for Crohn disease inflammation. Which patient statements indicate that additional teaching is necessary? (Select all that apply.)

The nurse is providing care for a patient admitted with a complete, nonmechanical small bowel obstruction. Which manifestation indicates to the nurse that the patient's condition is improving?

The nurse is reinforcing teaching with a patient about appropriate diet modifications to help prevent exacerbations of inflammatory bowel disease. Which patient statements indicate that teaching has been effective? (Select all that apply.)

The nurse notes that a patient with a history of a myocardial infarction is straining during defecation. Which response by the nurse is best?

A patient receives a diagnosis of Crohn disease and states, "I don't understand anything about this disease." Which information provided by the nurse is most helpful at this time?

The nurse is providing care for a patient diagnosed with an obstructed colon related to colon cancer. The client receives endoscopic treatment prior to surgical intervention to remove the obstructing tumor. Which observation will the nurse expect?

The nurse provides care to older adult residents in an extended-care facility. One resident is experiencing diarrhea. The resident reports loss of appetite, weakness, and drowsiness. Which body system is most important for the nurse examine?