Exam 43: Nursing Management: Lower Gastrointestinal Problems

The nurse will determine that teaching a 67-year-old man to irrigate his new colostomy has been effective if the patient

A 51-year-old woman with Crohn's disease who is taking infliximab (Remicade)calls the nurse in the outpatient clinic about new symptoms.Which symptom is most important to communicate to the health care provider?

The nurse is assessing a 31-year-old female patient with abdominal pain.Th nurse,who notes that there is ecchymosis around the area of umbilicus,will document this finding as

A 51-year-old male patient has a new diagnosis of Crohn's disease after having frequent diarrhea and a weight loss of 10 pounds (4.5 kg)over 2 months.The nurse will plan to teach about

Which information will the nurse include when teaching a patient how to avoid chronic constipation ?

Which prescribed intervention for a 61-year-old female patient with chronic short bowel syndrome will the nurse question?

After a total proctocolectomy and permanent ileostomy,the patient tells the nurse,"I cannot manage all these changes.I don't want to look at the stoma." What is the best action by the nurse?

A 26-year-old woman is being evaluated for vomiting and abdominal pain.Which question from the nurse will be most useful in determining the cause of the patient's symptoms?

Which information will the nurse include in teaching a patient who had a proctocolectomy and ileostomy for ulcerative colitis?

A female patient is awaiting surgery for acute peritonitis.Which action will the nurse include in the plan of care?

Which action will the nurse include in the plan of care for a 42-year-old patient who is being admitted with Clostridium difficile?

A 62-year-old patient has had a hemorrhoidectomy at an outpatient surgical center.Which instructions will the nurse include in discharge teaching?

Which activity in the care of a 48-year-old female patient with a new colostomy could the nurse delegate to unlicensed assistive personnel (UAP)?

After change-of-shift report,which patient should the nurse assess first?

Which information will the nurse teach a 23-year-old patient with lactose intolerance?

A 34-year-old female patient with a new ileostomy asks how much drainage to expect.The nurse explains that after the bowel adjusts to the ileostomy,the usual drainage will be about _____ cups.

A 45-year-old patient is admitted to the emergency department with severe abdominal pain and rebound tenderness.Vital signs include temperature 102° F (38.3° C),pulse 120,respirations 32,and blood pressure (BP)82/54.Which prescribed intervention should the nurse implement first?

A 58-year-old man with blunt abdominal trauma from a motor vehicle crash undergoes peritoneal lavage.If the lavage returns brown fecal drainage,which action will the nurse plan to take next?

Which care activity for a patient with a paralytic ileus is appropriate for the registered nurse (RN)to delegate to unlicensed assistive personnel (UAP)?

A 54-year-old critically ill patient with sepsis is frequently incontinent of watery stools.What action by the nurse will prevent complications associated with ongoing incontinence?