Exam 43: Nursing Management: Lower Gastrointestinal Problems

A 27-year-old female patient is admitted to the hospital for evaluation of right lower quadrant abdominal pain with nausea and vomiting.Which action should the nurse take?

A 72-year-old male patient with dehydration caused by an exacerbation of ulcerative colitis is receiving 5% dextrose in normal saline at 125 mL/hour.Which assessment finding by the nurse is most important to report to the health care provider?

A 24-year-old woman with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI)with tan,fecal-smelling urine.What information will the nurse add to a general teaching plan about UTIs in order to individualize the teaching for this patient?

A 74-year-old patient preparing to undergo a colon resection for cancer of the colon asks about the elevated carcinoembryonic antigen (CEA)test result.The nurse explains that the test is used to

A 47-year-old female patient is transferred from the recovery room to a surgical unit after a transverse colostomy.The nurse observes the stoma to be deep pink with edema and a small amount of sanguineous drainage.The nurse should

Which diet choice by the patient with an acute exacerbation of inflammatory bowel disease (IBD)indicates a need for more teaching?

A 71-year-old male patient tells the nurse that growing old causes constipation so he has been using a suppository for constipation every morning.Which action should the nurse take first?

After several days of antibiotic therapy,an older hospitalized patient develops watery diarrhea.Which action should the nurse take first?

A 50-year-old female patient calls the clinic to report a new onset of severe diarrhea.The nurse anticipates that the patient will need to

Four hours after a bowel resection,a 74-year-old male patient with a nasogastric tube to suction complains of nausea and abdominal distention.The first action by the nurse should be to

Which nursing action will the nurse include in the plan of care for a 35-year-old male patient admitted with an exacerbation of inflammatory bowel disease (IBD)?

Which nursing action will be included in the plan of care for a 27-year-old male patient with bowel irregularity and a new diagnosis of irritable bowel syndrome (IBS)?

A 42-year-old male patient has had a herniorrhaphy to repair an incarcerated inguinal hernia.Which patient teaching will the nurse provide before discharge?

A 22-year-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin.Which patient behavior indicates that teaching regarding maintenance of skin integrity has been effective?

A 73-year-old patient with diverticulosis has a large bowel obstruction.The nurse will monitor for

A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 or more bloody stools a day.The nurse will plan to

Which question from the nurse would help determine if a patient's abdominal pain might indicate irritable bowel syndrome?

A patient in the emergency department has just been diagnosed with peritonitis caused by a ruptured diverticulum.Which prescribed intervention will the nurse implement first?

A 19-year-old female is brought to the emergency department with a knife handle protruding from the abdomen.During the initial assessment of the patient,the nurse should

A 25-year-old male patient calls the clinic complaining of diarrhea for 24 hours.Which action should the nurse take first?