Exam 45: Nursing Management Lower Gastro-intestinal Problems

The nurse is providing discharge teaching for a client with a new colostomy. Which of the following client actions indicates that the teaching has been effective?

The nurse is caring for a client who has watery, incontinent diarrhea and has diagnosed with Clostridium difficile. Which of the following actions should the nurse include in the plan of care?

Which of the following nursing actions is most important to include in the plan of care for a client who had an abdominal-perineal resection the previous day?

The nurse is caring for a client with Crohn's disease who has megaloblastic anemia. Which of the following medications should the nurse anticipate teaching the client about taking on an ongoing basis?

The nurse is caring for a client who has a large bowel obstruction that occurred as a result of diverticulosis. Which of the following symptoms should the nurse monitor for when assessing the client?

Aclient tells the nurse, "I have problems with constipation now that I am older, so I use a suppository every morning." Which of the following actions should the nurse take first?

The nurse is caring for a client with an acute exacerbation of ulcerative colitis having 14-16 bloody stools a day and crampy abdominal pain associated with the diarrhea. Which of the following actions should the nurse take?

After receiving change-of-shift report, which of the following clients should the nurse assess first?

The nurse is caring for a client who has had a total proctocolectomy and permanent ileostomy who tells the nurse, "I cannot bear to even look at the stoma. I do not think I can manage all these changes." Which of the following actions is best?

The nurse is caring for a client who has blunt abdominal trauma after an automobile accident and severe pain. A peritoneal lavage returns brown drainage with fecal material. Which of the following actions should the nurse plan to take next?

The nurse is caring for a client who has ulcerative colitis and a proctocolectomy and ileostomy. Which of the following information should the nurse include in client teaching?

Before undergoing a colon resection for cancer of the colon, a client has an elevated carcinoembryonic antigen (CEA) test. Which of the following explanations should the nurse provide to the client about this test?

The nurse is admitting a client for evaluation of right lower quadrant abdominal pain with nausea and vomiting and an O2 saturation of 90%. Which of the following actions should the nurse take?

During the initial postoperative assessment of a client's stoma formed from a transverse colostomy, the nurse finds it to be deep pink with moderate edema and a small amount of bleeding. Which of the following actions should the nurse take based upon thesefindings?

Which of the following actions should the nurse implement when initiating the initial plan of care for a client admitted with acute diverticulitis?

A client with ulcerative colitis who is taking azathioprine calls the nurse in the outpatient clinic about all of these symptoms. Which of the following symptoms is most important to communicate to the health care provider?

The nurse is caring for a client who has been taking antibiotics for several days and develops watery diarrhea. Which of the following actions should the nurse take first?

The nurse is caring for a client with an exacerbation of ulcerative colitis who is having 15-20 stools daily and has external hemorrhoids. Which of the following client behaviours indicate that teaching regarding maintenance of skin integrity has been effective?

The nurse is admitting a client with an exacerbation of inflammatory bowel disease (IBD). Which of the following nursing actions should the nurse include in the plan of care?

The nurse is caring for a client who had an exploratory laparotomy with a resection of a short segment of small bowel two days previously. The client has gas pains and abdominal distension. Which of the following nursing actions is best to take at this time?