Exam 39: Nursing Management: Lower Gastrointestinal Problems

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

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

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 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?

The nurse is providing preoperative teaching for a 61-year-old man scheduled for an abdominal-perineal resection.Which information will the nurse include?

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?

Which information will the nurse include when teaching a patient how to avoid chronic constipation (select all that apply)? 2.

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

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 64-year-old woman who has chronic constipation asks the nurse about the use of psyllium (Metamucil).Which information will the nurse include in the response?

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 patient complains of gas pains and abdominal distention two days after a small bowel resection.Which nursing action is best to take?

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

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)?

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

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

A 33-year-old male patient with a gunshot wound to the abdomen undergoes surgery,and a colostomy is formed as shown in the accompanying figure.Which information will be included in patient teaching?