Exam 33: Management of Clients with Intestinal Disorders

In caring for a client who is vomiting fecal material, the nurse should place the highest priority on which action?

A client with inflammatory bowel disease (IBD) takes sulfasalazine (Azulfadine) for management of manifestations. To counteract a side effect of this drug, the nurse would encourage the client to increase intake of

The nurse caring for a client with abdominal distention and vomiting that is fecal in nature should conduct further assessment aimed at discovering

A client with Crohn's disease is recovering from a fourth bowel resection and is being dismissed. The nurse determines that teaching goals have been met when the client indicates that s/he will watch for manifestations of

The nurse is instructing a client with a new colostomy on its care and notes that the stoma is large and dusky. The most appropriate nursing intervention at this time is to

A client recovering from a recent colostomy is very reluctant to participate in self-care. To initiate the client's interaction, the nurse should

The nurse taking the history of an 80-year-old woman diagnosed with gastroenteritis would recognize that the most significant factor in determining potential for complications in this client is

Until a diagnosis is made, the nurse caring for a client being evaluated for acute appendicitis should treat pain and discomfort with

For an 83-year-old client admitted with obstruction of the large bowel, the nurse's most significant assessment during the nursing history in regard to development of an obstruction would be

A 13-year-old client with ulcerative colitis says, "I am so glad I will grow out of this disease. It's so embarrassing at school." Which action by the nurse would best address this statement?

A client is admitted with dysentery caused by Clostridium difficile, or pseudomembranous colitis. To elicit the most helpful information about the cause of the dysentery, the nurse would ask the client

In caring for a client with Crohn's disease and the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements related to diarrhea, the nurse would plan to observe for

A client with ulcerative colitis has severe diarrhea. Further assessments by the nurse are aimed at early recognition of

A client is admitted with appendicitis and is awaiting surgery. The client states, "Now instead of pain in just one spot, the pain is kind of all over my abdomen." Which action by the nurse takes priority?

In advising a client on the care of an anal fissure caused by chronic constipation, the home health nurse would focus on

A nurse is caring for several clients. One client needs ostomy care. The nurse delegates ostomy care to the unlicensed assistive personnel for the client who

In counseling a client with ulcerative colitis for 25 years about health maintenance plans, the nurse would include the advice that the client should

A nurse is caring for a postoperative client who has developed peritonitis. An assessment finding that would require immediate action would be

The nurse caring for a client with an intestinal malignancy assesses for bleeding, which would most likely be manifested by

To help a client with a new ostomy integrate its appearance into the client's body image, the home health nurse would