Exam 34: Nursing Care of Patients With Lower Gastrointestinal Disorders

The nurse is caring for a patient who has diarrhea.Which nursing action is the highest priority?

The nurse is contributing to a patient's plan of care.Which foods should the nurse recommend to be avoided or used with caution to reduce the possibility of ileostomy blockage? (Select all that apply.)

On admission,a patient with gastrointestinal bleeding had vital signs of a blood pressure of 140/80 mm Hg,pulse 72 beats/minute,respirations 14 breaths/minute,and temperature 98.8°F (37.1°C).What finding should be reported to the registered nurse (RN)or physician immediately?

The nurse is reinforcing teaching provided to a patient about appropriate diet modifications to help prevent exacerbations of inflammatory bowel disease.Which patient statements indicate that teaching has been effective? (Select all that apply.)

The nurse is caring for a patient with an inflamed appendix.Which complication is most likely to occur if the appendix ruptures?

The nurse is collecting data from a patient with a stoma.What should the nurse document for a health stoma?

A patient with fecal incontinence has an excoriated perianal region.Which interventions should be discussed with the RN? (Select all that apply.)

The nurse reinforces teaching provided to a patient with constipation and straining who is experiencing abdominal distention and intestinal rumbling.What should be included in the teaching? (Select all that apply.)

A patient asks what causes diverticulitis.How should the nurse respond?

A patient with a bowel obstruction asks for the term that describes telescoping of the bowel.Which should the nurse respond to this patient?

A patient scheduled for an ileostomy for Crohn's disease asks the nurse to explain the procedure.What should the nurse respond?

The nurse is providing discharge teaching to a patient with diarrhea.Which patient statement indicates that teaching has been effective?

The nurse is reviewing the process of digestion with a patient diagnosed with malabsorption syndrome.How many mL of fluid should the nurse instruct that is absorbed through the intestinal mucosa into the portal bloodstream?

A patient is experiencing melena.What does this observation indicate to the nurse?

The nurse is reinforcing teaching provided to a patient with acute diarrhea.Which statement indicates the patient understands the most common cause for this health problem?

A patient comes into the client after experiencing diarrhea with five liquid stools in the past 24 hours.Which additional patient symptoms should cause the nurse concern? (Select all that apply.)

The nurse is participating in a community health fair program focusing on risk factors for cancer.Which should be included as increasing the risk for colon cancer? (Select all that apply.)

The nurse is caring for a patient with an exacerbation of Crohn's disease.Which nursing action is most important to recommend for inclusion in the patient's plan of care?

The nurse is reinforcing teaching provided to a patient who is being discharged with a new colostomy.Which comments by the patient indicate understanding of the discharge teaching? (Select all that apply.)

The nurse is caring for a patient recovering from ileostomy surgery.What should have the highest priority when caring for the patient after surgery?