Question 1

The nurse is caring for a patient whose home medications include bismuth subsalicylate (Pepto Bismol).The nurse should educate the patient about which side effect of this medication?

Accepted Answer

A)   Pink urine
B)   Sunburn-like rash
C)   Stained teeth
D)   Black stools D

Question 2

The nurse is educating a patient with inflammatory bowel disease (IBD)about recommended nutritional choices.Which statement indicates that the nurse's teaching has been successful?

Accepted Answer

A)   "I should try to eat foods like white rice and lean poultry."
B)   "I should avoid red meats and eat large amounts of whole grains."
C)   "I should eat food that is mushy in consistency."
D)   "I should increase my intake of green leafy vegetables." A

Question 3

The nurse is caring for a patient who has been diagnosed with Crohn disease.When providing education concerning dietary recommendations,which statement indicates that the nurse's teaching has been successful?

Accepted Answer

A)   "I should try to eat as much fiber daily as I can."
B)   "Reducing dietary fat and fiber will be helpful in managing my condition."
C)   "I should not have lactose-containing products."
D)   "Eating a larger breakfast and smaller lunch and dinner portions is recommended." B

Question 4

The nurse caring for a patient admitted with peritonitis who has developed a paralytic ileus.While auscultating bowel sounds,the nurse assesses flatus.What is the significance of this finding?

Accepted Answer

A)   Gas has formed in bowel contents.
B)   Flatus results from forceful vomiting.
C)   Flatus indicates returning peristalsis.
D)   Flatus indicates inadequate decompression.

Question 5

The nurse explains which advantage benefits patients with a Kock pouch ileostomy?

Accepted Answer

A)   The patient can expel feces from the rectum in the normal fashion.
B)   The patient does not have to wear a collection device.
C)   The patient only has to evacuate the pouch once a day.
D)   The patient can have the pouch reanastomosed to the colon at a later time.

Question 6

Which contributing factor(s)may lead to hernia development?

Accepted Answer

A)   Heavy lifting
B)   Chronic cough
C)   Straining with defecation
D)   Ascites
E)   Strenuous sexual activity

Question 7

The nurse is educating a group of patients about high-fiber dietary selections.Which patient menu selection indicates that the nurse's teaching has been successful?

Accepted Answer

A)   Turkey sandwich on whole wheat toast, pears, and tea
B)   Grilled chicken, corn, and water
C)   Cheese pizza, salad, and milk
D)   Bacon, lettuce, and tomato sandwich on sourdough, blackberry compote, and orange juice

Question 8

The nursing is planning care for a patient with an acute exacerbation of inflammatory bowel disease (IBD).Which action(s)is/are most important for the nurse to include in the care plan?

Accepted Answer

A)   Assess number and character of stools.
B)   Auscultate bowel sounds.
C)   Obtain weights each shift.
D)   Encouraging periods of rest.
E)   Assess for internal bleeding.

Question 9

Match the types of ostomies with the expected type of effluent.

-Extremely watery stool with concentrations of digestive enzymes

Accepted Answer

A)  Ascending colostomy
B)  Transverse colostomy
C)  Descending colostomy
D)  Ileostomy
E)  Continent ileostomy

Question 10

The nurse is teaching a patient about peristomal skin care.Which information is most important for the nurse to include?

Accepted Answer

A)   Gently remove the faceplate of the appliance to avoid skin irritation.
B)   Washing the peristomal area with a scrubbing motion to rid the skin of fecal waste.
C)   Thoroughly rinse the skin.
D)   Apply a skin barrier to the peristomal area.
E)   Cut the faceplate to allow a  1/2 1 / 2 1/2  -inch opening around the stoma.

Question 11

The mechanical bowel obstruction caused when the bowel twists on itself is known as _________.

Accepted Answer

The answer of The mechanical bowel obstruction caused when the...

Question 12

The nurse is teaching a group of patients about the process of a mechanical bowel obstruction.Which example should the nurse include in the teaching?

Accepted Answer

A)   A tumor obstructs the lumen of the bowel.
B)   A paralytic ileus causes cessation of peristalsis.
C)   The bowel is inflamed by diverticulitis.
D)   The bowel motility is slowed by antidiarrheal drugs.

Question 13

Conservative treatment of diverticulosis includes which management?

Accepted Answer

A)   Eating a low-fiber diet
B)   Increasing fluid intake
C)   Taking stool softeners
D)   Taking nonsteroidal anti-inflammatory drugs (NSAIDs)  for discomfort
E)   Taking bulk laxatives

Question 14

Match the types of ostomies with the expected type of effluent.

-Formed stool on relatively regular basis

Accepted Answer

A)  Ascending colostomy
B)  Transverse colostomy
C)  Descending colostomy
D)  Ileostomy
E)  Continent ileostomy

Question 15

The nurse is caring for patient with a history of a chronic incarcerated hernia.The patient suddenly complains of abdominal pain and vomits dark material with a fecal odor.The nurse recognizes these signs as indications of which complication?

Accepted Answer

A)   Complete intestinal obstruction
B)   Rupture
C)   Gastroenteritis
D)   Duodenal ulcer

Question 16

Which type of hernia can lead to necrosis?

Accepted Answer

A)   Strangulated hernia
B)   Indirect hernia
C)   Direct hernia
D)   Irreducible hernia

Question 17

The nurse is educating a patient with diverticulitis.Which statement indicates that the nurse's teaching about the importance of seeking treatment has been successful?

Accepted Answer

A)   "If left untreated, the inflamed bowel could spread to the entire bowel."
B)   "If left untreated, the inflamed bowel could cause ulcers."
C)   "If left untreated, the inflamed bowel can perforate and cause peritonitis."
D)   "If left untreated, the inflamed bowel can cause appendicitis."

Question 18

The nurse preparing a teaching plan for a 20-year-old woman who is taking sulfasalazine (Azulfidine)for Crohn disease.Which information should the nurse include in the teaching plan?

Accepted Answer

A)   Avoid tanning beds or going outside during peak hours of sun while taking sulfasalazine (Azulfidine) .
B)   If taking sulfasalazine (Azulfidine)  while on oral contraceptives, use a backup method of birth control.
C)   Sulfasalazine (Azulfidine)  decreases the effect of hypoglycemic agents.
D)   Be aware that sulfasalazine (Azulfidine)  may turn the urine orange.
E)   Be aware that sulfasalazine (Azulfidine)  may cause gastrointestinal (GI)  upset.

Question 19

The nurse caring for the patient who is immediately postoperative with a new ileostomy.Which intervention is most important for the nurse to implement at this time?

Accepted Answer

A)   Change the ostomy pouch frequently.
B)   Provide emotional support.
C)   Administer a stool softener.
D)   Offer the patient frequent snacks.

Question 20

The nurse is caring for a patient 1-day postoperative after a transverse colostomy.When assessing the stoma,which finding requires the nurse's immediate action?

Accepted Answer

A)   A wet, glistening stoma
B)   A stoma with scant marginal bleeding
C)   An edematous stoma
D)   A purplish-red stoma

Exam 29: Care of Patients with Disorders of the Lower Gastrointestinal System

The nurse is caring for a patient whose home medications include bismuth subsalicylate (Pepto Bismol) .The nurse should educate the patient about which side effect of this medication?

The nurse is educating a patient with inflammatory bowel disease (IBD) about recommended nutritional choices.Which statement indicates that the nurse's teaching has been successful?