Deck 46: Caring Forclients With Disorders of the Lower Gastrointestinal

Question 1

When describing abdominal hernias to a group of nursing students, the instructor would identify which type as most common?

A) Inguinal
B) Femoral
C) Umbilical
D) Incisional

Answer 1

Inguinal

Question 2

A nurse is caring for a client with diarrhea. Which of the following interventions would help to ensure that the client's perianal tissue remains intact?

A) Instructing the client to use soft paper to the perianal area.
B) Applying ointment with vitamins A and D to the perianal area.
C) Encourage the client to rest with the legs elevated.
D) Assist the client to soak the rectal area in a tub of cold water.

Answer 2

Applying ointment with vitamins A and D to the perianal area.

Question 3

A client is being treated for prolonged diarrhea. Which of the following foods should the nurse encourage the client to consume?

A) Protein-rich foods
B) Potassium-rich foods
C) High-fiber foods
D) High-fat foods

Answer 3

Potassium-rich foods

Question 4

When interviewing a client with internal hemorrhoids, which of the following would the nurse expect the client to report?

A) Rectal bleeding
B) Pain
C) Itching
D) Soreness

Question 5

A client with a pilonidal sinus undergoes surgery. Which of the following would the nurse include in the client's postoperative plan of care?

A) Administering prescribed antibiotics
B) Repacking the surgical wound
C) Caring for the intact suture line
D) Maintaining nothing by mouth (NPO) status

Question 6

A client with a history of constipation is instructed to consume a high fiber diet. Which of the following if statement by the client as an appropriate food choice indicates the need for additional teaching?

A) Brown rice
B) White bread
C) Dried lentils
D) Popcorn

Question 7

The nurse is reviewing the laboratory test results of a client with Crohn's disease. Which of the following would the nurse most likely find?

A) Decreased white blood cell count
B) Increased albumin levels
C) Negative stool cultures
D) Decreased erythrocyte sedimentation rate

Question 8

After assessing a client with peritonitis, the nurse most likely would document the client's bowel sounds as:

A) Mild.
B) High-pitched.
C) Hyperactive.
D) Absent.

Question 9

When providing care for a client with diarrhea, the nurse instructs the client to avoid drinking with a straw based on the understanding that the straw:

A) Stimulates gastrointestinal (GI) motility.
B) Causes excessive peristalsis.
C) Increases the risk for infection.
D) Increases gas and cramping.

Question 10

A client with Crohn's disease is to receive prednisone as part of the treatment plan. Which of the following instructions would be appropriate?

A) "Take the drug on an empty stomach to avoid upsetting your stomach."
B) "Once your symptoms improve, you can stop taking the drug."
C) "Make sure to increase your salt intake to compensate for the loss of fluid."
D) "Avoid contact with other people who might have an infection."

Question 11

A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nurse would expect to find rebound tenderness at which location?

A) Right upper quadrant
B) Right lower quadrant
C) Left upper quadrant
D) Left lower quadrant

Question 12

After teaching a group of students about intestinal obstruction, the instructor determines that the teaching was effective when the students identify which of the following as a cause of a functional obstruction?

A) Volvulus
B) Intussusception
C) Tumor
D) Abdominal surgery

Question 13

A client realizes that regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions this client against the prolonged use of laxatives for which reason?

A) The client may develop inflammatory bowel disease.
B) The client may develop arthritis or arthralgia.
C) The client's natural bowel function may become sluggish.
D) The client may lose his appetite.

Question 14

The nurse uses great caution when administering this drug based on the understanding of which of the following?

A) The client may get addicted to the antidiarrheal.
B) The client may experience nausea and dizziness.
C) The client may develop toxic megacolon.
D) The client may develop renal toxicity.

Question 15

Which of the following clients would be at greatest risk for the development of an anorectal fistula?

A) A 50-year-old male with diverticulosis
B) A 35-year-old female with Crohn's disease
C) A 42-year-old female with irritable bowel syndrome
D) A 60-year-old male with polyps of the colon

Question 16

The nurse would instruct a client who has an appendectomy to avoid which of the following?

A) Heavy lifting.
B) Harsh sunlight.
C) Dairy products.
D) Purine-rich foods

Question 17

A client with a hernia decides to manage the herniation with a truss. The nurse would emphasize which of the following?

A) Using laxatives to ensure regular bowel movement.
B) Wearing warm, woolen clothes to avoid dryness.
C) Applying a sunscreen to prevent exposure to direct sunlight.
D) Using cornstarch to absorb moisture in the area.

Question 18

Which of the following would the nurse identify as a characteristic finding when assessing a client for pilonidal sinus?

A) Pain in the perianal area
B) Purulent drainage from the gluteal fold
C) Dilated pits of hair follicles in the cleft
D) Abdominal pain

Question 19

A client with Crohn's disease is prescribed medication therapy. Which of the following would the nurse expect to administer as a first line agent?

A) Prednisone
B) Sulfasalazine
C) Mercaptopurine
D) Azathioprine

Question 20

A nurse is preparing a presentation for a local community group of older adults about colon cancer. Which of the following would the nurse include as the primary characteristic associated with this disorder?

A) Abdominal distention
B) Frank blood in the stool
C) A change in bowel habits
D) Abdominal pain

Question 21

Which of the following would a nurse expect to assess in a client with peritonitis?

A) Deep slow respirations
B) Decreased pulse rate
C) Hyperactive bowel sounds
D) Board-like abdomen

Question 22

After teaching a group of students about irritable bowel syndrome and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate-related antidiarrheal agent?

A) Loperamide (Imodium)
B) Bismuth subsalicylate (Pepto-Bismol)
C) Kaolin and pectin (Kaopectate)
D) Bisacodyl (Dulcolax)

Question 23

A client comes to the Emergency Department because he's noticed a bulging in his groin area when he coughs. He states that he noticed this ever since he lifted a heavy bag of gardening mulch last week. The physician determines that the client has an inguinal hernia and applies manual pressure to replace the protruding structures back into the abdominal cavity. The nurse understands that this procedure indicates that the hernia is which type?

A) Incarcerated
B) Irreducible
C) Reducible
D) Strangulated

Question 24

A nurse is talking with a client experiencing diarrhea about appropriate food choices. Which of the following would the nurse suggest to help promote the growth of healthy gastrointestinal bacteria?

A) Oatmeal
B) Applesauce
C) Yogurt
D) Milk