Question 1

The nurse is reviewing dietary recommendations with a patient recovering from an acute episode of diverticular disease. The nurse identifies which topics for inclusion in the discussion? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is reviewing dietary recommendations with...

Question 2

The nurse is caring for a patient with a jejunostomy tube. Which statement by the nurse indicates the need for additional information to safely manage the medical intervention?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 3

A patient who has been diagnosed with a form of gastric carcinoma is concerned about the prospects of her adult children having the disease. Which questions by the nurse shows an understanding of the disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

These questions show an understanding of the risk factors associated with gastric carcinoma. Smoking, prior treatment for stomach ulcers, and consumption of processed meats are all risk factors. Asthma and mental health conditions are not necessarily associated with gastric carcinoma.

Question 4

The nurse is preparing information to be included in a community educational presentation regarding gastroesophageal reflux disease GERD). Which information should be included? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is preparing information to be...

Question 5

A patient is hospitalized during an acute exacerbation of symptoms related to Crohn's disease. The nurse shows an understanding of the need for bowel rest by providing which instruction?

Accepted Answer

Bowel rest is often achieved through the use of total parenteral nutrition (TPN), which provides nutrients directly into the bloodstream without passing through the gastrointestinal tract. This allows the bowel to rest and promote healing. A soft diet or high-fiber diet may not be appropriate during an acute exacerbation of Crohn's disease as it can further irritate the bowel and exacerbate symptoms. Selecting foods high in potassium may be beneficial for overall health, but is not directly related to managing symptoms of Crohn's disease during an acute exacerbation.

Question 6

Which nursing action is essential to reduce the patient's risk of developing a postsurgical infection at the site of a permanent colostomy?

Accepted Answer

The answer of Which nursing action is essential to reduce...

Question 7

A patient learns that a small bowel obstruction was caused by an appendectomy 5 years ago. How would the nurse explain this development to the patient?

Accepted Answer

Abdominal surgery can result in adhesion or scarring of tissues, which can cause bowel obstruction. In this case, the scar tissue from the appendectomy may have caused a blockage in the small bowel. The other options do not accurately explain how the appendectomy led to the small bowel obstruction.

Question 8

A patient with Crohn's disease is recovering from a bowel resection. What information should the nurse provide?

Accepted Answer

Close follow-up is necessary because Crohn's disease can recur in other portions of the bowel, even after a bowel resection. Option A is incorrect because while surgery can improve symptoms, it does not guarantee that the disease will not recur. Option C is incorrect because Crohn's disease and ulcerative colitis are separate conditions. Option D is incorrect because while intestinal strictures are a potential complication of Crohn's disease and its treatment, a bowel resection may actually decrease the risk of strictures.

Question 9

What information should the nurse provide for the patient with a newly created Kock ileostomy continent ileostomy)? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of What information should the nurse provide for...

Question 10

A patient who has had gastric surgery that affected the effectiveness of the alimentary system will be fed via a gastrostomy tube upon discharge to home. How would the nurse explain the rationale for this intervention?

Accepted Answer

Gastrostomy feeding is less likely to produce side effects than parenteral nutrition because it allows for the use of the gastrointestinal tract, which can help maintain gut integrity and function, reducing the risk of complications associated with parenteral nutrition such as infections and liver problems.

Question 11

The nurse would assess for which risk factor in a patient hospitalized for a strangulated intestinal hernia?

Accepted Answer

The answer of The nurse would assess for which risk...

Question 12

A patient is being assessed for a possible bowel obstruction. The nurse provides information regarding which diagnostic tests to confirm the presence of an obstruction? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A barium swallow is not typically used to diagnose a bowel obstruction. A CT scan of the abdomen and an abdominal X-ray series are both commonly used to confirm the presence of an obstruction. Serum osmolality and CBC with differential are not diagnostic tests for a bowel obstruction.

Question 13

The nurse recognizes that a patient diagnosed with celiac disease needs further education regarding the disease process when the patient makes which statement?

Accepted Answer

The patient stating that they treat themselves to a ham and cheese on rye with a light beer once a week shows a lack of understanding about the gluten-free diet that is necessary in managing celiac disease. Even small amounts of gluten can cause damage to the small intestine, so adhering to a strict gluten-free diet is crucial. The other statements show a degree of understanding of the disease process and potential complications.

Question 14

A patient with Crohn's disease is demonstrating the nursing diagnosis Imbalanced Nutrition: Less than Body Requirements. What intervention should the nurse include in this patient's plan of care?

Accepted Answer

Crohn's disease can cause malabsorption and decreased appetite, leading to weight loss and nutrient deficiencies. Therefore, a normal, well-balanced diet would be the best intervention to address the patient's imbalanced nutrition. A low-calorie or low-residue diet may further decrease the patient's calorie and nutrient intake, while the DASH diet is more focused on hypertension management and may not address the patient's specific nutritional needs. A high-milk diet may exacerbate symptoms in patients with Crohn's disease, as dairy products are a common trigger for flare-ups.

Question 15

What information should the nurse provide a patient regarding the patient's newly created permanent ileostomy?

Accepted Answer

The nurse should inform the patient that the stoma may initially produce dark green fecal matter, as this is normal after surgery. The other options are not relevant or accurate information regarding a newly created permanent ileostomy.

Quiz 37: Caring for the Patient With Gastrointestinal Disorders