Question 1

Which statement by the patient scheduled for a lower gastrointestinal series as diagnostic evaluation for colorectal diagnosis indicates understanding of the teaching about this procedure?

Accepted Answer

C

Question 2

The diagnosis of celiac disease may be complicated in the patient with which disorder because the clinical manifestations are similar?

Accepted Answer

Celiac disease and lactose intolerance can both cause similar gastrointestinal symptoms such as bloating, diarrhea, and abdominal pain, making it difficult to distinguish between the two based solely on clinical manifestations.

Question 3

Which statement by the patient scheduled for an ileal pouch-anal anastomosis (IPAA) procedure for treatment of ulcerative colitis indicates the teaching was effective?

Accepted Answer

The correct statement that indicates effective teaching for a patient scheduled for an ileal pouch-anal anastomosis (IPAA) procedure is that the colon and rectal mucosa will be removed and a reservoir will be created using a portion of the ileum. This procedure is designed to preserve anal function after the removal of the colon and rectum due to conditions like ulcerative colitis.

Question 4

The nurse is providing care to a patient who is diagnosed with irritable bowel syndrome (IBS). Which medication prescription should the nurse anticipate to provide pain relief?

Accepted Answer

Amitriptyline, a tricyclic antidepressant, is often prescribed for patients with IBS to help manage pain and discomfort. It works by affecting the central nervous system and can help reduce the pain signals sent from the gut.

Question 5

In reviewing the emergency records of a patient admitted to the unit for appendicitis, the nurse notes that there is documentation the patient complained of pain in the right lower quadrant when the left lower quadrant was palpated. The nurse correlates this finding to which diagnostic sign?

Accepted Answer

Rovsing's sign is indicative of appendicitis when pain in the right lower quadrant is elicited by palpating the left lower quadrant, suggesting the spread of inflammation to the peritoneum.

Question 6

Which statement by the patient scheduled for proctocolectomy with permanent ileostomy for treatment of ulcerative colitis indicates the teaching was effective?

Accepted Answer

A proctocolectomy with permanent ileostomy involves the removal of the colon and rectum, and the anus is closed off. This is accurately described in option A.

Question 7

Which action by the patient care technician who is providing care to the patient diagnosed with appendicitis indicates the need for an intervention by the nurse?

Accepted Answer

Placing a heating pad on the patient's abdomen can exacerbate inflammation and potentially lead to rupture of the appendix, which is a contraindication in the care of a patient with appendicitis.

Question 8

The nurse administers which prescribed medication to treat diarrhea in the patient diagnosed with irritable bowel syndrome (IBS)?

Accepted Answer

Loperamide is used to treat diarrhea, including diarrhea associated with irritable bowel syndrome (IBS), by slowing the movement of the gut.

Question 9

The nurse is speaking with a patient who wants information regarding colorectal cancer. Which statement by the patient indicates that the teaching was effective?

Accepted Answer

Colorectal cancer risk is indeed higher in individuals with a history of inflammatory bowel diseases such as ulcerative colitis. This condition causes chronic inflammation of the colon, which can increase the risk of developing colorectal cancer over time.

Question 10

Which statement by the patient scheduled for abdominal colectomy with ileoanal anastomosis for treatment of ulcerative colitis indicates the teaching was effective?

Accepted Answer

The answer of Which statement by the patient scheduled for...

Question 11

Which medication prescription should the nurse anticipate for a patient, diagnosed with hemorrhoids, to form a physical barrier on the skin to prevent irritation?

Accepted Answer

Zinc oxide is commonly used in creams and ointments to form a protective barrier on the skin, which can help prevent irritation from hemorrhoids. It doesn't reduce inflammation or pain directly but protects the skin from moisture and further irritation.

Question 12

Which medication prescribed to the patient diagnosed with hemorrhoids does the nurse correlate to the treatment of pain?

Accepted Answer

Benzocaine is a local anesthetic that helps to relieve pain associated with hemorrhoids by numbing the area.

Question 13

Which finding in the patient diagnosed with a hernia indicates the need for an intervention?

Accepted Answer

The answer of Which finding in the patient diagnosed with...

Question 14

In providing care to a patient receiving chemotherapy for the treatment of colorectal cancer, the nurse correlates which mechanism of action to the prescribed 5-fluorouracil (5-FU)?

Accepted Answer

5-fluorouracil (5-FU) is a cell-cycle specific antimetabolite that interferes with the synthesis of DNA and RNA by inhibiting thymidylate synthase, leading to cell death.

Question 15

Which statement by the patient scheduled for proctocolectomy with continent ileostomy for treatment of ulcerative colitis indicates the teaching was effective?

Accepted Answer

The answer of Which statement by the patient scheduled for...

Question 16

The nurse provides an educational session for community members about the risk factors for colorectal cancer. Which participant statement indicates the need for further teaching?

Accepted Answer

Eating a diet high in red meat is actually associated with an increased risk of developing colorectal cancer, not a reduced risk.

Question 17

The nurse provides discharge instructions to a patient who is postoperative for an appendectomy. Which patient statement indicates a need for additional teaching?

Accepted Answer

The correct statement indicating a need for additional teaching is C) "I will take the antibiotics until I no longer have a fever." This is incorrect because antibiotics should be taken for the full course prescribed by the healthcare provider, regardless of symptom improvement, to ensure the complete eradication of the infection and prevent antibiotic resistance.

Question 18

Which statement by the patient using complementary and alternative therapy for the management of irritable bowel syndrome (IBS) requires follow-up by the nurse?

Accepted Answer

The use of different types of herbal teas and elixirs for managing IBS requires follow-up by the nurse because the safety and efficacy of various herbs can vary, and some may interact with prescribed medications or worsen symptoms. It's important for healthcare professionals to be aware of all substances a patient is using to manage their health condition.

Question 19

Which statement by the patient scheduled for a double-contrast barium enema as diagnostic evaluation for colorectal diagnosis indicates understanding of the teaching about this procedure?

Accepted Answer

A double-contrast barium enema involves filling the intestine with barium, expelling most of it, then filling the intestine with air to take x-ray images.

Question 20

Which statement by the patient recently diagnosed with irritable bowel syndrome indicates the need for further teaching?

Accepted Answer

Nicotine, even in the form of gum, can exacerbate symptoms of irritable bowel syndrome (IBS), so suggesting its use indicates a misunderstanding or lack of knowledge about managing the condition effectively.

Quiz 58: Coordinating Care for Patients With Intestinal Disorders