Question 1

A nurse assesses a client with peritonitis.Which clinical manifestations should the nurse expect to find? (Select all that apply.)

Accepted Answer

A client with peritonitis may present with a distended abdomen,diminished bowel sounds,inability to pass flatus or feces,tachycardia,and decreased urine output secondary to dehydration.Bradycardia and hyperactive bowel sounds are not associated with peritonitis.

Question 2

A nurse cares for a client who is prescribed 5 mg/kg of infliximab (Remicade)intravenously.The client weighs 110 lbs and the pharmacy supplies infliximab 100 mg/10 mL solution.How many milliliters should the nurse administer to this client? (Record your answer using a whole number.)____ mL

Accepted Answer

The answer of A nurse cares for a client who...

Question 3

After teaching a client with a parasitic gastrointestinal infection,a nurse assesses the client's understanding.Which statements made by the client indicate that the client correctly understands the teaching? (Select all that apply.)

Accepted Answer

Parasitic infections can be transmitted to other people.The client himself or herself should keep the toilet area clean instead of possibly exposing another person to the disease.Parasites are transmitted via unclean water sources and sexual practices with rectal contact.The client should test his or her well water and ask sexual partners to have their stool examined for parasites.Raw vegetables are not associated with parasitic gastrointestinal infections.The client can eat vegetables from the store or a home garden as long as the water source is clean.

Question 4

A nurse cares for a client with a new ileostomy.The client states,"I don't think my friends will accept me with this ostomy." How should the nurse respond?

Accepted Answer

Social anxiety and apprehension are common in clients with a new ileostomy.The nurse should encourage the client to discuss concerns.The nurse should not minimize the client's concerns or provide false reassurance.

Question 5

A nurse assesses a client with ulcerative colitis.Which complications are paired correctly with their physiologic processes? (Select all that apply.)

Accepted Answer

Lower GI bleeding can lead to erosion of the bowel wall.Abscesses are localized pockets of infection that develop in the ulcerated bowel lining.Nonmechanical bowel obstruction is paralysis of the colon that results from colorectal cancer.When the inflammation is transmural,fistulas can occur between the bowel and bladder resulting in pyuria and fecaluria.Paralysis of the colon causing dilation and subsequent colonic ileus is known as a toxic megacolon.

Question 6

A nurse teaches a community group about food poisoning and gastroenteritis.Which statements should the nurse include in this group's teaching? (Select all that apply.)

Accepted Answer

Rotavirus is more common among the youngest of clients.Not drinking water while swimming can help prevent E.coli infection.Parasitic diseases may take up to 2 weeks to become symptomatic.People with botulism need to be hospitalized to monitor for respiratory failure and paralysis.Escherichia coli is not transmitted by contact with infected animals.

Question 7

After teaching a client with an anal fissure,a nurse assesses the client's understanding.Which client actions indicate that the client correctly understands the teaching? (Select all that apply.)

Accepted Answer

Taking warm sitz baths each day,using bulk-producing agents,and administering anti-inflammatory suppositories are all appropriate actions for the client with an anal fissure.The client should not use enemas or laxatives to promote elimination,but rather should rely on bulk-producing agents such as psyllium hydrophilic mucilloid (Metamucil).

Question 8

A nurse teaches a client how to avoid becoming ill with Salmonella infection again.Which statements should the nurse include in this client's teaching? (Select all that apply.)

Accepted Answer

Salmonella is usually contracted via contaminated eggs,beef,poultry,and green leafy vegetables.It is not transmitted through water in garden hoses or pools.Clients should wash leafy vegetables well,wash hands before and after using the restroom,make sure meat and eggs are cooked properly,and,because it can be transmitted by flies,keep flies off of food.

Question 9

A nurse cares for a client with ulcerative colitis.The client states,"I feel like I am tied to the toilet.This disease is controlling my life." How should the nurse respond?

Accepted Answer

Clients with ulcerative colitis often express that the disorder is disruptive to their lives.Stress factors can increase symptoms.These factors should be identified so that the client will have more control over his or her condition.Prescription medications and anorexia will not eliminate exacerbations.Although a therapist may assist the client,this is not an appropriate response.

Question 10

A nurse teaches a community group ways to prevent Escherichia coli infection.Which statements should the nurse include in this group's teaching? (Select all that apply.)

Accepted Answer

Washing hands after contact with animals and using separate cutting boards for meat and other foods will help prevent E.coli infection.The other statements are not related to preventing E.coli infection.

Quiz 57: Care of Patients with Inflammatory Intestinal Disorders