Question 1

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

Accepted Answer

The most common contributing factors in the development of a hernia are straining to lift heavy objects,chronic cough,straining to void or pass stool,and ascites.Sexual activity is not usually a cause for herniation.

Question 2

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

-Extremely watery stool with concentrations of digestive enzymes

Accepted Answer

A ileostomy results in the effluent being very watery with concentrations of digestive enzymes because the stool has not had a chance to pass through the large intestine where water is absorbed.

Question 3

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

-No effluent

Accepted Answer

A continent ileostomy is designed to have no effluent as it involves creating an internal pouch to collect waste, which is then drained manually.

Question 4

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

Accepted Answer

The faceplate should be removed gently to avoid skin damage; rinsing and drying,and application of a skin barrier,is essential.Washing should be gentle; the patient should avoid scrubbing that could irritate the skin.The faceplate should allow a 1/8-inch opening around the stoma.

Question 5

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

-Liquid and unformed stool

Accepted Answer

In an ascending colostomy, the stool is typically liquid and unformed because it is located in the early part of the colon where less water has been absorbed.

Question 6

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 7

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

For an acute attack of IBD,care includes monitoring the number and character of stools,periodic auscultation of bowel sounds,and checking for signs of internal bleeding,electrolyte imbalances,or anemia.The nurse should carefully monitor intake and output,but daily weights are sufficient.

Question 8

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

Sulfasalazine (Azulfidine)causes increased photosensitivity,may interfere with effectiveness of oral contraceptives,can tint the urine orange,and may cause GI upset.Sulfasalazine (Azulfidine)increases the effect of hypoglycemic agents.

Question 9

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

-Formed stool on relatively regular basis

Accepted Answer

A descending colostomy is created from the descending colon, which is responsible for processing stool that is relatively formed and comes out on a relatively regular basis.

Answer: D
 An ileostomy is created from the ileum (last part of the small intestine), which produces liquid stool that is fairly frequent and can be irritating to the skin if not managed properly.

Answer: E
 A continent ileostomy is created from the ileum (last part of the small intestine), but has a mechanism to hold onto stool until an appropriate time for emptying, resulting in more formed stool that is typically emptied less frequently.

Question 10

Which foods or beverages may trigger an attack of irritable bowel syndromes (IBS)?

Accepted Answer

Stress,caffeine,and sensitivity to certain foods such as dairy and wheat products seem to trigger IBS in some people.White rice and orange juice are not considered to be triggers for IBS.

Question 11

The presence of which diagnostic criteria are used to confirm the diagnosis of irritable bowel syndrome (IBS)?

Accepted Answer

Diagnosis of IBS is based on clinical manifestations and ruling out the presence of organic bowel disease.Diagnostic criteria include abdominal pain with a change in stool consistency,mucus in the stool (mucorrhea),and abdominal bloating.IBS pain is relieved with defecation; clay colored stools are associated with problems with the gallbladder.

Question 12

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

-Semiliquid stool at unpredictable times

Accepted Answer

The answer of Match the types of ostomies with the...

Question 13

Conservative treatment of diverticulosis includes which management?

Accepted Answer

A high-fiber diet is indicated for the treatment of diverticulosis.All other options would be part of a conservative,nonsurgical approach to treatment.

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

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

Match the types of ostomies with the expected type of effluent. -Extremely watery stool with concentrations of digestive enzymes

Match the types of ostomies with the expected type of effluent. -No effluent

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

Match the types of ostomies with the expected type of effluent. -Liquid and unformed stool

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

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?

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?

Match the types of ostomies with the expected type of effluent. -Formed stool on relatively regular basis

Which foods or beverages may trigger an attack of irritable bowel syndromes (IBS) ?

The presence of which diagnostic criteria are used to confirm the diagnosis of irritable bowel syndrome (IBS) ?

Match the types of ostomies with the expected type of effluent. -Semiliquid stool at unpredictable times

Conservative treatment of diverticulosis includes which management?