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N368 Med/Surg
Chapter 26 Bowel NCLEX Review Quiz
15
Nursing
Undergraduate 3
11/24/2009

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Cards

Term
The nurse is instructing a client who is experiencing diarrhea associated with a microorganism not to use antidiarrheals. The client asks “Why can’t I take something to stop the diarrhea?” The nurse’s best response is:
Definition
“Diarrhea caused by microorganism should not be treated with antidiarrheals so the microorganism can leave body more quickly as antidiarrheals will slow the elimination of the microorganism.”
Term
The nurse has instructed the client who is experiencing diarrhea associated with irritable bowel syndrome on dietary changes to prevent diarrhea. The nurse knows the client understands the dietary changes if the client selects which of the following menu choices?
Definition
Salad with chicken, whole wheat crackers
Term
The nurse is caring for a client experiencing peritonitis. The client develops a temperature of 103, is restless, has a urinary output of 75 cc in eight hours, blood pressure is 80/40. The nurse should develop a plan of care related to:
Definition
shock.
Term
The nurse is teaching a community group to prevent traveler’s diarrhea. The nurse’s teaching plan should include: (Mark all that apply)
Definition
wash hands before eating and frequently to prevent the spread of microorganisms.

do not consume food left out at room temperature.

drink only bottled water.
Term
In the client diagnosed with ulcerative colitis, the nurse should evaluate the client for:
Definition
characteristics of stool.
Term
The client with inflammatory bowel disease had surgery to create a continent kock’s ileostomy yesterday. The client refuses to look at the stoma when the nurse is teaching stoma care. The best nursing intervention for the nurse to take is to:
Definition
encourage the client to verbalize feelings related to the stoma.
Term
The nurse is instructing the client with short bowel syndrome on diet. The nurse teaches the client to follow which recommendation?
Definition
Small frequent meals consisting of high calorie and protein diet choices.
Term
A client has been diagnosed with colon cancer of the rectum. While completing the preoperative checklist the client asks the nurse “Where will my stoma be?” The nurse’s best response is “The:
Definition
left lower quadrant.”
Term
The client with polyps has watched a video on primary prevention of colon cancer. The nurse can evaluate teaching effectiveness when the client states “I should follow:
Definition
a low fat, low refined sugar and decrease red meat while eating more fiber.”
Term
The nurse is planning care for a client with a hernia. The most appropriate nursing diagnosis for the nurse to develop interventions for is:
Definition
potential for ineffective tissue perfusion related to effects of gastrointestinal obstruction/strangulation.
Term
In the client who has had surgery for a small bowel obstruction, the nurse should assess for which one of the following complications?
Definition
Decreased respiratory function
Term
The nurse should implement which of the following interventions for the client post hemorrhoidectomy? (Mark all that apply)
Definition
Assess for bleeding.

Provide adequate fluid intake.

Encourage sitz baths.
Term
The nurse is planning care for an elderly client experiencing diarrhea related to clostridium difficile. In planning care for this patient the nurse would develop a priority nursing goal to:
Definition
maintain fluid and electrolyte balance.
Term
A patient with ulcerative colitis having 10 stools per day asks the nurse “Why did the doctor not order a diet?” The nurse instructs the client that the purpose of an NPO orders is to:
Definition
promote bowel rest.
Term
A client experiencing constipation is placed on psyllium (Metamucil). When teaching the client about the medication the nurse should include: (Mark all that apply)
Definition
drink plenty of fluids to decrease risk of obstruction.

to take promptly to stop medication from forming a gelatinous mass.
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