NUR 257 Chronic Exam 4 Actual Verified Exam
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A client has been experiencing lower GI difficulties that
have increased in severity, and the gastroenterologist is
concerned that the client's bowel is not functioning
properly. What function of the lower GI tract is most likely
to be affected by the client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct - Answer-A. water and electrolyte
absorption
The nurse observes the physician palpating the abdomen
of a client that is suspected of having acute appendicitis.
When the abdomen is pressed in the left lower quadrant
the client complains of pain on the right side. What does
the nurse understand this assessment technique is
referred to?
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A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex - Answer-C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A
nurse knows to assess for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant - Answer-B. Left lower quadrant
Which type of diarrhea is caused by increased production
of water and electrolytes by the intestinal mucosa and
their secretion into the intestinal lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
D. Diarrheal disease - Answer-B. Secretory diarrhea
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Which is the most prominent signs of inflammatory bowel
disease?
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea - Answer-B.
Intermittent pain and diarrhea
Clients with irritable bowel disease (IBS) are at
significantly increased risk for which condition?
A. Osteoporosis
B. DVT
C. Hypotension
D. Pneumonia - Answer-A. Osteoporosis
When planning care for a client with a small-bowel
obstruction, the nurse should consider the primary goal to
be:
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A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D. reestablishing a normal bowel pattern - Answer-C.
maintaining fluid balance
A patient is not have daily bowel movements and has
begun taking a laxative for this problem. What should the
nurse educate the patient about regarding laxative use?
A. When taking the laxatives, plenty of fluid should be
taken as well.
B. The laxatives should be taken no more than 3 times a
week or laxative addiction will result.
C. Laxatives should not be routinely taken due to
destruction of nerve endings in the colon.
D. Laxatives should never be the first response for the
treatment of constipation; natural methods should be
employed first. - Answer-D. Laxatives should not be
routinely taken due to destruction of nerve endings in the
colon.