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A 16-year-old presents at the emergency department reporting right lower quadrant pain and is
subsequently diagnosed with appendicitis. When planning this client's nursing care, the nurse should
prioritize what nursing diagnosis?
A) Imbalanced Nutrition: Less Than Body Requirements Related to Decreased Oral Intake
B) Risk for Infection Related to Possible Rupture of Appendix
C) Constipation Related to Decreased Bowel Motility and Decreased Fluid Intake
D) Chronic Pain Related to Appendicitis - ANSWER>B) Risk for Infection Related to Possible Rupture of
Appendix
A nurse is caring for a client with constipation whose primary provider has recommended senna
(Senokot) for the management of this condition. The nurse should provide which of the following
education points?
A) "Limit your fluid intake temporarily so you don't get diarrhea."
,B) "Avoid taking the drug on a long-term basis."
C) "Make sure to take a multivitamin with each dose."
D) "Take this on an empty stomach to ensure maximum effect." - ANSWER>B) "Avoid taking the drug on
a long-term basis."
The nurse is caring for a client who is undergoing diagnostic testing for suspected malabsorption. When
taking this client's health history and performing the physical assessment, the nurse should recognize
what finding as most consistent with this diagnosis?
A) Recurrent constipation coupled with weight loss
B) Foul-smelling diarrhea that contains fat
C) Fever accompanied by a rigid, tender abdomen
D) Bloody bowel movements accompanied by fecal incontinence - ANSWER>B) Foul-smelling diarrhea
that contains fat
A nurse is providing care for a client who has a diagnosis of irritable bowel syndrome (IBS). When
planning this client's care, the nurse should collaborate with the client and prioritize what goal?
, A) Client will accurately identify foods that trigger symptoms.
B) Client will demonstrate appropriate care of his ileostomy.
C) Client will demonstrate appropriate use of standard infection control precautions.
Client will adhere to recommended guidelines for mobility and activity. - ANSWER>A) Client will
accurately identify foods that trigger symptoms.
An older adult has a diagnosis of Alzheimer disease and has recently been experiencing fecal
incontinence. However, the nurse has observed no recent change in the character of the client's stools.
What is the nurse's most appropriate intervention?
A) Keep a food diary to determine the foods that exacerbate the client's symptoms.
B) Provide the client with a bland, low-residue diet.
C) Toilet the client on a frequent, scheduled basis.
D)
Liaise with the primary provider to obtain an order for loperamide. - ANSWER>C) Toilet the client on a
frequent, scheduled basis.