lOMoARcPSD|3013804
Chapter 52 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 52: Concepts of Care for Patients With Inflammatory Intestinal Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse assesses a client who has appendicitis. Which assessment finding would the nurse
expect?
a.
Severe, steady right lower quadrant pain
b.
Abdominal pain associated with nausea and vomiting
c.
Marked peristalsis and hyperactive bowel sounds
d.
Abdominal pain that increases with knee flexion
ANS: A
Right lower quadrant pain, specifically at McBurney’s point, is characteristic of appendicitis.
Usually if nausea and vomiting begin first, the client has gastroenteritis. Marked peristalsis
and hyperactive bowel sounds are not indicative of appendicitis. Abdominal pain due to
appendicitis decreases with knee flexion.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Appendicitis, Assessment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse reviews the laboratory results for a client who has possible appendicitis. Which
laboratory test finding would the nurse expect?
a.
Decreased potassium level
b.
Increased sodium level
c.
Elevated leukocyte count GRADESLAB.COM
d.
Decreased thrombocyte count
ANS: C
Appendicitis is an acute inflammatory disorder that frequently results in elevation of
leukocytes (white blood cells). Serum electrolytes are not affected because the client does
not usually have diarrhea. Thrombocyte (platelet) count is unrelated to this GI disorder.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Appendicitis, Diagnostic tests MSC: Client Needs Category: Physiological Adaptation
3. The nurse teaches a client who has viral gastroenteritis. Which dietary instruction would
the nurse include in the health teaching?
a.
“Drink plenty of fluids to prevent dehydration.”
b.
“You should only drink 1 L of fluids daily.”
c.
“Increase your protein intake by drinking more milk.”
d.
“Sips of cola or tea may help to relieve your nausea.”
ANS: A
The client should drink plenty of fluids to prevent dehydration. Milk products may not be
tolerated. Caffeinated beverages increase intestinal motility and should be avoided.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Gastroenteritis, Nutritional interventions
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
Chapter 52 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 52: Concepts of Care for Patients With Inflammatory Intestinal Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse assesses a client who has appendicitis. Which assessment finding would the nurse
expect?
a.
Severe, steady right lower quadrant pain
b.
Abdominal pain associated with nausea and vomiting
c.
Marked peristalsis and hyperactive bowel sounds
d.
Abdominal pain that increases with knee flexion
ANS: A
Right lower quadrant pain, specifically at McBurney’s point, is characteristic of appendicitis.
Usually if nausea and vomiting begin first, the client has gastroenteritis. Marked peristalsis
and hyperactive bowel sounds are not indicative of appendicitis. Abdominal pain due to
appendicitis decreases with knee flexion.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Appendicitis, Assessment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse reviews the laboratory results for a client who has possible appendicitis. Which
laboratory test finding would the nurse expect?
a.
Decreased potassium level
b.
Increased sodium level
c.
Elevated leukocyte count GRADESLAB.COM
d.
Decreased thrombocyte count
ANS: C
Appendicitis is an acute inflammatory disorder that frequently results in elevation of
leukocytes (white blood cells). Serum electrolytes are not affected because the client does
not usually have diarrhea. Thrombocyte (platelet) count is unrelated to this GI disorder.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Appendicitis, Diagnostic tests MSC: Client Needs Category: Physiological Adaptation
3. The nurse teaches a client who has viral gastroenteritis. Which dietary instruction would
the nurse include in the health teaching?
a.
“Drink plenty of fluids to prevent dehydration.”
b.
“You should only drink 1 L of fluids daily.”
c.
“Increase your protein intake by drinking more milk.”
d.
“Sips of cola or tea may help to relieve your nausea.”
ANS: A
The client should drink plenty of fluids to prevent dehydration. Milk products may not be
tolerated. Caffeinated beverages increase intestinal motility and should be avoided.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Gastroenteritis, Nutritional interventions
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
