lOMoARcPSD|3013804
Chapter 51 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 51: Concepts of Care for Patients With Noninflammatory Intestinal Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client’s
understanding. Which menu selection indicates that the client correctly understands the
dietary teaching?
a.
Ham sandwich on white bread, cup of applesauce, carbonated beverage
b.
Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c.
Grilled cheese sandwich, small banana, cup of hot tea with lemon
d.
Baked tilapia, fresh green beans, cup of coffee with low-fat milk
ANS: B
Patients with IBS are advised to eat a high-fiber diet. Chicken with brown rice, broccoli, and
apple juice has the highest fiber content. Clients should avoid alcohol, caffeine, and other
gastric irritants.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Irritable bowel syndrome, Health teaching
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
2. A nurse assesses a client who is prescribed alosetron. Which assessment question would
the nurse ask this client before starting the drug?
a.
“Have you been experiencing any constipation?”
b.
“Are you eating a diet high in fiber and fluids?”
G R A D E S L AB . CO M
c.
“Do you have a history of h ig h b lo o d pr e ss ur e ?”
d.
“What vitamins and supplements are you taking?”
ANS: A
Ischemic colitis is a life-threatening complication of alosetron. The nurse would assess the
client for constipation because it places the client at risk for this complication. The other
questions do not identify the risk for complications related to alosetron.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Irritable bowel syndrome, Drug therapy
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is caring for a client who is diagnosed with a complete small bowel obstruction.
For what priority problem is this client most likely at risk?
a.
Abdominal distention
b.
Nausea
c.
Electrolyte imbalance
d.
Obstipation
ANS: C
The client who has a small bowel obstruction is at the highest risk for fluid and electrolyte
imbalances, especially dehydration and hypokalemia due to profuse vomiting. Nausea,
abdominal distention, and obstipation are also usually present, but these problems are not as
life threatening as the imbalances in electrolytes.
Chapter 51 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 51: Concepts of Care for Patients With Noninflammatory Intestinal Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client’s
understanding. Which menu selection indicates that the client correctly understands the
dietary teaching?
a.
Ham sandwich on white bread, cup of applesauce, carbonated beverage
b.
Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c.
Grilled cheese sandwich, small banana, cup of hot tea with lemon
d.
Baked tilapia, fresh green beans, cup of coffee with low-fat milk
ANS: B
Patients with IBS are advised to eat a high-fiber diet. Chicken with brown rice, broccoli, and
apple juice has the highest fiber content. Clients should avoid alcohol, caffeine, and other
gastric irritants.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Irritable bowel syndrome, Health teaching
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
2. A nurse assesses a client who is prescribed alosetron. Which assessment question would
the nurse ask this client before starting the drug?
a.
“Have you been experiencing any constipation?”
b.
“Are you eating a diet high in fiber and fluids?”
G R A D E S L AB . CO M
c.
“Do you have a history of h ig h b lo o d pr e ss ur e ?”
d.
“What vitamins and supplements are you taking?”
ANS: A
Ischemic colitis is a life-threatening complication of alosetron. The nurse would assess the
client for constipation because it places the client at risk for this complication. The other
questions do not identify the risk for complications related to alosetron.
DIF: Applying TOP: Integrated Process: Nursing Process: Assessment
KEY: Irritable bowel syndrome, Drug therapy
MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is caring for a client who is diagnosed with a complete small bowel obstruction.
For what priority problem is this client most likely at risk?
a.
Abdominal distention
b.
Nausea
c.
Electrolyte imbalance
d.
Obstipation
ANS: C
The client who has a small bowel obstruction is at the highest risk for fluid and electrolyte
imbalances, especially dehydration and hypokalemia due to profuse vomiting. Nausea,
abdominal distention, and obstipation are also usually present, but these problems are not as
life threatening as the imbalances in electrolytes.
