LWW - Ch. 47: Mgmt of Patients With Intestinal and
Rectal Disorders (Answered) 2022
A client who has undergone colostomy surgery is experiencing constipation. Which
intervention should a nurse consider for such a client?
1. Suggest fluid intake of at least 2 L/day
2. Instruct the client to avoid prune or apple juice
3. Assist the client regarding the correct diet or to minimize food intake
4. Instruct the client to keep a record of food intake
1
A client reports severe pain and bleeding while having a bowel movement. Upon
inspection, the health care provider notes a linear tear in the anal canal tissue. The
client is diagnosed with a:
1. hemorrhoid.
2. fistula.
3. pilonidal cyst.
4. fissure.
4
The nurse is talking with a group of clients who are older than age 50 years about the
recognition of colon cancer to access early intervention. What should the nurse inform
the clients to report immediately to their primary care provider?
1. Abdominal cramping when having a bowel movement
2. Daily bowel movements
3. Excess gas
4. Change in bowel habits
4
Crohn's disease is a condition of malabsorption caused by which pathophysiological
process?
1. Inflammation of all layers of intestinal mucosa
2. Infectious disease
3. Gastric resection
4. Disaccharidase deficiency
1
The nurse caring for a client with diverticulitis is preparing to administer the client's
medications. The nurse anticipates administration of which category of medication
because of the client's diverticulitis?
1. Antispasmodic
2. Anti-inflammatory
, 3. Antianxiety
4. Antiemetic
1
The nurse is caring for a patient diagnosed with abdominal perforation. Which of the
following is a clinical manifestation of this disease process?
1. Normal erythrocyte sedimentation rate (ESR)
2. Subnormal temperature
3. Hypotension
4. Bradycardia
3
Diet modifications for patient diagnosed with chronic inflammatory bowel disease
include which of the following?
1. Calorie restriction
2. Low protein
3. Iron restriction
4. Low residue
4
Which of the following is accurate regarding regional enteritis?
1. Severe diarrhea
2. Severe bleeding
3. Fistulas are common
4. Exacerbations and remissions
4
The nurse is assessing a client for constipation. Which factor should the nurse review
first to identify the cause of constipation?
1. Current medications
2. Activity levels
3. Alcohol consumption
4. Usual pattern of elimination
4
Which client requires immediate nursing intervention? The client who:
1. presents with ribbonlike stools.
2. complains of epigastric pain after eating.
3. presents with a rigid, boardlike abdomen.
4. complains of anorexia and periumbilical pain.
3
Which statement provides accurate information regarding cancer of the colon and
rectum?
1. Rectal cancer affects more than twice as many people as colon cancer.
2. Colorectal cancer is the third most common site of cancer in the United States.
Rectal Disorders (Answered) 2022
A client who has undergone colostomy surgery is experiencing constipation. Which
intervention should a nurse consider for such a client?
1. Suggest fluid intake of at least 2 L/day
2. Instruct the client to avoid prune or apple juice
3. Assist the client regarding the correct diet or to minimize food intake
4. Instruct the client to keep a record of food intake
1
A client reports severe pain and bleeding while having a bowel movement. Upon
inspection, the health care provider notes a linear tear in the anal canal tissue. The
client is diagnosed with a:
1. hemorrhoid.
2. fistula.
3. pilonidal cyst.
4. fissure.
4
The nurse is talking with a group of clients who are older than age 50 years about the
recognition of colon cancer to access early intervention. What should the nurse inform
the clients to report immediately to their primary care provider?
1. Abdominal cramping when having a bowel movement
2. Daily bowel movements
3. Excess gas
4. Change in bowel habits
4
Crohn's disease is a condition of malabsorption caused by which pathophysiological
process?
1. Inflammation of all layers of intestinal mucosa
2. Infectious disease
3. Gastric resection
4. Disaccharidase deficiency
1
The nurse caring for a client with diverticulitis is preparing to administer the client's
medications. The nurse anticipates administration of which category of medication
because of the client's diverticulitis?
1. Antispasmodic
2. Anti-inflammatory
, 3. Antianxiety
4. Antiemetic
1
The nurse is caring for a patient diagnosed with abdominal perforation. Which of the
following is a clinical manifestation of this disease process?
1. Normal erythrocyte sedimentation rate (ESR)
2. Subnormal temperature
3. Hypotension
4. Bradycardia
3
Diet modifications for patient diagnosed with chronic inflammatory bowel disease
include which of the following?
1. Calorie restriction
2. Low protein
3. Iron restriction
4. Low residue
4
Which of the following is accurate regarding regional enteritis?
1. Severe diarrhea
2. Severe bleeding
3. Fistulas are common
4. Exacerbations and remissions
4
The nurse is assessing a client for constipation. Which factor should the nurse review
first to identify the cause of constipation?
1. Current medications
2. Activity levels
3. Alcohol consumption
4. Usual pattern of elimination
4
Which client requires immediate nursing intervention? The client who:
1. presents with ribbonlike stools.
2. complains of epigastric pain after eating.
3. presents with a rigid, boardlike abdomen.
4. complains of anorexia and periumbilical pain.
3
Which statement provides accurate information regarding cancer of the colon and
rectum?
1. Rectal cancer affects more than twice as many people as colon cancer.
2. Colorectal cancer is the third most common site of cancer in the United States.
