Lewis’s Medical Surgical Nursing 11th Edition Harding TEST BANK Questions Answers 2023

A patient calls the clinic to report a new onset of severe diarrhea. The nurse anticipates that the patient will need to a. collect a stool specimen. . b. prepare for colonoscopy. c. schedule a barium enema d. have blood cultures drawn. - -ANS: A Acute diarrhea is usually caused by an infectious process, and stool specimens are obtained for culture and examined for parasites or white blood cells. There is no indication that the patient needs a colonoscopy, blood cultures, or a barium enema. DIF: Cognitive Level: Apply (application) REF: 931 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity -Which nursing action will the nurse include in the plan of care for a 35-yr-old male patient admitted with an exacerbation of inflammatory bowel disease (IBD)? a. Restrict oral fluid intake. b. Monitor stools for blood. c. Ambulate six times daily. d. Increase dietary fiber intake. - -ANS: B Because anemia or hemorrhage may occur with IBD, stools should be assessed for the presence of blood. The other actions would not be appropriate for the patient with IBD. Dietary fiber may increase gastrointestinal motility and exacerbate the diarrhea, severe fatigue is common with IBD exacerbations, and dehydration may occur. DIF: Cognitive Level: Apply (application) REF: 949 TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity -A patient has a new diagnosis of Crohn's disease after having frequent diarrhea and a weight loss of 10 lb (4.5 kg) over 2 months. The nurse will plan to teach about a. medication use. b. fluid restriction. c. enteral nutrition. d. activity restrictions. - -ANS: A Medications are used to induce and maintain remission in