Lower GI- Questions With All Correct Answers
2. a client refuses to look at or care for her colostomy. which of the following
statements by the nurse would be MOST appropriate.
a. "it has been 4 days since your surgery, and you will soon be discharged. you
have to learn to care for your colostomy before you leave the hospital."
b. "I think we will need to teach your husband to care for your colostomy if
you are not going to be able to do it"
c. "i understand how you are feeling. it is important for you to feel attractive
and you think having a colostomy changes your attractiveness"
d. "i can see that you are upset. would you like to share your concerns with
me? correct answer -D. "I can see that you are upset. would you like to
share your concerns with me?"
3. which of the following is a potential risk factor for the development of colon
cancer?
a. chronic constipation
b. long-term use of laxatives
c. hx of smoking
d. hx of IBD correct answer -D. history of inflammatory bowel disease
4. the nurse is conducting a community presentation on the early detection of
colon cancer. which of the following should the nurse encourage members of
the audience to report to their HCP? select all that apply.
a. fatigue.
b. unexplained weight loss with adequate nutritional intake
c. rectal bleeding
d. bowel changes
e. positive fecal occult blood testing correct answer -A, B, C, D, E
5. a client with colon cancer is having a barium enema. the nurse should
instruct the client to take which of the following after the procedure is
completed?
a. laxative
,b. anticholinergic
c. antacid
d. demulcent correct answer -A. Laxative
6. a client has a NG tube inserted at the time of abdominal perineal resection
with permanent colostomy for colon cancer. this tube will most likely be
removed when the client demonstrates:
a. absence of nausea and vomiting
b. passage of mucus from the rectum
c. passage of flatus and feces from the colostomy
d. absence of stomach drainage for 24 hours correct answer -C. passage of
flatus and feces from the colostomy
7. the client with colon cancer has an abdominal-perineal resection with a
colostomy. which of the following nursing interventions is MOST appropriate
for this client in the postoperative period?
a. maintain the client in a semi-fowler's position
b. assist the client with a warm sitz baths
c. administer 30 mL of milk of magnesia to stimulate peristalsis
d. remove the ostomy pouch as needed so the stoma can be assessed correct
answer -B. assist the client with a warm sitz bath
8. the nurse assesses the client's stoma during the initial postoperative period.
which of the following observations should be reported immediately to the
physician?
a. the stoma is slightly edematous
b. the stoma is dark red to purple
c. the stoma oozes a small amount of blood
d. the stoma does not expel stool correct answer -B. the stoma is dark red
to purple
9. while changing the client's colostomy bag and dressing, the nurse assesses
that the client is ready to participate in self-care by noting which of the
following?
a. the client asks what time the doctor will visit that day
, b. the client asks about the supplies used during the dressing change
c. the client talks about the news on the TV
d. the client is upsets about the way the night nurse changed the dressing
correct answer -B. the client asks about the supplies used during the
dressing change
10. which of the following skin preparations would be BEST to apply around
the client's colostomy?
a. stomahesive
b. petroleum jelly
c. cornstarch
d. antiseptic cream correct answer -A. stomahesive
11. a client is recovering from an abdominal-perineal resection. which of the
following measures would MOST effectively promote wound healing after the
perineal drains have been removed?
a. taking sitz baths
b. taking daily showers
c. applying warm, moist dressings to the area
d. applying a protected heating pad to the area correct answer -A. taking
sitz baths
12. when planning diet teaching for the client with a colostomy, the nurse
should develop a plan that emphasizes which of the following dietary
instructions?
a. foods containing roughage should not be eaten.
b. liquids are best limited to prevent diarrhea
c. clients should experiment to find the diet that is best for them
d. a high-fiber diet will produce a regular passage of stool correct answer -
C. clients should experiment to find the diet that is best for them
13. which of the following is an expected outcome for a client who is
recovering from an abdominal-perineal resection with a colostomy? the client
will:
a. maintain a fluid intake of 3,000 mL/day
2. a client refuses to look at or care for her colostomy. which of the following
statements by the nurse would be MOST appropriate.
a. "it has been 4 days since your surgery, and you will soon be discharged. you
have to learn to care for your colostomy before you leave the hospital."
b. "I think we will need to teach your husband to care for your colostomy if
you are not going to be able to do it"
c. "i understand how you are feeling. it is important for you to feel attractive
and you think having a colostomy changes your attractiveness"
d. "i can see that you are upset. would you like to share your concerns with
me? correct answer -D. "I can see that you are upset. would you like to
share your concerns with me?"
3. which of the following is a potential risk factor for the development of colon
cancer?
a. chronic constipation
b. long-term use of laxatives
c. hx of smoking
d. hx of IBD correct answer -D. history of inflammatory bowel disease
4. the nurse is conducting a community presentation on the early detection of
colon cancer. which of the following should the nurse encourage members of
the audience to report to their HCP? select all that apply.
a. fatigue.
b. unexplained weight loss with adequate nutritional intake
c. rectal bleeding
d. bowel changes
e. positive fecal occult blood testing correct answer -A, B, C, D, E
5. a client with colon cancer is having a barium enema. the nurse should
instruct the client to take which of the following after the procedure is
completed?
a. laxative
,b. anticholinergic
c. antacid
d. demulcent correct answer -A. Laxative
6. a client has a NG tube inserted at the time of abdominal perineal resection
with permanent colostomy for colon cancer. this tube will most likely be
removed when the client demonstrates:
a. absence of nausea and vomiting
b. passage of mucus from the rectum
c. passage of flatus and feces from the colostomy
d. absence of stomach drainage for 24 hours correct answer -C. passage of
flatus and feces from the colostomy
7. the client with colon cancer has an abdominal-perineal resection with a
colostomy. which of the following nursing interventions is MOST appropriate
for this client in the postoperative period?
a. maintain the client in a semi-fowler's position
b. assist the client with a warm sitz baths
c. administer 30 mL of milk of magnesia to stimulate peristalsis
d. remove the ostomy pouch as needed so the stoma can be assessed correct
answer -B. assist the client with a warm sitz bath
8. the nurse assesses the client's stoma during the initial postoperative period.
which of the following observations should be reported immediately to the
physician?
a. the stoma is slightly edematous
b. the stoma is dark red to purple
c. the stoma oozes a small amount of blood
d. the stoma does not expel stool correct answer -B. the stoma is dark red
to purple
9. while changing the client's colostomy bag and dressing, the nurse assesses
that the client is ready to participate in self-care by noting which of the
following?
a. the client asks what time the doctor will visit that day
, b. the client asks about the supplies used during the dressing change
c. the client talks about the news on the TV
d. the client is upsets about the way the night nurse changed the dressing
correct answer -B. the client asks about the supplies used during the
dressing change
10. which of the following skin preparations would be BEST to apply around
the client's colostomy?
a. stomahesive
b. petroleum jelly
c. cornstarch
d. antiseptic cream correct answer -A. stomahesive
11. a client is recovering from an abdominal-perineal resection. which of the
following measures would MOST effectively promote wound healing after the
perineal drains have been removed?
a. taking sitz baths
b. taking daily showers
c. applying warm, moist dressings to the area
d. applying a protected heating pad to the area correct answer -A. taking
sitz baths
12. when planning diet teaching for the client with a colostomy, the nurse
should develop a plan that emphasizes which of the following dietary
instructions?
a. foods containing roughage should not be eaten.
b. liquids are best limited to prevent diarrhea
c. clients should experiment to find the diet that is best for them
d. a high-fiber diet will produce a regular passage of stool correct answer -
C. clients should experiment to find the diet that is best for them
13. which of the following is an expected outcome for a client who is
recovering from an abdominal-perineal resection with a colostomy? the client
will:
a. maintain a fluid intake of 3,000 mL/day
