GI#5 Questions With All Correct Answers
A nurse is working with a patient who has chronic constipation. What should
be included in patient teaching to promote normal bowel function?
A)
Use glycerin suppositories on a regular basis.
B)
Limit physical activity in order to promote bowel peristalsis.
C)
Consume high-residue, high-fiber foods.
D)
Resist the urge to defecate until the urge becomes intense. correct answer
-Ans:
C
Feedback:
Goals for the patient include restoring or maintaining a regular pattern of
elimination by responding to the urge to defecate, ensuring adequate intake of
fluids and high-fiber foods, learning about methods to avoid constipation,
relieving anxiety about bowel elimination patterns, and avoiding
complications. Ongoing use of pharmacologic aids should not be promoted,
due to the risk of dependence. Increased mobility helps to maintain a regular
pattern of elimination. The urge to defecate should be heeded.
A nurse is preparing to provide care for a patient whose exacerbation of
ulcerative colitis has required hospital admission. During an exacerbation of
this health problem, the nurse would anticipate that the patients stools will
,have what characteristics?
A)
Watery with blood and mucus
B)
Hard and black or tarry
C)
Dry and streaked with blood
D)
Loose with visible fatty streaks correct answer -Ans:
A
Feedback:
The predominant symptoms of ulcerative colitis are diarrhea and abdominal
pain. Stools may be bloody and contain mucus. Stools are not hard, dry, tarry,
black or fatty in patients who have ulcerative colitis.
A patient has had an ileostomy created for the treatment of irritable bowel
disease and the patient is now preparing for discharge. What should the
patient be taught about changing this device in the home setting?
A)
Apply antibiotic ointment as ordered after cleaning the stoma.
B)
Apply a skin barrier to the peristomal skin prior to applying the pouch.
, C)
Dispose of the clamp with each bag change.
D)
Cleanse the area surrounding the stoma with alcohol or chlorhexidine.
correct answer -Ans:
B
Feedback:
Guidelines for changing an ileostomy appliance are as follows. Skin should be
washed with soap and water, and dried. A skin barrier should be applied to
the peristomal skin prior to applying the pouch. Clamps are supplied one per
box and should be reused with each bag change. Topical antibiotics are not
utilized, but an antifungal spray or powder may be used.
A patient admitted with acute diverticulitis has experienced a sudden increase
in temperature and complains of a sudden onset of exquisite abdominal
tenderness. The nurses rapid assessment reveals that the patients abdomen is
uncharacteristically rigid on palpation. What is the nurses best response?
A)
Administer a Fleet enema as ordered and remain with the patient.
B)
Contact the primary care provider promptly and report these signs of
perforation.
C)
Position the patient supine and insert an NG tube.
D)
A nurse is working with a patient who has chronic constipation. What should
be included in patient teaching to promote normal bowel function?
A)
Use glycerin suppositories on a regular basis.
B)
Limit physical activity in order to promote bowel peristalsis.
C)
Consume high-residue, high-fiber foods.
D)
Resist the urge to defecate until the urge becomes intense. correct answer
-Ans:
C
Feedback:
Goals for the patient include restoring or maintaining a regular pattern of
elimination by responding to the urge to defecate, ensuring adequate intake of
fluids and high-fiber foods, learning about methods to avoid constipation,
relieving anxiety about bowel elimination patterns, and avoiding
complications. Ongoing use of pharmacologic aids should not be promoted,
due to the risk of dependence. Increased mobility helps to maintain a regular
pattern of elimination. The urge to defecate should be heeded.
A nurse is preparing to provide care for a patient whose exacerbation of
ulcerative colitis has required hospital admission. During an exacerbation of
this health problem, the nurse would anticipate that the patients stools will
,have what characteristics?
A)
Watery with blood and mucus
B)
Hard and black or tarry
C)
Dry and streaked with blood
D)
Loose with visible fatty streaks correct answer -Ans:
A
Feedback:
The predominant symptoms of ulcerative colitis are diarrhea and abdominal
pain. Stools may be bloody and contain mucus. Stools are not hard, dry, tarry,
black or fatty in patients who have ulcerative colitis.
A patient has had an ileostomy created for the treatment of irritable bowel
disease and the patient is now preparing for discharge. What should the
patient be taught about changing this device in the home setting?
A)
Apply antibiotic ointment as ordered after cleaning the stoma.
B)
Apply a skin barrier to the peristomal skin prior to applying the pouch.
, C)
Dispose of the clamp with each bag change.
D)
Cleanse the area surrounding the stoma with alcohol or chlorhexidine.
correct answer -Ans:
B
Feedback:
Guidelines for changing an ileostomy appliance are as follows. Skin should be
washed with soap and water, and dried. A skin barrier should be applied to
the peristomal skin prior to applying the pouch. Clamps are supplied one per
box and should be reused with each bag change. Topical antibiotics are not
utilized, but an antifungal spray or powder may be used.
A patient admitted with acute diverticulitis has experienced a sudden increase
in temperature and complains of a sudden onset of exquisite abdominal
tenderness. The nurses rapid assessment reveals that the patients abdomen is
uncharacteristically rigid on palpation. What is the nurses best response?
A)
Administer a Fleet enema as ordered and remain with the patient.
B)
Contact the primary care provider promptly and report these signs of
perforation.
C)
Position the patient supine and insert an NG tube.
D)
