Med Surg 2 - Exam 1
Study online at https://quizlet.com/_hsy03e
1. The nurse will plan to teach a patient with Crohn's disease who has mega-
loblastic anemia about the need for
A. oral ferrous sulfate tablets
B. regular blood transfusions
C. iron dextran (imferon) infusions
D. cobalamin (B12) spray or injections: D
cobalamin is absorbed in ileum, which is frequently affected by Crohn's
tx of megaloblastic anemia = B12
2. A patient who has chronic constipation asks the nurse about the use of psyl-
lium (Metamucil). Which information will the nurse include in the response?
A. absorption of fat-soluble vitamins may be reduced by fiber-containing laxa-
tives
B. dietary sources of fiber should be eliminated to prevent excessive gas for-
mation
C. use of this type of laxative to prevent constipation does not cause adverse
effects
D. large amounts of fluid should be taken to prevent impact or bowel obstruc-
tion: D
increase fiber gradually
bulk forming laxatives in high doses may = constipation
3. Which care activity for a patient with a paralytic ileus is appropriate for the
registered nurse (RN) to delegate to unlicensed assistive personnel (UAP)?
A. auscultation for bowel sounds
B. nasogastric (NG) tube irrigation
C. applying petroleum jelly to the lips
D. assessment of the nares for irritation: C
4. Which information will the nurse include in teaching a patient who had a
proctocolectomy and ileostomy for ulcerative colitis?
, Med Surg 2 - Exam 1
Study online at https://quizlet.com/_hsy03e
A. restrict fluid intake to prevent constant liquid drainage from the stoma
B. use care when eating high-fiber foods to avoid obstruction of the ileum
C. irrigate the ileostomy daily to avoid having to wear a drainage appliance
D. change the pouch every day to prevent leakage of contents onto the skin: B
high fiber introduced gradually and should be chewed well to prevent obstruction
pts with ileostomies lose absorption of water in colon and need to take in more fluids
pouch should be drained frequently, but changed q5-7 days
5. A 74-yr-old male patient tells the nurse that growing old causes constipation
so he has been using a suppository for constipation every morning. Which
action should the nurse take first?
A. encourage the patient to increase oral fluid intake
B. assess the patient about risk factors for constipation
C. suggest that the patient increase intake of high-fiber foods
D. teach the patient that a daily bowel movement is unnecessary: B
assess
6. A patient is transferred from the recovery room to a surgical unit after a
transverse colostomy. The nurse observes the stoma to be deep pink with
edema and a small amount of sanguineous drainage. The nurse should
A. place ice packs around the stoma
B. notify the surgeon about the stoma
C. monitor the stoma every 30 minutes
D. document stoma assessment findings: D
7. Which information will the nurse teach a patient with lactose intolerance?
A. ice cream is relatively low in lactose
B. live culture yogurt is usually tolerated
C. heating milk will break down the lactose
D. nonfat milk is a better choice than whole milk: B
Study online at https://quizlet.com/_hsy03e
1. The nurse will plan to teach a patient with Crohn's disease who has mega-
loblastic anemia about the need for
A. oral ferrous sulfate tablets
B. regular blood transfusions
C. iron dextran (imferon) infusions
D. cobalamin (B12) spray or injections: D
cobalamin is absorbed in ileum, which is frequently affected by Crohn's
tx of megaloblastic anemia = B12
2. A patient who has chronic constipation asks the nurse about the use of psyl-
lium (Metamucil). Which information will the nurse include in the response?
A. absorption of fat-soluble vitamins may be reduced by fiber-containing laxa-
tives
B. dietary sources of fiber should be eliminated to prevent excessive gas for-
mation
C. use of this type of laxative to prevent constipation does not cause adverse
effects
D. large amounts of fluid should be taken to prevent impact or bowel obstruc-
tion: D
increase fiber gradually
bulk forming laxatives in high doses may = constipation
3. Which care activity for a patient with a paralytic ileus is appropriate for the
registered nurse (RN) to delegate to unlicensed assistive personnel (UAP)?
A. auscultation for bowel sounds
B. nasogastric (NG) tube irrigation
C. applying petroleum jelly to the lips
D. assessment of the nares for irritation: C
4. Which information will the nurse include in teaching a patient who had a
proctocolectomy and ileostomy for ulcerative colitis?
, Med Surg 2 - Exam 1
Study online at https://quizlet.com/_hsy03e
A. restrict fluid intake to prevent constant liquid drainage from the stoma
B. use care when eating high-fiber foods to avoid obstruction of the ileum
C. irrigate the ileostomy daily to avoid having to wear a drainage appliance
D. change the pouch every day to prevent leakage of contents onto the skin: B
high fiber introduced gradually and should be chewed well to prevent obstruction
pts with ileostomies lose absorption of water in colon and need to take in more fluids
pouch should be drained frequently, but changed q5-7 days
5. A 74-yr-old male patient tells the nurse that growing old causes constipation
so he has been using a suppository for constipation every morning. Which
action should the nurse take first?
A. encourage the patient to increase oral fluid intake
B. assess the patient about risk factors for constipation
C. suggest that the patient increase intake of high-fiber foods
D. teach the patient that a daily bowel movement is unnecessary: B
assess
6. A patient is transferred from the recovery room to a surgical unit after a
transverse colostomy. The nurse observes the stoma to be deep pink with
edema and a small amount of sanguineous drainage. The nurse should
A. place ice packs around the stoma
B. notify the surgeon about the stoma
C. monitor the stoma every 30 minutes
D. document stoma assessment findings: D
7. Which information will the nurse teach a patient with lactose intolerance?
A. ice cream is relatively low in lactose
B. live culture yogurt is usually tolerated
C. heating milk will break down the lactose
D. nonfat milk is a better choice than whole milk: B
