Your goal is to minimize David’s risk of complications after a herniorrhaphy. You instruct the patient to: A. Avoid the use of pain medication. B. Cough and deep breath Q2H. C. Splint the incision if he can’t avoid sneezing or coughing. D. Apply heat to scrotal swelling. … Read More »
If a client had irritable bowel syndrome, which of the following diagnostic tests would determine if the diagnosis is Crohn’s disease or ulcerative colitis? A. Abdominal computed tomography (CT) scan B. Abdominal x-ray C. Barium swallow D. Colonoscopy with biopsy Correct Answer: D. Colonoscopy with biopsy A… Read More »
The nurse is doing pre-op teaching with the client who is about to undergo the creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements? A. “I will need to drain the pouch regularly… Read More »
A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. Based on this information, which nursing diagnosis would be appropriate for this client? A. Ineffective coping related to fear of diagnosis of chronic illness. B. Deficient knowledge related to unfamiliarity with… Read More »
Your patient, Christopher, has a diagnosis of ulcerative colitis and has severe abdominal pain aggravated by movement, rebound tenderness, fever, nausea, and decreased urine output. This may indicate which complication? A. Fistula B. Bowel perforation C. Bowel obstruction D. Abscess Correct Answer: B. Bowel perforation An inflammatory… Read More »
The nurse is monitoring a female client for the early signs and symptoms of dumping syndrome. Which of the following indicate this occurrence? A. Sweating and pallor B. Bradycardia and indigestion C. Double vision and chest pain D. Abdominal cramping and pain Correct Answer: A. Sweating and… Read More »
While palpating a female client’s right upper quadrant (RUQ), the nurse would expect to find which of the following structures? A. Sigmoid colon B. Appendix C. Spleen D. Liver Correct Answer: D. Liver The RUQ contains the liver, gallbladder, duodenum, head of the pancreas, hepatic flexure of… Read More »
Janice is waiting for discharge instructions after her herniorrhaphy. Which of the following instructions do you include? A. Eat a low-fiber diet. B. Resume heavy lifting in 2 weeks. C. Lose weight, if obese. D. Resume sexual activity once discomfort is gone. Correct Answer: C. Lose weight,… Read More »
Which of the following interventions should be included in the medical management of Crohn’s disease? A. Increasing oral intake of fiber. B. Administering laxatives. C. Using long-term steroid therapy. D. Increasing physical activity. Correct Answer: C. Using long-term steroid therapy Management of Crohn’s disease may include long-term… Read More »
The client with a colostomy has an order for irrigation of the colostomy. The nurse used which solution for irrigation?A. Distilled water A. Distilled water B. Tap water C. Sterile water D. Lactated Ringer’s Correct Answer: B. Tap water Warm tap water or saline solution is used… Read More »