Radiation therapy is used to treat colon cancer before surgery for which of the following reasons? A. Reducing the size of the tumor. B. Eliminating the malignant cells. C. Curing cancer. D. Helping the bowel heal after surgery. Correct Answer: A. Reducing the size of the tumor… Read More »
Which goal of the client’s care should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis? A. Promoting self-care and independence. B. Managing diarrhea. C. Maintaining adequate nutrition. D. Promoting rest and comfort. Correct Answer: B. Managing diarrhea Diarrhea is the primary… Read More »
The nurse provides medication instructions to a client with peptic ulcer disease. Which statement, if made by the client, indicates the best understanding of the medication therapy? A. “The cimetidine (Tagamet) will cause me to produce less stomach acid.” B. “Sucralfate (Carafate) will change the fluid in my stomach.” C. “Antacids will… Read More »
Which stoma would you expect a malodorous, enzyme-rich, caustic liquid output that is yellow, green, or brown? A. Ileostomy B. Ascending colostomy C. Transverse colostomy D. Descending colostomy Correct Answer: A. Ileostomy The output from an Ileostomy is described. The consistency of the ileostomy output will be… Read More »
Jordin is a client with jaundice who is experiencing pruritus. Which nursing intervention would be included in the care plan for the client? A. Administering vitamin K subcutaneously B. Applying pressure when giving I.M. injections C. Decreasing the client’s dietary protein intake D. Keeping the client’s fingernails short and smooth … Read More »
Peritonitis can occur as a complication of: A. Septicemia B. Multiple organ failure C. Hypovolemic shock D. Peptic ulcer disease Correct Answer: D. Peptic ulcer disease Perforation is a life-threatening complication of peptic ulcer disease and can result in peritonitis. Since the peritoneum completely covers the stomach,… Read More »
A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis? A. Barium Swallow B. Stool examination C. Gastric analysis D. Sigmoidoscopy Correct Answer: D. Sigmoidoscopy Sigmoidoscopy allows direct observation of the colon mucosa for changes, and if needed, biopsy. Colonoscopy… Read More »
Which of the following symptoms is a client with colon cancer most likely to exhibit? A. A change in appetite. B. A change in bowel habits. C. An increase in body weight. D. An increase in body temperature. Correct Answer: B. A change in bowel habits. The… Read More »
A client’s ulcerative colitis symptoms have been present for longer than 1 week. The nurse recognizes that the client should be assessed carefully for signs of which of the following complications? A. Heart failure B. DVT C. Hypokalemia D. Hypocalcemia Correct Answer: C. Hypokalemia Excessive diarrhea causes… Read More »
The client with peptic ulcer disease is scheduled for a pyloroplasty. The client asks the nurse about the procedure. The nurse plans to respond knowing that a pyloroplasty involves: A. Cutting the vagus nerve. B. Removing the distal portion of the stomach. C. Removal of the ulcer and a large portion of… Read More »