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Lewis Medical Surgical Nursing Chap 47: Lower GI Problems Exam Questions And Correct Answers $11.49   Add to cart

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Lewis Medical Surgical Nursing Chap 47: Lower GI Problems Exam Questions And Correct Answers

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  • Medical Surgical Nursing

Lewis Medical Surgical Nursing Chap 47: Lower GI Problems Exam Questions And Correct Answers Which action would the nurse include in the plan of care for a patient who is being admitted with a C. difficile infection? a. Teach the patient about proper food storage. b. Order a diet without dair...

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  • October 18, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM




Lewis Medical Surgical Nursing Chap 47:
Lower GI Problems Exam Questions And
Correct Answers


Which action would the nurse include in the plan of care for a patient who is being admitted with

a C. difficile infection?

a. Teach the patient about proper food storage.

b. Order a diet without dairy products for the patient.

c. Place the patient in a private room on contact isolation.


d. Teach the patient about why antibiotics will not be used. - answer✔ANS: C Because C.

difficile is highly contagious, the patient would be placed in a private room, and contact

precautions would be used. There is no need to restrict dairy products for this type of diarrhea.

Metronidazole (Flagyl) is frequently used to treat C. difficile infections. Improper food handling

and storage do not cause C. difficile

A 74-yr-old male patient tells the nurse that growing old causes constipation, so he has been

using a suppository to prevent constipation every morning. Which action would the nurse take

first?

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
a. Encourage the patient to increase oral fluid intake.

b. Question 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 - answer✔ANS: B The nurse's

initial action should be further assessment of the patient for risk factors for constipation and for

his usual bowel pattern. The other actions may be appropriate but will be based on the

assessment.

A patient who has chronic constipation asks the nurse about the use of psyllium (Metamucil).

Which information would the nurse provide?

a. Fiber-containing laxatives may reduce the absorption of fat-soluble vitamins.

b. Dietary sources of fiber should be eliminated to prevent excessive gas formation.

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 impaction or bowel obstruction. -

answer✔ANS: D A high fluid intake is needed when patients are using bulk-forming laxatives to

avoid worsening constipation. Although bulk-forming laxatives are generally safe, the nurse

should emphasize the possibility of constipation or obstipation if inadequate fluid intake occurs.

Although increased gas formation is likely to occur with increased dietary fiber, the patient

should gradually increase dietary fiber and eventually may not need the psyllium. Fat-soluble

vitamin absorption is blocked by stool softeners and lubricants, not by bulk-forming laxatives.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
. A 26-yr-old woman is being evaluated for vomiting and abdominal pain. Which question from

the nurse will be most useful in determining the cause of the patient's symptoms?

a. ―What type of foods do you eat?‖

b. ―Is it possible that you are pregnant?‖

c. ―Can you tell me more about the pain?‖


d. ―What is your usual elimination pattern?‖ - answer✔ANS: C A complete description of the

pain provides clues about the cause of the problem. Although the nurse should ask whether the

patient is pregnant to determine whether the patient might have an ectopic pregnancy and before

any radiology studies are done, this information is not the most useful in determining the cause

of the pain. The usual diet and elimination patterns are less helpful in determining the reason for

the patient's symptoms.

A patient reports gas pains and abdominal distention 2 days after a small bowel resection. Which

action would the nurse take?

a. Administer morphine sulfate.

b. Encourage the patient to ambulate.

c. Offer the prescribed promethazine.


d. Instill a mineral oil retention enema. - answer✔ANS: B Ambulation will improve peristalsis

and help the patient eliminate flatus and reduce gas pain. A mineral oil retention enema is helpful

for constipation with hard stool. A return-flow enema might be used to relieve persistent gas

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