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NUR 257 ( LATEST 2024 / 2025 ) FINAL | A SOLVED 100% CORRECT
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NUR 257 ( LATEST 2024 / 2025 ) FINAL | A SOLVED 100% CORRECT
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NUR 257 Final1. A patient is not have daily bowel movements and has begun taking a laxative for this problem.
What should the nurse educate the patient about regarding laxative use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative addiction will result.
C. Laxatives should not be routinely taken due to destruction of nerve endings in the colon.
D. Laxatives should never be the first response for the treatment of constipation ; natural
methods should be employed first.
Answer
D. Laxatives should not be routinely taken due to destruction of nerve endings in the colon.
2. A client with an infection in the area between the internal and external sphincters. In which
chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome
Answer
A. Crohn's Disease
3. The nurse is caring for a patient who has had an appendectomy.What is the best position for
the nurse to maintain the patient in after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees
,Answer
C. High Fowler's
4. A curse caring for a client with small-bowel obstruction should plan to implement which
nursing interventions first?
A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids
Answer
D. Administering I.V. fluids
5. A client has been experiencing lower GI difficulties that have increased in severity, and the
gastroenterologist is concerned that the client's bowel is not functioning properly. What function
of the lower GI tract is most likely to be affected by the client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct
Answer
A. water and electrolyte absorption
6. The nurse observes the physician palpating the abdomen of a client that is suspected of
having acute appendicitis. When the abdomen is pressed in the left lower quadrant the client
complains of pain on the right side. What does the nurse understand this assessment technique is
referred to?
,A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex
Answer
C. Rovsing sign
7. A positive Rovsing's sign is indicative of appendicitis. A nurse knows to assess for this
indicator by palpating the
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant
Answer
B. Left lower quadrant
8. Which type of diarrhea is caused by increased production of water and electrolytes by the
intestinal mucosa and their secretion into the intestinal lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
D. Diarrheal disease
, Answer
B. Secretory diarrhea
9. Which is the most prominent signs of inflammatory bowel disease?
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea
Answer
B. Intermittent pain and diarrhea
10. Clients with irritable bowel disease (IBS) are at significantly increased risk for which
condition?
A. Osteoporosis
B. DVT
C. Hypotension
D. Pneumonia
Answer
A. Osteoporosis
11. When planning care for a client with a small-bowel obstruction, the nurse should consider
the primary goal to be
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D. reestablishing a normal bowel pattern
Answer
C. maintaining fluid balance
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