Lower GI Problems practice questions and answers 2023

Lower GI Problems practice questions and answers 2023 The MOST appropriate therapy for a patient with acute diarrhea caused by viral infection is to: A increase fluid intake B administer an antibiotic C administer an antimotility drug D quarantine the patient to prevent spread of virus A increase fluid intake A 35 year old female patient is admitted to the emergency department with acute abdominal pain. Which medical diagnoses should you consider as possible causes of her pain? (Select all that apply) A gastroenteritis B ectopic pregnancy C gastrointestinal bleeding D irritable bowel syndrome E inflammatory bowel disease All of them Assessment findings suggestive of peritonitis include (select all that apply) A rebound abdominal pain B a soft, distended abdomen C dull, continuous abdominal pain D shallow respirations with bradypnea E observing that the patient is restless A rebound tenderness E observing that the patient is restless In planning card for the patient with Crohn's disease, the nurse recognizes that a major difference between ulcerative colitis and Crohn's disease is that Crohn's disease: A frequently results in toxic megacolon B causes fewer nutritional deficiencies than ulcerative colitis C often recurs after surgery, whereas ulcerative colitis is curable with a colectomy D is manifested by rectal bleeding and anemia more often than is ulcerative colitis C often recurs after surgery, whereas ulcerative colitis is curable with a colectomy The nurse performs a detailed assessment of the abdomen of a patient with a possible bowel obstruction, knowing that manifestations of an obstruction in the large intestine are (select all that apply) A persistent abdominal pain B marked abdominal distention C diarrhea that is loose or liquid D colicky, severe, intermittent pain E profuse vomiting that relieves abdominal pain A persistent abdominal pain B marked abdominal distention A patient with stage 1 colorectal cancer is scheduled for surgery. Patient teaching for this patient would include an explanation that: A chemotherapy will begin after the patient recovers from the surgery B both chemotherapy and radiation can be used as palliative treatments C follow-up colonoscopies will be needed to ensure that the cancer does not recur D a wound, ostomy, and continence nurse will visit the patient to identify an abdominal site for the ostomy C follow-up colonoscopies will be needed to ensure that the cancer does not recur The nurse determines a patient undergoing ileostomy surgery understands the procedure when the patient states: A "I should only have to change the pouch every 4-7 days" B "the drainage in the pouch will look like my normal stools" C "I may not need to wear a drainage pouch if I irrigate it daily" D "limiting my fluid intake should decrease the amount of output" A "I should only have to change the pouch every 4-7 days" In contrast to diverticulitis, the patient with diverticulosis: A has rectal bleeding B often has no symptoms C has localized cramping pain D frequently develops peritonitis B often has no symptoms Rationale: Many people with diverticulosis have no symptoms. Patients with diverticulitis have symptoms of inflammation. Diverticulitis can lead to obstruction or perforation. A nursing intervention that is MOST appropriate to decrease post-operative edema and pain after an inguinal herniorrhaphy is: A applying a truss to the hernia site B allowing the patient to stand to void C supporting the incision during coughing D applying a scrotal support with an ice bag D applying a scrotal support with an ice bag The nurse determines that the goals of dietary teaching have been met when the patient with celiac disease selects from the menu: A scrambled eggs and sausage B buckwheat pancakes with syrup C oatmeal, skim milk, and orange juice D yogurt, strawberries, and rye toast with butter A scrambled eggs and sausage