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NURS 309 Quiz #17 GI 2 Questions With Complete Solutions
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NURS 309 Quiz #17 GI 2 Questions With Complete Solutions
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NURS 309 Quiz #17 GI 2 Questions With CompleteSolutions
A patient is prescribed sulfasalazine for the treatment of
ulcerative colitis (UC). Which patient statement indicates the
patient is experiencing a side effect of this drug?
a. "My skin is covered with a rash"
b. "My knees hurt"
c. "My appetite has increased"
d. "I wake up at night sweating sometimes" Correct Answers a.
"My skin is covered with a rash"
A patient is suspected to have ulcerative colitis (UC). Which
diagnostic tests does the nurse expect the patient to undergo to
confirm the diagnosis? Select all that apply.
a. Sigmoidoscopy
b. C-reactive protein
c. Albumin levels
d. Erythrocyte sedimentation rate
e. Magnetic resonance enterography (MRE)
f. Clotting studies Correct Answers b. C-reactive protein
c. Albumin levels
d. Erythrocyte sedimentation rate
e. Magnetic resonance enterography (MRE)
A patient returns to the unit following a total proctocolectomy
with a permanent ileostomy. The nurse understands that which
organs were removed during this procedure?
a. All of the small intestine
b. Distal colon and rectum
c. Colon, rectum, and anus
,d. Colon, rectum, and anus, with surgical closure of the anus
Correct Answers d. Colon, rectum, and anus, with surgical
closure of the anus
A patient with a colostomy may safely include which food item
in the diet?
a. Burritos
b. Yogurt
c. Cabbage
d. Carbonated beverages Correct Answers b. Yogurt
A patient with Crohn's disease (CD) has a fistula. What
assessment finding indicates possible dehydration?
a. Weight gain of 2 lbs in one day
b. Abdominal pain
c. Foul-smelling urine
d. Decreased urinary output Correct Answers d. Decreased
urinary output
A patient with ulcerative colitis (UC) who had had an ileostomy
is being discharged home. Which statements by the patient
indicate the discharge teaching has been effective? Select all that
apply.
a. "I will avoid foods that cause gas"
b. "I will call the health care provider if I have a fever over 101
F"
c. " I will change the adhesive for the appliance daily"
d. "I know the pouch needs emptying when I feel pain in that
area"
e. "I will call the health care provider if I feel like my heart is
beating fast"
,f. "I will include adequate amounts of salt and water in my diet
because an ileostomy causes their loss" Correct Answers a. "I
will avoid foods that cause gas"
b. "I will call the health care provider if I have a fever over 101
F"
e. "I will call the health care provider if I feel like my heart is
beating fast"
f. "I will include adequate amounts of salt and water in my diet
because an ileostomy causes their loss"
After colostomy surgery, which intervention does the nurse
employee?
a. Cover the stoma with a dry, sterile dressing
b. Apply a pouch system as soon as possible
c. Make a hole in the pouch for gas to escape
d. What for the colostomy to start functioning on Correct
Answers b. Apply a pouch system as soon as possible
As part of the routine treatment plan for a patient with bacterial
gastroenteritis, which drugs does the nurse anticipate the patient
will most likely be prescribed?
a. Anticholinergics
b. Antiemetics
c. Antiperistaltic drugs
d. Antibiotics Correct Answers d. Antibiotics
In caring for a patient with Crohn's disease (CD), the nurse
observes for which complications? Select all that apply.
a. Peritonitis
b. Small bowel obstruction
c. Nutritional and fluid imbalances
, d. Presence of fistulas
e. Appendicitis
f. Severe nausea and vomiting Correct Answers a. Peritonitis
b. Small bowel obstruction
c. Nutritional and fluid imbalances
d. Presence of fistulas
The emergency department nurse is assessing a patient admitted
with frequent, liquid, foul-smelling stools containing mucous
and blood. Assessment findings include temperature 103.8 F,
tenesmus, abdominal tenderness, and vomiting. Which
additional laboratory test (s) does the nurse expect to collect?
a. Serial stool samples
b. Urine culture
c. Throat culture
d. Sputum culture Correct Answers a. Serial stool samples
The fluid shift that occurs in peritonitis may result in which of
the following events?
a. Intracellular fluid moving into the peritoneal cavity
b. Significant increase in circulatory volume
c. Decreased circulatory volume and hypovolemic shock
d. Increased bowel motility caused by increased fluid volume
Correct Answers c. Decreased circulatory volume and
hypovolemic shock
The nurse assesses a patient with a hernia and finds that the
patient's symptoms include abdominal distention, nauseam
vomiting and pain. The patient's heart rate is 118/min and
temperature is 101 F. Which type of hernia does the nurse
suspect?
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