STUVIA 2024/2025
1. Science
2. Medicine
3. Surgery
Adult Nursing - Chapter 47: Management of
Patients with Intestinal and Rectal Disorders -
PrepU
A nurse is teaching an older adult client about good bowel habits. Which statement by the client
indicates to the nurse that additional teaching is required?
- "I should eat a fiber-rich diet with raw, leafy vegetables, unpeeled fruit, and whole grain bread."
- "I need to use laxatives regularly to prevent constipation."
- "I should exercise four times per week."
- "I need to drink 2 to 3 liters of fluids every day."
- "I need to use laxatives regularly to prevent constipation."
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A client is admitted to the emergency department with reports right lower quadrant pain. Blood
%
specimens are drawn and sent to the laboratory. Which laboratory finding should be reported to the
health care provider immediately?
- White blood cell (WBC) count 22.8/mm3
- Hematocrit 42%
- Serum sodium 135 mEq/L
- Serum potassium 4.2 mEq/L
- White blood cell (WBC) count 22.8/mm3
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A client realizes that regular use of laxatives has greatly improved bowel patterns. However, the
nurse cautions this client against the prolonged use of laxatives for which reason?
- The client may develop arthritis or arthralgia.
- The client's natural bowel function may become sluggish.
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, STUVIA 2024/2025
- The client may lose his or her appetite.
- The client may develop inflammatory bowel disease.
- The client's natural bowel function may become sluggish.
Which of the following would a nurse expect to assess in a client with peritonitis?
- Board-like abdomen
- Deep slow respirations
- Decreased pulse rate
- Hyperactive bowel sounds
- Board-like abdomen
The nurse is assessing a client for constipation. To identify the cause of constipation, the nurse
should begin by reviewing the client's:
- alcohol consumption.
- usual pattern of elimination.
- current medications.
- activity levels.
- usual pattern of elimination.
A nurse is interviewing a client about past medical history. Which preexisting condition may lead the
nurse to suspect that a client has colorectal cancer?
- Hemorrhoids
- Weight gain
%
- Duodenal ulcers
- Polyps
- Polyps
The nurse is talking with a group of clients who are older than age 50 years about the recognition of
colon cancer to access early intervention. What should the nurse inform the clients to report
immediately to their primary care provider?
- Excess gas
- Daily bowel movements
- Abdominal cramping when having a bowel movement
- Change in bowel habits
- Change in bowel habits
The nurse is performing a rectal assessment and notices a longitudinal tear or ulceration in the lining
of the anal canal. The nurse documents the finding as which condition?
- Anal fistula
- Anorectal abscess
- Hemorrhoid
- Anal fissure
- Anal fissure
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