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Level 2 - RNSG 1443 - Exam 3 Test Banks & Review Questions With Complete Solutions
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Level 2 - RNSG 1443 - Exam 3 Test Banks & ReviewQuestions With Complete Solutions
A 22-year-old female patient with an exacerbation of ulcerative
colitis is having 15 to 20 stools daily and has excoriated perianal
skin. Which patient behavior indicates that teaching regarding
maintenance of skin integrity has been effective?
a. The patient uses incontinence briefs to contain loose stools.
b. The patient asks for antidiarrheal medication after each stool.
c. The patient uses witch hazel compresses to decrease irritation.
d. The patient cleans the perianal area with soap after each stool.
Correct Answer C
Witch hazel compresses are suggested to reduce anal irritation
and discomfort.
Incontinence briefs may trap diarrhea and increase the incidence
of skin breakdown. Antidiarrheal medications are not given 15
to 20 times a day. The perianal area should be washed with plain
water after each stool.
A 24-year-old woman with Crohns disease develops a fever and
symptoms of a urinary tract infection (UTI) with tan, fecal-
smelling urine. What information will the nurse add to a general
teaching plan about UTIs in order to individualize the teaching
for this patient?
a. Bacteria in the perianal area can enter the urethra.
b. Fistulas can form between the bowel and bladder.
c. Drink adequate fluids to maintain normal hydration.
,d. Empty the bladder before and after sexual intercourse.
Correct Answer B
Fistulas between the bowel and bladder occur in Crohns disease
and can lead to UTI.
Teaching for UTI prevention in general includes good hygiene,
adequate fluid intake, and voiding before and after intercourse.
.
A 26-year-old patient with a family history of stomach cancer
asks the nurse about ways to decrease the risk for developing
stomach cancer. The nurse will teach the patient to avoid
a. emotionally stressful situations.
b. smoked foods such as ham and bacon.
c. foods that cause distention or bloating.
d. chronic use of H2 blocking medications. Correct Answer B
Smoked foods such as bacon, ham, and smoked sausage increase
the risk for stomach cancer.
Stressful situations, abdominal distention, and use of H2
blockers are not associated with an increased incidence of
stomach cancer.
.
A 33-year-old male patient with a gunshot wound to the
abdomen undergoes surgery, and a colostomy is formed as
,shown in the accompanying figure. Which information will be
included in patient teaching?
a. Stool will be expelled from both stomas.
b. This type of colostomy is usually temporary.
c. Soft, formed stool can be expected as drainage.
d. Irrigations can regulate drainage from the stomas. Correct
Answer B
A loop, or double-barrel stoma, is usually temporary. Stool will
be expelled from the proximal stoma only. The stool from the
transverse colon will be liquid and regulation through irrigations
will not be possible.
A 34-year-old female patient with a new ileostomy asks how
much drainage to expect. The nurse explains that after the bowel
adjusts to the ileostomy, the usual drainage will be about _____
cups.
a. 2
b. 3
c. 4
d. 5 Correct Answer A
After the proximal small bowel adapts to reabsorb more fluid,
the average amount of ileostomy drainage is about 500 mL
daily. One cup is about 240 mL.
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 Correct Answer a, b, c, d, e
a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease
A 47-year-old female patient is transferred from the recovery
room to a surgical unit after a transverse colostomy. The nurse
observes the stoma to be deep pink with edema and a small
amount of sanguineous drainage. The nurse should
a. place ice packs around the stoma.
b. notify the surgeon about the stoma.
c. monitor the stoma every 30 minutes.
d. document stoma assessment findings. Correct Answer D
The stoma appearance indicates good circulation to the stoma.
There is no indication that surgical intervention is needed or that
frequent stoma monitoring is required. Swelling of the stoma is
normal for 2 to 3 weeks after surgery, and an ice pack is not
needed.
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