Which information would the nurse include when teaching about obstruction?

Mild, intermittent, & colicky abd pain in mechanical colonic obstruction.

Which factor helps to determine the surgical approach for patients with colorectal cancer (CRC)?

Extent of metastasis, Tumor size, Integrity of the bowel

Which assessment finding supports a diagnosis of perforation?

Tenderness on abdominal palpation

Which patient response reflects an understanding of the patient's care following intestinal obstruction?

"I should take an OTC laxative o prevent constipation when taking opoids."

Which assessment technique would be utilized for a male patient with a suspected inguinal hernia?

Have the patient stand for examination.

Which information would the nurse provide for a patient who is undergoing a fecal immunochemical test (FIT)?

Corticosteroids can interfere with test results and should be discontinued.

Which patient response reflects an understanding of discharge education following treatment of colorectal cancer (CRC)?

"With open surgical, I should avoid driving & vigorous physical activity."

Which patient response reflects an understanding of the pharmaceutical treatment of irritable bowel syndrome (IBS)?

"Probiotic supplements can help alleviate my gastrointestinal symptoms."

Which instruction will the nurse include when educating an older adult patient about prevention of fecal impaction?

Stay hydrated by drinking adequate amounts of fluid., Eat plenty of raw fruits and vegetables., Take bulk-forming products.

Which information would the nurse include when teaching about conservative treatment of hemorrhoids?

Hydrocortisone can be used to treat itching and inflammation.

Which information would the nurse include when teaching about minimally invasive hernia repairs?

Minimally invasive hernia repair is the preferred surgical approach.

Which patient education information from the nurse emphasizes the risk factors for the development of colorectal cancer?

"Physical inactivity increases a patient's risk for developing."

Which patient response reflects an understanding of risk factors for the development of colorectal cancer (CRC)?

"Having Crohn's disease predisposes me to the development of CRC."

Which statement would the nurse provide for a patient who underwent hemorrhoidectomy?

"Bleeding or pain after surgery should be reported."

Which teaching point would the nurse include when providing education about irritable bowel syndrome (IBS)?

Normal flora & pathogenic agents serve as measurable biomarkers for IBS.

Which teaching point will the RN include following surgical intervention after intestinal obstruction?

Patients require NGT placement after an open surgical approach.

Which assessment finding is associated with stoma ischemia?

Dark purplish bruising to the stoma

Which information would the nurse include when teaching about the nonsurgical management of pts with abdominal trauma?

Antibiotic therapy is administered to patients with hollow viscus injuries.

Which statement about mechanical obstruction is accurate?

Mechanical obstruction causes peristalsis to increase.

Which consideration would the nurse take when caring for a patient with abdominal trauma?

Abdominal compartment syndrome causes end-organ dysfunction.

Which information would the nurse provide to a patient with a new ostomy?

Nausea & vomiting following ostomy placement should be reported to the HCP.

Which statement about colorectal cancer (CRC) is accurate?

CRC can metastasize by spreading through the blood or lymph.

Which teaching point would the nurse provide to a patient about the pathophysiology of colorectal cancer?

Colon tumors can spread during surgical resection of the tumor.

Which statement about the management of irritable bowel syndrome (IBS) is accurate?

Chewing food slowly can help promote normal bowel function.

Which pt response reflects an understanding of the role of the certified wound, ostomy, and continence nurse (CWOCN)?

will note the contour of my abd in lying, sitting, and standing positions

Which information would the nurse include when teaching about pain management in patients with intestinal obstruction?

Frequent position changes help to promote peristalsis and increase comfort.

Which action would the nurse take when a patient presents with abdominal trauma?

Complete an abdominal assessment at frequent intervals.

Which information will the nurse include when teaching about nasogastric tubes (NGTs) in patients with obstruction?

Confirmation of proper NGT placement can be confirmed by x-ray.

Which statement about therapies used to treat colorectal cancer is accurate?

Radiation therapy is often a part of the treatment plan.

Which information would the nurse include when teaching about colostomy creation?

The least common colostomy is the double-barrel stoma.

Which information would the nurse provide to a patient with irritable bowel syndrome (IBS)?

Mental and behavioral illness are related to IBS

Which patient response reflects an understanding of preventing intestinal obstruction in older adults?

"I can decrease my risk by getting my regular colon health screenings."

Which teaching point would the nurse provide for a patient with a new colostomy?

The colostomy typically starts to function 2 to 3 days after surgery.

Which perineal wound care would the RN include when providing edu to a pt who underwent abdominoperineal resection?

"Warm compresses applied to the site to ease rectal pain and itching."

Which teaching point would the nurse provide about resources available to patients with new ostomies?

Pt consent is required to make a referral to the UOAA's visitor program.

Which statement about a new ostomy following surgery for colorectal cancer is accurate?

The stoma shrinks within 6 to 8 weeks after surgery.

studbud

Adult Health 2 Chapter 48 Concepts of Care for Patients With Noninflammatory Intestinal Conditi

59 termsStudBud Administration5 plays

Imported from external platform

Flashcards59 cardsFPractice quizPHost liveL

Questions 59

Answers

1
Which information would the nurse include when teaching about obstruction?
Ribbonlike stools & diarrhea are expected in complete obstruction.
Hyperactive bowel sounds are common in early obstruction.
Infrequent flatus is often associated with complete obstruction.
Mild, intermittent, & colicky abd pain in mechanical colonic obstruction.
2
Which factor helps to determine the surgical approach for patients with colorectal cancer (CRC)?
Patient support and resources
Extent of metastasis
Tumor size
Integrity of the bowel
3
Which assessment finding supports a diagnosis of perforation?
Bilious emesis
Tenderness on abdominal palpation
Intractable singultus
Temperature of 99.9°F
4
Which patient response reflects an understanding of the patient's care following intestinal obstruction?
"I should take an OTC laxative o prevent constipation when taking opoids."
"My bowel elimination will not return to my previous 'normal' state."
"I should report these symptoms to my dr. if there is constipation."
"I am at increased risk for recurrent paralytic ileus."
5
Which assessment technique would be utilized for a male patient with a suspected inguinal hernia?
Have the patient stand for examination.
Instruct the patient to breathe in and out quickly.
Use the left hand to assess the patient's right side.
Ask the patient to lift and hold an object during assessment.
6
Which information would the nurse provide for a patient who is undergoing a fecal immunochemical test (FIT)?
FIT- 2-3 separate stool samples should be tested on 3 consecutive days.
No dietary restrictions necessary prior to fecal immunochemical testing
A negative on fecal immunochemical testing rules out the possibility of CCR
Corticosteroids can interfere with test results and should be discontinued.
7
Which assessment finding supports a diagnosis of small-bowel obstruction?
Profuse vomiting
Normal electrolytes
Metabolic acidosis
Lower abdominal distention
8
Which patient-reported symptom supports a diagnosis of irritable bowel syndrome (IBS)?
Sudden weight loss
Gas and bloating
A spontaneous change in bowel patterns
Pain in the right upper quadrant of the abdomen
9
Which action will the RN take when caring for a patient receiving nonsurgical interventions for intestinal obstruction?
Monitor laboratory values.
Encourage oral rehydration.
Assess the patient's abdomen once daily.
Maintain the patient in a supine position.
10
Which patient response reflects an understanding of discharge education following treatment of colorectal cancer (CRC)?
"Hospice care is discussed with all pts following the diagnosis of CRC."
"With open surgical, I should avoid driving & vigorous physical activity."
"My radiation therapy and chemotherapy will be administered inpatient."
"Feelings of grief after CRC surgery is indicative of depression."
11
Which patient response reflects an understanding of the pharmaceutical treatment of irritable bowel syndrome (IBS)?
"Amitriptyline can help to effectively treat excessive gas."
"Probiotic supplements can help alleviate my gastrointestinal symptoms."
"I will take rifaximin to treat my IBS-C."
"Alosetron is a first-line treatment for IBS-D."
12
Which instruction will the nurse include when educating an older adult patient about prevention of fecal impaction?
Stay hydrated by drinking adequate amounts of fluid.
Take laxatives routinely.
Eat plenty of raw fruits and vegetables.
Take bulk-forming products.
13
Which test for colorectal cancer would the nurse expect a patient to complete once every 10 years?
mt-sDNA testing
Flexible sigmoidoscopy
Colonoscopy
Fecal occult blood testing (FOBT)
14
Which information would the nurse include when teaching about conservative treatment of hemorrhoids?
Wiping the anal area well helps to avoid irritation.
Conservative treatment should alleviate symptoms in 1 to 2 days.
Oral analgesics are ineffective in treating local pain.
Hydrocortisone can be used to treat itching and inflammation.
15
Which information would the nurse include when teaching about minimally invasive hernia repairs?
Minimally invasive hernia repair is the preferred surgical approach.
Patient are discharged in 1 to 2 days following.
Pts experience severe acute pain following the repair.
There is a singular small incision made.
16
Which patient education information from the nurse emphasizes the risk factors for the development of colorectal cancer?
"Physical inactivity increases a patient's risk for developing."
"Pts from poor geo regions should screen for colorectal cancer at 50."
"Pts should modify their diets only if they are high risk."
"Frequently eating foods high in fiber increase a patient's risk."
17
Which patient response reflects an understanding of risk factors for the development of colorectal cancer (CRC)?
"A diet low in fiber & high in fat can reduce my risk for developing CRC."
"Having Crohn's disease predisposes me to the development of CRC."
"Having HPV will not impact my risk for developing CRC."
"I am at increased risk for CRC because I am a 40-year-old male."
18
Which statement would the nurse provide for a patient who underwent hemorrhoidectomy?
"Limit your fiber intake as this can bulk stools and cause constipation."
"Bleeding or pain after surgery should be reported."
"Cool packs should be utilized 3-4 times a day to promote comfort."
"A stimulant laxative should be taken if no bowel movement by the 3rd day."
19
Which adverse effect is associated with bowel preps in older adults?
Increased risk of infection
Dehydration
Paralytic ileus
Urinary incontinence
20
Which teaching point would the nurse include when providing education about irritable bowel syndrome (IBS)?
The development of IBS occurs equally in men and women.
Pts with IBS often have large-bowel bacterial overgrowth.
Normal flora & pathogenic agents serve as measurable biomarkers for IBS.
Pts with IBS experience diarrhea, but not constipation.
21
Which teaching point will the RN include following surgical intervention after intestinal obstruction?
Mechanical obstruction require the conventional open surgical approach.
Patients require NGT placement after an open surgical approach.
When adhesions are discovered, a resection of the bowel tissue is performed
Strangulated obstruction,surgical intervention may or may not be necessary
22
Which assessment finding is associated with stoma ischemia?
Pain and swelling of the stoma
Excoriated peristomal skin
Presence of nausea and vomiting
Dark purplish bruising to the stoma
23
Which information would the nurse include when teaching about the nonsurgical management of pts with abdominal trauma?
Blood transfusions are given to patients with abdominal trauma.
Pts may be transferred to a less specialized unit if they remain stable.
Abdominal trauma is managed in a standardized fashion.
Antibiotic therapy is administered to patients with hollow viscus injuries.
24
Match the type of abdominal hernia to the description of its at-risk population. Usually caused by postop wound infxns
Indirect inguinal
Umbilical
Direct inguinal
Incisional
25
Which statement about mechanical obstruction is accurate?
Causes bowel contents to accumulate at and below the area of obstruction.
To compensatE, your body will absorb contents through the intestInes.
Mechanical obstruction causes peristalsis to increase.
A neuromuscular disturbance causes mechanical obstruction.
26
Which consideration would the nurse take when caring for a patient with abdominal trauma?
Hemorrhage is graded from V to I (I being the worst).
The most common life-threatening complication is infection.
Abdominal compartment syndrome causes end-organ dysfunction.
Penetrating trauma occurs when the abd has a direct impact with an object.
27
Which information would the nurse provide to a patient with a new ostomy?
Pts with new ostomies should take laxative supplements to ease stool.
It takes 4-6 mo to establish effects of certain foods on bowel patterns.
Nausea & vomiting following ostomy placement should be reported to the HCP.
Ostomy products should be kept in a refrigerator to keep from drying out.
28
Which statement about colorectal cancer (CRC) is accurate?
Colon cancer is often incurable unless detected early.
In the US, CRC is the most common cause of cancer-related deaths.
CRC can metastasize by spreading through the blood or lymph.
CRC refers to cancer of the colon & rectum.
29
Which assessment finding may be indicative of retroperitoneal bleeding following abdominal trauma?
Kehr
Cullen
Erikson
Turner
30
Which teaching point would the nurse provide to a patient about the pathophysiology of colorectal cancer?
More than half of colorectal cancer tumors occur in the transverse colon.
Most colorectal cancers are soft-tissue sarcomas & grow slowly.
Colon tumors can spread during surgical resection of the tumor.
The lung is the most common site of metastasis from circulatory spread.
31
Which statement about the management of irritable bowel syndrome (IBS) is accurate?
Patients should ingest 10 to 20 g of fiber each day.
An atomistic treatment approach is essential for positive patient outcomes.
Chewing food slowly can help promote normal bowel function.
Patients with IBS are often managed in the inpatient hospital setting.
32
Which pt response reflects an understanding of the role of the certified wound, ostomy, and continence nurse (CWOCN)?
evaluates the tumor during surg to determine ostomy placement.
reinforcing the surgeon's explanation of my planned procedure.
will note the contour of my abd in lying, sitting, and standing positions
where to place the markings for the ostomy.
33
Which assessment finding supports perforation of the intestine?
Abdominal distention
Changes to pain sensation
Increased weight
Decreased urine output
34
Which information would the nurse include when teaching about pain management in patients with intestinal obstruction?
Pts with mechanical experience less pain than pts with nonmechanical.
Frequent position changes help to promote peristalsis and increase comfort.
Analgesics should never be held in pt with obstruction, bc its painful.
A supine position helps to alleviate pressure and to reduce pain.
35
Which action would the nurse take when a patient presents with abdominal trauma?
Auscultate the patient's abdomen to check for hyperactive bowel sounds.
Complete an abdominal assessment at frequent intervals.
Perform significant palpation and percussion to determine the severity.
Prioritize first the assessment of the patient's abdominal injury.
36
Which information will the nurse include when teaching about nasogastric tubes (NGTs) in patients with obstruction?
Should be irrigated with 30 mL of saline once per shift to ensure patency.
An increase in output may indicate that it has moved out of position.
Confirmation of proper NGT placement can be confirmed by x-ray.
All patients with obstruction require NGTs for gastric decompression.
37
Which statement about therapies used to treat colorectal cancer is accurate?
Many patients decline radiation therapy because of the pain.
Radiation therapy is often a part of the treatment plan.
Postop radiation has demonstrated consistent improvement in survival rates.
Preoperative radiation therapy has improved the overall survival rates.
38
Which information would the nurse include when teaching about colostomy creation?
A loop stoma is often permanent.
A loop stoma is often constructed in the descending or sigmoid colon.
An end stoma is intended to be temporary.
The least common colostomy is the double-barrel stoma.
39
Which information would the nurse provide to a patient with irritable bowel syndrome (IBS)?
Mental and behavioral illness are related to IBS
IBS is a rare digestive disorder that causes GI motility changes.
There is a clear etiology
Patients with IBS show symptoms of the disease in early childhood
40
Match the type of abdominal hernia to the description of its at-risk population. Occur more often in older adults
Incisional
Direct inguinal
Umbilical
Indirect inguinal
41
Which diagnostic imaging technique is the definitive test for the diagnosis of colorectal cancer?
Sigmoidoscopy
Positron emission tomography (PET) scan
Magnetic resonance imaging (MRI)
Colonoscopy with tissue biopsy
42
Which patient response reflects an understanding of preventing intestinal obstruction in older adults?
"A low-fiber diet & being healthy can help prevent constipation."
"Aging causes an increase in peristalsis that may result in constipation."
"I increase my fluids, take a daily stool softener, & limit exercise."."
"I can decrease my risk by getting my regular colon health screenings."
43
Match the type of abdominal hernia to the description of its at-risk population. Occur mostly in men
Direct inguinal
Indirect inguinal
Incisional
Umbilical
44
Which assessment finding would the nurse attribute to side effects associated with chemotherapy?
Pain
Leukopenia
Constipation
Xerostomia
45
Which teaching point would the nurse provide for a patient with a new colostomy?
The colostomy typically starts to function 2 to 3 days after surgery.
A healthy stoma should be pale pink in color and protrude about 4 cm.
A dressing can often provide more suitable collection system.
If no pouch system is in place, a dry, sterile dressing should be applied.
46
Which perineal wound care would the RN include when providing edu to a pt who underwent abdominoperineal resection?
"The abd incision and ostomy are usually a greater source of pain."
"Complete healing of the perineal wound may take up to 4 months."
"There may have tan drainage for 1 to 2 months following surgery."
"Warm compresses applied to the site to ease rectal pain and itching."
47
Which complication is a patient at most risk for after abdominal trauma with damage to the spleen?
Hemorrhage
Paralytic ileus
Hollow viscus perforation
Abdominal compartment syndrome
48
Which teaching point would the nurse provide about resources available to patients with new ostomies?
The UOAA provides necessary medical equipment and supplies.
The American Cancer Society provides literature for new ostomies.
Pt consent is required to make a referral to the UOAA's visitor program.
Pts with new ostomies have long hospital stays d/t their complex care.
49
Which factor places a patient at increased risk for the development of hemorrhoids?
Diarrhea
Obesity
Regular exercise
High-fiber diet
50
Which statement about a new ostomy following surgery for colorectal cancer is accurate?
Pts with new ostomies cannot resume sex for 6 to 12 months after surgery.
The stoma shrinks within 6 to 8 weeks after surgery.
Patients with flat, firm abdomens require a nonflexible pouch system.
Firm abds with lateral creases benefit from a convex appliances.
51
Which RN action would be appropriate when caring for a pt with heart failure and a mechanical intestinal obstruction?
Daily weight monitoring
Intravenous fluid resuscitation with 1 L of a hypotonic solution
Administration of alvimopan
Monitoring vital signs every 8 hours
52
Which laboratory value would the nurse expect to be elevated in a patient with a partial intestinal obstruction?
Hemoglobin
Sodium
White blood cell count
Potassium
53
Which patient response reflects an understanding of ostomy and stoma care?
"I will use moisturizing soap to clean the area."
"My stoma will need to be measured with every ostomy change."
"I will shave to minimize my risk for infected hair follicles."
"The hole for the stoma should be cut to fit my stoma exactly."
54
Which type of abd hernia would the RN suspect in a patient presenting with abdominal distention, fever, and tachycardia?
Strangulated
Incarcerated
Indirect inguinal
Femoral
55
Which pt statement reflects an understanding of postop care and education following indirect inguinal hernia repair?
"I should elevate my scrotum on a soft pillow."
"I should alert the provider immediately if I am unable to void."
"I will not lift more than 20 pounds until allowed by the surgeon."
"I will be sure to cough and deep breath to promote lung expansion."
56
Which laboratory testing would the nurse anticipate for a patient with irritable bowel syndrome (IBS)?
Hydrogen breath test
Complete blood count
Erythrocyte sedimentation rate (ESR)
Stools for occult blood
57
Which information would the nurse include when teaching about surgical management following abdominal trauma?
Hemorrhage or decompensation pts are not a surgical candidate.
Pts are expected to recover in 1 to 2 wks following surgical intervention.
The most common surgical procedure is laparoscopic surgery.
Postop care of pts with a laparotomy requires close monitoring in the ICU.
58
Which assessment finding supports a diagnosis of advanced colorectal cancer (CRC)?
The sensation of incomplete evacuation
Mahogany (dark)-colored or bright red stools
A palpable mass in the lower right quadrant
Unintentional weight loss
59
Match the type of abdominal hernia to the description of its at-risk population. Most common in pregnant women/obesity
Incisional
Indirect inguinal
Umbilical
Direct inguinal

Adult Health 2 Chapter 48 Concepts of Care for Patients With Noninflammatory Intestinal Conditi Flashcards | StudBud