Review Questions 45
Terms
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Wanting to prevent the Valsalva maneuver, the nurse requests a stool softener for which of the following clients? (Select all that apply.) Clients with:
A. Risk for increased intracranial pressure
B. Glaucoma
C. Hypotension
D. Ca - A,B,D
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The nurse teaches clients with a new colostomy to eat whatever foods they like but that some foods (such as the following) typically produce gas and should be evaluated. (Select all that apply.)
A. Onions
B. Garlic
C. Cauliflower
- A,C,D
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Soon after the client's abdominal surgery the nurse includes in the plan of care the following intervention, which is essential for promoting peristalsis:
A. Large doses of opioids
B. High-fiber diet
C. Restricted fluid intake
D. - D
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The nurse begins to suspect a fecal impaction in a client who has not had a stool in 10 days when the client (select all that apply):
A. Has a rounded abdomen
B. Oozes liquid stool
C. Feels nauseated
D. Has continuous bowel sound - B,C,D
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The nurse is instructing the client about opioids for pain. Included in the teaching is the fact that opioids may cause:
A. Headaches
B. Hypertension
C. Constipation
D. Muscle weakness - C
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The nurse instructs the client to avoid which of the following foods that could give a false reading of the fecal occult blood test? (Select all that apply.)
A. Fish
B. Lasagna
C. Raw vegetables
D. Cranberry juice - A,C
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A client with a Salem sump tube begins to drain stomach contents from the blue "pigtail." Which nursing actions would be appropriate for the nurse to implement at this time? (Select all that apply.)
A. Clamp the blue "pigtail." - B,C
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When irrigating a colostomy, the nurse is sure to use the following equipment.
A. An enema set
B. A cone-tipped irrigator
C. A 50-ml irrigation syringe
D. A 16 Fr Foley catheter with a 30-ml balloon - B
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A client with a recent bout of diarrhea is requesting something to drink. There is an order to force clear liquids to prevent fluid and electrolyte imbalance. The nurse decides to give the client:
A. A cup of hot coffee
B. Room-temperature b - B
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Most nutrients and electrolytes are absorbed in the:
1. colon
2. stomach
3. esophagus
4. small intestine - 4. small intestine
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During the nursing assessment the client reveals that he has diarrhea and cramping everytime he has ice cream. He attributes this to the cold nature of the food. How ever the nurse begins to suspect that these symptoms might be associated with:
1. f - 3. Lactose Intolerance
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The nurse is assessing a 55-year-old client who is in the clinic for a routine physical. The nurse instructs the client to obtain fecal occult blood testing (FOBT):
1. When there is a family history of polyps
2. if the client reports rectal ble - 4. As part of a routine examination for colon cancer
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These agents decreased intestinal muscle tone to slow passage of feces
1. Antidiarrheal Opiate Agents
2. Hypertonic
3. Cathartics
4. Laxatives - 1. Antidiarrheal Opiate agents
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Diarrhea that occurs with a fecal impaction is the result of:
1. A clear liquid diet
2. Irritation of the intestinal mucosa
3. Seepage of stool around the impaction
4. Inability of the client to form a stool - 3. Seepage of stool around the impaction
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A cleaning enema is ordered for a 55-year-old client before intestineal surgery. the maximum amount given is
1. 150 to 200 ml
2. 200 to 400 ml
3. 400 to 750 ml
4. 750 to 1000ml - 750 to 1000 ml
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During the enema the client begins to complain of pain. The nurse notes blood in the return fluid and rectal bleeding. The nurse actions are to
1. stop the instillation
2. slow down the rate of instillation
3. stop the instillation and ob - 3. stop the instillation and obtain vital signs
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One of the greatest problems in caring for a client with an NG tube is
1. dehydration
2. maintaining comfort
3. constipation
4. nutritional therapy - 2. maintaining comfort
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The stool discharged from an ostomy is called:
1. effluent
2. cathartics
3. colonic fluid
4. mucosa - 1. Effluent
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A nurse trained to care for ostomy clients is a (an)
1. Enterostomal therapist
2. Nurse practitioner
3. Ostomy Practitioner
4. GI therapist - 1. Enterostomal therapist