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Question 1
Free
Multiple Choice

The nurse caring for a client with an intestinal malignancy assesses for bleeding, which would most likely be manifested by

Choose correct answer/s
A

abdominal discomfort.

B

hematemesis.

C

hematochezia.

D

hypotension.

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Question 2
Free
Multiple Choice

The nurse caring for a client with abdominal distention and vomiting that is fecal in nature should conduct further assessment aimed at discovering

Choose correct answer/s
A

a distal, small intestinal obstruction.

B

gastric ulceration.

C

gastrointestinal (GI) bleeding.

D

ulceration of the esophagus.

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Question 3
Free
Multiple Choice

The nurse taking the history of an 80-year-old woman diagnosed with gastroenteritis would recognize that the most significant factor in determining potential for complications in this client is

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A

age.

B

family history.

C

gender.

D

prior bouts of gastroenteritis.

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Question 4
Free
Multiple Choice

Until a diagnosis is made, the nurse caring for a client being evaluated for acute appendicitis should treat pain and discomfort with

Choose correct answer/s
A

comfort touch and reassurance.

B

frequently changing the client's position.

C

narcotic pain medication.

D

warm compresses applied to the belly.

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Question 5
Free
Multiple Choice

A nurse is caring for a postoperative client who has developed peritonitis. An assessment finding that would require immediate action would be

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A

a decrease in blood pressure of more than 15 mm Hg.

B

an increase in urine output of more than 300 ml/day.

C

pulse deficit of more than 20 beats/minute.

D

weight gain of more than 5 pounds.

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Question 6
Multiple Choice

A client with ulcerative colitis has severe diarrhea. Further assessments by the nurse are aimed at early recognition of

Choose correct answer/s
A
dehydration.
B
hemorrhoids.
C
metabolic alkalosis.
D
nephrolithiasis.
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Question 7
Multiple Choice

A client with inflammatory bowel disease (IBD) takes sulfasalazine (Azulfadine) for management of manifestations. To counteract a side effect of this drug, the nurse would encourage the client to increase intake of

Choose correct answer/s
A
any citrus fruits.
B
bananas and apples.
C
fish and seafood.
D
peas and beans.
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Question 8
Multiple Choice

A client is admitted with dysentery caused by Clostridium difficile, or pseudomembranous colitis. To elicit the most helpful information about the cause of the dysentery, the nurse would ask the client

Choose correct answer/s
A
"Are you taking any antibiotics?"
B
"Do you ever go barefoot outside your home?"
C
"Does anyone else in your family have bowel problems?"
D
"Have you traveled in any foreign countries lately?"
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Question 9
Multiple Choice

A client is admitted with appendicitis and is awaiting surgery. The client states, "Now instead of pain in just one spot, the pain is kind of all over my abdomen." Which action by the nurse takes priority?

Choose correct answer/s
A
Assess the client's abdomen.
B
Get a set of vital signs.
C
Call the physician.
D
Prepare the client for another x-ray.
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Question 10
Multiple Choice

In caring for a client with peritonitis from inflamed diverticuli, the nurse should assign priority to assessing

Choose correct answer/s
A
bowel sounds.
B
intake and output.
C
neurologic status.
D
vital signs.
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Question 11
Multiple Choice

A 13-year-old client with ulcerative colitis says, "I am so glad I will grow out of this disease. It's so embarrassing at school." Which action by the nurse would best address this statement?

Choose correct answer/s
A
Ask the client to explain what he/she means.
B
Encourage the client to become active in school activities or sports.
C
Review the pathophysiology of ulcerative colitis.
D
Tell the client about other people who live successfully with the disease.
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Question 12
Multiple Choice

In counseling a client with ulcerative colitis for 25 years about health maintenance plans, the nurse would include the advice that the client should

Choose correct answer/s
A
avoid red meat.
B
obtain genetic counseling.
C
reduce physical exercise.
D
schedule regular proctoscopic examinations.
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Question 13
Multiple Choice

In caring for a client with Crohn's disease and the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements related to diarrhea, the nurse would plan to observe for

Choose correct answer/s
A
bradycardia.
B
increased urine output.
C
increasing blood pressure.
D
manifestations of anemia.
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Question 14
Multiple Choice

A client with Crohn's disease is recovering from a fourth bowel resection and is being dismissed. The nurse determines that teaching goals have been met when the client indicates that s/he will watch for manifestations of

Choose correct answer/s
A
chronic constipation.
B
fatigue and weakness.
C
Heberden's nodules.
D
malabsorption syndrome.
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Question 15
Multiple Choice

A client with ulcerative colitis is scheduled for surgical creation of an ileoanal reservoir (J pouch). What information should the nurse include in this client's teaching plan?

Choose correct answer/s
A
The client will need an easily removable appliance.
B
The client will need to plan for a daily irrigation.
C
The stool will be expelled through the rectum eventually.
D
The transverse loop ostomy will be temporary.
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Question 16
Multiple Choice

For a client who has returned to the nursing unit after creation of a continent ileostomy (Kock pouch), the action the nurse would include in the plan of care is

Choose correct answer/s
A
attach the catheter to straight drainage initially for several days.
B
irrigate the pouch daily with sterile solutions only.
C
provide a permanent appliance and assist the client in application.
D
restrict oral intake until ileal drainage is profuse.
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Question 17
Multiple Choice

To help a client with a new ostomy integrate its appearance into the client's body image, the home health nurse would

Choose correct answer/s
A
discourage the client's negative remarks about the stoma.
B
discuss clothing options that will hide the appliance.
C
limit family interaction in the client's stomal care.
D
use humor and jokes regarding the ostomy.
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Question 18
Multiple Choice

The nurse is instructing a client with a new colostomy on its care and notes that the stoma is large and dusky. The most appropriate nursing intervention at this time is to

Choose correct answer/s
A
assess the client's reaction to the ostomy site.
B
assist the client to irrigate the colostomy.
C
notify the surgeon immediately.
D
reassure the client that the stoma will decrease in size.
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Question 19
Multiple Choice

A client recovering from a recent colostomy is very reluctant to participate in self-care. To initiate the client's interaction, the nurse should

Choose correct answer/s
A
allow care to be deferred until the client will participate.
B
evaluate the level to which the client can tolerate participation.
C
insist the client become involved in self-care.
D
provide the client with a mirror to observe the stoma.
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Question 20
Multiple Choice

When a client is admitted to the emergency department with a hernia, the classification of hernia that would represent a surgical emergency is

Choose correct answer/s
A
incisional.
B
inguinal.
C
reducible.
D
strangulated.
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