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19 Cards in this Set

  • Front
  • Back
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. Cardiovascular disease
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
D. Beans
E. Pasta
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. Early ambulation
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 sounds
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
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 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. Irrigate the large lumen with saline.
C. Position the blue "pigtail" at the level of the client's ear.
D. Attach suction to the blue "pigtail
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
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 bouillon
C. A cold Popsicle
D. Ice cream
Most nutrients and electrolytes are absorbed in the:
1. colon
2. stomach
3. esophagus
4. small intestine
4. small intestine
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. food allergy
2. irritable bowel
3. Lactose Intolerance
4. Increased Peristalsis
3. Lactose Intolerance
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 bleeding
3. If a palpable mass is detected on digital examination
4. As part of a routine examination for colon cancer
4. As part of a routine examination for colon cancer
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
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
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
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 obtain vital signs
4. Tell the client to breathe slowly and relax
3. stop the instillation and obtain vital signs
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
The stool discharged from an ostomy is called:
1. effluent
2. cathartics
3. colonic fluid
4. mucosa
1. Effluent
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