Chapter 24 Patients With Intestinal and Rectal Disorders

Chapter 24  Patients With Intestinal and Rectal Disorders

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient with a new ileostomy is preparing to go home. What should the patient be taught about changing his ileostomy?
A)
Apply moisturizing lotion after cleaning the stoma.
B)
Apply a skin barrier to the peristomal skin prior to applying the pouch.
C)
Dispose of the clamp with each bag change.
D)
Cleanse the area surrounding the stoma with alcohol.

2.
A 75-year-old male patient presents at the emergency department with symptoms of a small bowel obstruction. An emergency room nurse is obtaining assessment data from this patient. What assessment finding is characteristic of a small bowel obstruction?
A)
Nausea and vomiting
B)
Decrease in urine production
C)
Mucus in the stool
D)
Mucosal edema

3.
A nurse is presenting an educational event to a local community group and is speaking about colorectal cancer. What would the nurse identify as a risk factor associated with colorectal cancer?
A)
Age greater than 50
B)
History of bowel obstruction
C)
Family history of stomach cancer
D)
Low-fat, low-protein, low-fiber diet

4.
The nursing educator is teaching a group of nurses about constipation and the elderly. What recommendation for this population should a nurse can make about treating chronic constipation?
A)
Take a mild laxative, such as magnesium citrate, when necessary.
B)
Take a stool softener, such as docusate sodium (Colace), daily.
C)
Administer a tap water enema weekly.
D)
Administer a phospho-soda (Fleet) enema when necessary.

5.
A 16-year-old girl presents at the emergency department complaining of right lower quadrant pain and is diagnosed with appendicitis. When assessing this patient, what signs or symptoms should the nurse expect to find?
A)
Rigid abdomen, Levine’s sign, pain relief leaning forward
B)
Rebound tenderness, McBurney’s sign, low-grade fever
C)
Right lower quadrant pain, Chvostek’s sign, muscle guarding
D)
Periumbilical pain, Trousseau’s sign, pain relief with pressure

Answer Key

1.
B
2.
A
3.
A
4.
B
5.
B