A nurse is caring for a client who had an ileo conduit 3 days earlier. The nurse examines the stoma site and determines that she should consult with the ostomy nurse. Which assessment finding indicates the need for further consultation?
Red, sensitive skin around the stoma site
A client with anorexia complains of constipation. Which of the following nursing measures would be most effective in helping the client reduce constipation?
Assist client to increase dietary fiber.
The Zollinger-Ellison syndrome (ZES) consists of severe peptic ulcers, extreme gastric hyperacidity, and gastrin-secreting benign or malignant tumors of the pancreas. The nurse recognizes that an agent that is used to decrease bleeding and decrease gastri
octreotide (Sandostatin)
The nurse is performing a community screening for colorectal cancer. Which characteristic should the nurse include in the screening?
Familial polyposis
Diet therapy for clients diagnosed with irritable bowel syndrome (IBS) includes:
high-fiber diet
A client reports to the clinic, stating that she rapidly developed headache, abdominal pain, nausea, hiccuping, and fatigue about 2 hours ago. For dinner, she ate buffalo chicken wings and beer. Which of the following medical conditions is most consistent
acute gastritis
A client with severe peptic ulcer disease has undergone surgery and is several hours postoperative. During assessment, the nurse notes that the client has developed cool skin, tachycardia, and labored breathing; the client also appears to be confused. Whi
hemorrhage
Which of the following appears to be a significant factor in the development of gastric cancer?
diet
The nurse observes the physician palpating the abdomen of a client that is suspected of having acute appendicitis. When the abdomen is pressed in the left lower quadrant the client complains of pain on the right side. What does the nurse understand this a
Rovsing sign
The nurse is caring for a patient who is suspected to have developed a peptic ulcer hemorrhage. Which action would the nurse perform first?
Place the patient in a recumbent position with the legs elevated.
A patient sustained second- and third-degree burns over 30% of the body surface area approximately 72 hours ago. What type of ulcer should the nurse be alert for while caring for this patient?
Curling's ulcer
A nurse is performing discharge teaching with a client who had a total gastrectomy. Which statement indicates the need for further teaching?
I will have to take vitamin B12 shots up to 1 year after surgery.
A patient is scheduled for a Billroth I procedure for ulcer management. What does the nurse understand will occur when this procedure is performed?
A partial gastrectomy is performed with anastomosis of the stomach segment to the duodenum.
Which of the following interventions are appropriate for clients with gastritis? Select all that apply.
Use a calm approach to reduce anxiety.
Discourage cigarette smoking.
Notify the physician of inidicators of hemorrhagic gastritis.
When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis?
Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of the appendix.
diverticulosis diet
drink at least 8 to 10 large glasses of fluid every day. The client should include unprocessed bran in the diet because it adds bulk, and should avoid the use of laxatives or enemas except when recommended by the physician. In addition, regular exercise s
A resident at a long-term care facility lost the ability to swallow following a stroke 4 years ago. The client receives nutrition via a PEG tube, has adapted well to the tube feedings, and remains physically and socially active. Occasionally, the client d
lack of free water
An older adult client in a long term care facility is concerned about bowel regularity. During a client education session, the nurse reinforces the medically acceptable definition of "regularity." What is the actual measurement of "regular"?
stool consistency and client comfort
The nurse is performing and documenting the findings of an abdominal assessment. When the nurse hears intestinal rumbling and the client then experiences diarrhea, the nurse documents the presence of which condition?
Borborygmus
After teaching a client who has had a Roux-en-Y gastric bypass, which client statement indicates the need for additional teaching?
I need to drink 8 ounces of water before eating.
When interviewing a client with internal hemorrhoids, what would the nurse expect the client to report?
rectal bleeding
most common sign of polyp
rectal bleeding. Lower abdominal pain may also occur.
Borborygmus
rumbling noise caused by the movement of gas through the intestines, often associated with diarrhea.
Metamucil (psyllium)
bulk forming laxative
A nurse caring for a client with small-bowel obstruction should plan to implement which nursing intervention first?
Administering I.V. fluids
The nurse should first administer I.V. infusions containing normal saline solution and potassium to maintain fluid and electrolyte balance. For the client's comfort and to assist in bowel decompression, the nurse should prepare t
A nurse applies an ostomy appliance to a client who is recovering from ileostomy surgery. Which intervention should the nurse utilize to prevent leakage from the appliance?
Ask the client to remain inactive for 5 minutes.
primary symptoms of irritable bowel syndrome (IBS)?
The primary symptoms of IBS include constipation, diarrhea, or a combination of both.
After teaching a group of students about irritable bowel syndrome and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate-related antidiarrheal agent?
Loperamide