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Question 1 of 30
1. Question
In a client with diarrhea, which outcome indicates that fluid resuscitation is successful?
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Question 2 of 30
2. Question
When teaching a community group about measures to prevent colon cancer, which instruction should the nurse include?
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Question 3 of 30
3. Question
A 30-year old client experiences weight loss, abdominal distention, crampy abdominal pain, and intermittent diarrhea after the birth of her 2nd child. Diagnostic tests reveal gluten-induced enteropathy. Which foods must she eliminate from her diet permanently?
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Question 4 of 30
4. Question
After a right hemicolectomy for treatment of colon cancer, a 57-year old client is reluctant to turn while on bed rest. Which action by the nurse would be appropriate?
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Question 5 of 30
5. Question
A client has a percutaneous endoscopic gastrostomy tube inserted for tube feedings. Before starting a continuous feeding, the nurse should place the client in which position?
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Question 6 of 30
6. Question
An enema is prescribed for a client with suspected appendicitis. Which of the following actions should the nurse take?
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Question 7 of 30
7. Question
The client being seen in a physician’s office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?
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Question 8 of 30
8. Question
The nurse is monitoring a client for the early signs of dumping syndrome. Which symptom indicates this occurrence?
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Question 9 of 30
9. Question
The nurse is preparing a discharge teaching plan for the client who had an umbilical hernia repair. Which of the following would the nurse include in the plan?
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Question 10 of 30
10. Question
The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician?A. Bloody diarrhea
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Question 11 of 30
11. Question
The nurse is reviewing the record of a client with Crohn’s disease. Which of the following stool characteristics would the nurse expect to note documented on the client’s record?
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Question 12 of 30
12. Question
The nurse is performing colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?
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Question 13 of 30
13. Question
The nurse is teaching the client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do?
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Question 14 of 30
14. Question
The nurse is reviewing the physician’s orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client’s chart?
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Question 15 of 30
15. Question
The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To determine whether the problem is currently active, the nurse would assess the client for which of the following most frequent symptom(s) of duodenal ulcer?
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Question 16 of 30
16. Question
The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?
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Question 17 of 30
17. Question
The client who has undergone the creation of a colostomy has a nursing diagnosis of Disturbed body image. The nurse would evaluate that the client is making the most significant progress toward identified goals if the client:
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Question 18 of 30
18. Question
The nurse is assessing for stoma prolapse in a client with a colostomy. The nurse would observe which of the following if stoma prolapse occurred?
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Question 19 of 30
19. Question
The client with a new colostomy is concerned about the odor from the stool in the ostomy drainage bag. The nurse teaches the client to include which of the following foods in the diet to reduce odor?
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Question 20 of 30
20. Question
The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client starts to eat which of the following foods to make the stools less watery?
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Question 21 of 30
21. Question
The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate post-op period for which of the following most frequent complications of this type of surgery?
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Question 22 of 30
22. Question
The nurse is doing pre-op teaching with the client who is about to undergo the creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?
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Question 23 of 30
23. Question
The client with a colostomy has an order for irrigation of the colostomy. The nurse used which solution for irrigation?A. Distilled water
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Question 24 of 30
24. Question
A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?
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Question 25 of 30
25. Question
The client has been admitted with a diagnosis of acute pancreatitis. The nurse would assess this client for pain that is:
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Question 26 of 30
26. Question
The client with Crohn’s disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem?
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Question 27 of 30
27. Question
A client with ulcerative colitis has an order to begin salicylate medication to reduce inflammation. The nurse instructs the client to take the medication:
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Question 28 of 30
28. Question
During the assessment of a client’s mouth, the nurse notes the absence of saliva. The client is also complaining of pain near the area of the ear. The client has been NPO for several days because of the insertion of a NG tube. Based on these findings, the nurse suspects that the client is developing which of the following mouth conditions?
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Question 29 of 30
29. Question
The nurse evaluates the client’s stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
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Question 30 of 30
30. Question
When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to an unlicensed assistant? Select all that apply.
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