Question

1. The nurse is suggesting interventions for a client with chronic constipation. In which order should the nurse make these recommendations? Place then in order from 1^strecommendation to last recommendation.

1. Docusate.
2. Enema.
3. Increase fiber intake.
4. Bisacodyl.
5. Prune Juice.

2. The nurse is assessing a 41-year-old client in an outpatient clinic. Which indication of a risk factor for bowel disease requires follow-up by the nurse?

1. The client’s 62-year-old father was diagnosed with colorectal cancer 4 years ago.
2. The client’s cousin has inflammatory bowel disease and frequent diarrhea.
3. The client reports eating red meat 2 days a week and fish twice a week.
4. BMI of 24.8 kg/M²and has less than optimal nutritional patterns.

3. A client with a medical diagnosis of cirrhosis has been admitted to a medical unit, and the nurse is doing an assessment. What complaint from the client requires immediate follow-up?

1. Bloody expectorant with coughing episodes.
2. Jeans cannot zip because of enlarged abdomen.
3. Swelling in the feet and lower legs.
4. Yellowing of the eyes and mucous membranes.

            

4. The clinic nurse is interviewing a new client, who presents with increasing frequency of stools and says the last healthcare provider gave me a diagnosis of ulcerative colitis. Which statement by the client requires immediate follow-up?

1. “I am having more frequent loose stools than I did last week.”
2. “I have developed a high fever and severe abdominal pain since yesterday.”
3. “My last healthcare provider said I have a genetic link for developing the disease.”
4. “This is a depressing disease to have.”

5. A client returns from surgery for placement of a colostomy secondary to ulcerative colitis. Two hours after surgery the nurse is most concerned about which assessment?

1. Hypoactive bowel sounds in all four quadrants.
2. Decreased breath sounds in the bases of the lungs.
3. Slight distension of the bladder.
4. A blood pressure below the baseline value.

6. A 13-year-old client is receiving total parental nutrition as a treatment for Crohn’s disease.  The client asks the rationale for this treatment. Which statement by the nurse accurately describes the reason for this treatment?

1. “The nutrition in your intravenous line is more complete that what you can eat.”
2. “Total parenteral nutrition allows your intestines to rest and heal for a while. “
3. “This treatment assists you in getting the nutrients you need without the allergies.”
4. “With this treatment you do not need to eat by mouth so you can get the rest you need.”

7. A Nurse is caring for a client with colorectal cancer who is receiving total parental nutrition (TPN). The physician has prescribed the TPN to infuse at 150 ml/hr. The TPN bag holds 2400 ml. How long will it take for the TPN to infuse to the nearest whole hour? Fill in the blank.

8. The nurse is caring for these four clients. Which client would the nurse provide care to first?

1. 25-year-old who had a splenectomy four hours ago and is reporting pain at the incisional site with movement.
2. 75-year-old who had surgery three days ago for a bowel obstruction and has a fever, chills and purulent drainage from the wound.
3. 18-year-old diagnosed with infection who is receiving an intravenous antibiotic and reports tingling around the mouth and an itchy body.
4. 68-year-old who had a unit of packed red blood cells and hour ago and reports feeling fatigued and flushed.

9. A client is admitted with ascites from liver failure. Spirolactone 100 mg is administered. Which sign or symptom would designate a serious complication for the client?

1. Blurry vision.
2. Low potassium.
3. Increased thirst.
4. Leg pain.

10. A client on the surgical unit is preparing to be discharged after a colectomy for intestinal obstruction. The nurse finds the client passed out on the bathroom floor. Which response by the nurse would be most appropriate?

1. Call another nurse to help get the client back to bed.
2. Call the client’s healthcare provider from the room.
3. Check the client’s abdominal wound for bleeding.
4. Determine if the client is breathing and has a pulse.

11. Emergency Medical Services transports a known IV drug user to the Emergency Department. The client reports flu-like symptoms for the last week, jaundice, and inability to keep food down. What safety precautions should the nurse utilize?

1. Droplet precautions only.
2. Full gown, gloves, mask with shield.
3. Report the client to the CDC.
4. Standard precautions including gloves and handwashing.

Answer 1

1.bisacodyl,docusate,enema,prune juice ,increase fiber intake.

2.A.a client father had a history of colorectal cancer 4 years ago would be at high risk to get bowel disease.

3.B.enlarged abdomen can be due to internal bleeding so it should be asses first as patient has pancreatittis.

4.B.patient has high fever and secere abdominal pain should be checked first.

5.D.lowering of blood presure should be monitory as patient is post operative.

6.C.

7. 1 hour =150 ml

   2400 ml need to complete over 16 hour(2400÷150=16)

8.D.after blood transfusion patient has reaction .so that person who is also aved should be assessed first.

9.increased thirst is one of tne side effects of spirolactone.

10.D.to perform cpr first check pulse and respiration.

11.B.