ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 56 : Care of Patients with Noninflammatory Intestinal Disorders Questions
Question 1 of 5
A nurse assesses a client with irritable bowel syndrome (IBS). Which questions should the nurse include in this client's assessment? (Select all that apply.)
Correct Answer: A,B,E
Rationale: The nurse should assess factors that exacerbate or ameliorate IBS symptoms, such as food, stress, and nausea related to defecation. Weight loss and black stools are not typical of IBS.
Question 2 of 5
A nurse plans care for a client who is recovering from an inguinal hernia repair. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Postoperative care includes encouraging ambulation and normal urination to promote recovery. Coughing is avoided to prevent strain on the repair, and forceful reduction is not appropriate.
Question 3 of 5
A nurse cares for a client who has been diagnosed with a small bowel obstruction. Which assessment findings should the nurse correlate with this diagnosis? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Small bowel obstructions can cause fluid and electrolyte imbalances, such as low potassium and sodium, and upper quadrant pain due to obstruction. Weight loss and low-pitched bowel sounds are less specific.
Question 4 of 5
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding. Which meal indicates the client correctly understands the dietary teaching?
Correct Answer: B
Rationale: Clients with IBS are advised to eat a high-fiber diet (30 to 40 g/day), with 8 to 10 cups of liquid daily. Baked chicken with brown rice, broccoli, and apple juice has the highest fiber content. They should avoid alcohol, caffeine, and other gastric irritants.
Question 5 of 5
A nurse assesses a client who is prescribed alosetron (Lotronex). Which assessment question should the nurse ask this client?
Correct Answer: A
Rationale: Constipation is a life-threatening complication of alosetron. The nurse should assess the client for constipation. The other questions do not identify complications related to alosetron.