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 cares for a client who is recovering from a hemorrhoidectomy. The client states, 'I need to have a bowel movement.' How should the nurse respond?
Correct Answer: D
Rationale: After a hemorrhoidectomy, straining should be avoided to prevent complications. The nurse should consult with the provider about a stool softener to facilitate a bowel movement without straining.
Question 2 of 5
A nurse assesses a client with a mechanical bowel obstruction who reports intermittent abdominal pain. An hour later the client reports constant abdominal pain. Which action should the nurse take next?
Correct Answer: D
Rationale: A change from intermittent to constant abdominal pain in a client with a bowel obstruction may signal peritonitis or perforation. The nurse should auscultate for bowel sounds and check for rebound tenderness, then notify the provider.
Question 3 of 5
A nurse assesses a client who is prescribed 5-fluorouracil (5-FU) chemotherapy intravenously for the treatment of colon cancer. Which assessment finding should alert the nurse to contact the health care provider?
Correct Answer: A
Rationale: A WBC count of 1500/mm3 is significantly below the normal range (5000-10,000/mm3), indicating a high risk for infection. The provider should be notified immediately, as chemotherapy may need to be delayed.
Question 4 of 5
A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, 'The stool in my pouch is still liquid.' How should the nurse respond?
Correct Answer: A
Rationale: Stool from an ascending colostomy remains liquid because there is little large bowel to reabsorb liquid. This is expected and not abnormal, and neither fiber nor time will change this.
Question 5 of 5
A nurse cares for a middle-aged male client who has irritable bowel syndrome (IBS). The client states, 'I have changed my diet and take bulk-forming laxatives, but my symptoms have not gotten better. I heard about a drug called Amitiza. Do you think it might help?' How should the nurse respond?
Correct Answer: B
Rationale: Lubiprostone (Amitiza) is approved only for women with IBS with constipation. Trials with male participants are needed for FDA approval in men.