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 states, 'My husband is repulsed by my colostomy and refuses to be intimate with me.' How should the nurse respond?
Correct Answer: A
Rationale: The nurse should collaborate with the client and her husband, possibly involving an ostomy nurse, to address intimacy concerns. The other options either minimize the issue or provide inaccurate information.
Question 2 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 3 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 4 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 5 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.