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 with colon cancer who has a new colostomy. The client states, 'I think it would be helpful to talk with someone who has had a similar experience.' How should the nurse respond?
Correct Answer: B
Rationale: The nurse should refer the client to a community-based resource like the United Ostomy Associations of America, where they can connect with others who have similar experiences.
Question 2 of 5
An emergency room nurse assesses a client after a motor vehicle crash and notes ecchymotic areas across the client's lower abdomen. Which action should the nurse take first?
Correct Answer: B
Rationale: Ecchymotic areas may indicate internal bleeding or organ injury. The nurse should first assess for abdominal guarding or rigidity, which could indicate a major organ injury, and then notify the provider.
Question 3 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 4 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 5 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.