ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 57 : Care of Patients with Inflammatory Intestinal Disorders Questions
Question 1 of 5
A nurse cares for a client with ulcerative colitis. The client states, 'I feel like I am tied to the toilet. This disease is controlling my life.' How should the nurse respond?
Correct Answer: A
Rationale: Identifying stress factors that exacerbate ulcerative colitis symptoms empowers the client to manage their condition. Medications reduce but do not eliminate diarrhea, fasting is not practical, and suggesting a therapist without discussion dismisses the client's concerns.
Question 2 of 5
A nurse teaches a client how to avoid becoming ill with Salmonella infection again. Which statements should the nurse include in this client's teaching? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale:
To prevent Salmonella infection, clients should cook foods thoroughly, wash hands before and after bathroom use, avoid raw or undercooked eggs and meats, and refrigerate leftovers promptly to inhibit bacterial growth. Hot water is not specifically required; soap and water are sufficient.
Question 3 of 5
After teaching a client with an anal fissure, a nurse assesses the client's understanding. Which client actions indicate that the client correctly understands the teaching? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Warm sitz baths, bulk-producing agents (e.g., psyllium), and anti-inflammatory suppositories help manage anal fissures by reducing irritation, promoting soft stools, and decreasing inflammation. Daily enemas and morning laxatives are not recommended, as they may cause dependency or irritation.
Question 4 of 5
A nurse assesses a client with peritonitis. Which clinical manifestations should the nurse expect to find? (Select all that apply.)
Correct Answer: A,B,E,F,G
Rationale: Peritonitis presents with a distended abdomen, diminished bowel sounds, inability to pass flatus or feces, tachycardia, and decreased urine output due to inflammation and dehydration. Bradycardia and hyperactive bowel sounds are not associated with peritonitis.
Question 5 of 5
A nurse assesses a client with ulcerative colitis. Which complications are paired correctly with their physiologic processes? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Lower GI bleeding results from bowel wall erosion, abscesses form in ulcerated bowel lining, and non-mechanical bowel obstruction occurs due to colon paralysis from colorectal cancer.
Toxic megacolon involves colon dilation, not pyuria/fecaluria, and fistulas result from transmural inflammation, not paralysis.