NUR 114 Test 4 Compilation | 103 Verified Questions
And Answers | Latest Study Updates
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding. Which
menu selection indicates that the client correctly understands the dietary teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk ANS B
After teaching a client who has a femoral hernia, the nurse assesses the client's understanding. Which
statement indicates the client needs additional teaching related to the proper use of a truss?
a. "I will put on the truss before I go to bed each night."
b. "I'll put some powder under the truss to avoid skin irritation."
c. "The truss will help my hernia because I can't have surgery."
d. "If I have abdominal pain, I'll let my health care provider know right away." ANS A
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done the day before. The nurse
notes that the client has lower abdominal distention accompanied by dullness to percussion over the distended
area. Which action should the nurse take?
a. Assess the client's heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus.
d. Auscultate all quadrants of the client's abdomen. ANS B
A nurse assesses clients at a community health center. Which client is at highest risk for the development of
colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
,c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently ANS D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the presence
of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity. ANS C
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My doctor told me that
the fecal occult blood test was negative for colon cancer. I don't think I need the colonoscopy and would like to
cancel it." How should the nurse respond?
a. "Your doctor should not have given you that information prior to the colonoscopy."
b. "The colonoscopy is required due to the high percentage of false negatives with the blood test."
c. "A negative fecal occult blood test does not rule out the possibility of colon cancer."
d. "I will contact your doctor so that you can discuss your concerns about the procedure ANS C
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?
a. Measure the client's abdominal girth.
b. Assess for abdominal guarding or rigidity.
c. Check the client's hemoglobin and hematocrit.
d. Obtain the client's complete health history. ANS B
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?
a. Administer intravenous opioid medications.
, b. Position the client with knees to chest.
c. Insert a nasogastric tube for decompression.
d. Assess the client's bowel sounds. ANS D
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?
a. White blood cell (WBC) count of 1500/mm3
b. Fatigue
c. Nausea and diarrhea
d. Mucositis and oral ulcers ANS A
A nurse teaches a client who is recovering from a colon resection. Which statement should the nurse include in
this client's plan of care?
a. "You may experience nausea and vomiting for the first few weeks."
b. "Carbonated beverages can help decrease acid reflux from anastomosis sites."
c. "Take a stool softener to promote softer stools for ease of defecation."
d. "You may return to your normal workout schedule, including weight lifting." ANS C
A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation should the nurse teach
this client?
a. "Eat low-fiber and low-residual foods."
b. "White rice and bread are easier to digest."
c. "Add vegetables such as broccoli and cauliflower to your new diet."
d. "Foods high in animal fat help to protect the intestinal mucosa." ANS C
A nurse cares for a client who has a family history of colon cancer. The client states, "My father and my
brother had colon cancer. What is the chance that I will get cancer?" How should the nurse respond?
a. "If you eat a low-fat and low-fiber diet, your chances decrease significantly."
And Answers | Latest Study Updates
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding. Which
menu selection indicates that the client correctly understands the dietary teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk ANS B
After teaching a client who has a femoral hernia, the nurse assesses the client's understanding. Which
statement indicates the client needs additional teaching related to the proper use of a truss?
a. "I will put on the truss before I go to bed each night."
b. "I'll put some powder under the truss to avoid skin irritation."
c. "The truss will help my hernia because I can't have surgery."
d. "If I have abdominal pain, I'll let my health care provider know right away." ANS A
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done the day before. The nurse
notes that the client has lower abdominal distention accompanied by dullness to percussion over the distended
area. Which action should the nurse take?
a. Assess the client's heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus.
d. Auscultate all quadrants of the client's abdomen. ANS B
A nurse assesses clients at a community health center. Which client is at highest risk for the development of
colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
,c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently ANS D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the presence
of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity. ANS C
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My doctor told me that
the fecal occult blood test was negative for colon cancer. I don't think I need the colonoscopy and would like to
cancel it." How should the nurse respond?
a. "Your doctor should not have given you that information prior to the colonoscopy."
b. "The colonoscopy is required due to the high percentage of false negatives with the blood test."
c. "A negative fecal occult blood test does not rule out the possibility of colon cancer."
d. "I will contact your doctor so that you can discuss your concerns about the procedure ANS C
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?
a. Measure the client's abdominal girth.
b. Assess for abdominal guarding or rigidity.
c. Check the client's hemoglobin and hematocrit.
d. Obtain the client's complete health history. ANS B
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?
a. Administer intravenous opioid medications.
, b. Position the client with knees to chest.
c. Insert a nasogastric tube for decompression.
d. Assess the client's bowel sounds. ANS D
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?
a. White blood cell (WBC) count of 1500/mm3
b. Fatigue
c. Nausea and diarrhea
d. Mucositis and oral ulcers ANS A
A nurse teaches a client who is recovering from a colon resection. Which statement should the nurse include in
this client's plan of care?
a. "You may experience nausea and vomiting for the first few weeks."
b. "Carbonated beverages can help decrease acid reflux from anastomosis sites."
c. "Take a stool softener to promote softer stools for ease of defecation."
d. "You may return to your normal workout schedule, including weight lifting." ANS C
A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation should the nurse teach
this client?
a. "Eat low-fiber and low-residual foods."
b. "White rice and bread are easier to digest."
c. "Add vegetables such as broccoli and cauliflower to your new diet."
d. "Foods high in animal fat help to protect the intestinal mucosa." ANS C
A nurse cares for a client who has a family history of colon cancer. The client states, "My father and my
brother had colon cancer. What is the chance that I will get cancer?" How should the nurse respond?
a. "If you eat a low-fat and low-fiber diet, your chances decrease significantly."
