NUR 257 Final Exam - Questions With Complete
Solutions
A patient is not have daily bowel movements and has begun taking a
laxative for this problem. What should the nurse educate the patient about
regarding laxative use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative
addiction will result.
C. Laxatives should not be routinely taken due to destruction of nerve
endings in the colon.
D. Laxatives should never be the first response for the treatment of
constipation; natural methods should be employed first. Correct Ans -
D. Laxatives should not be routinely taken due to destruction of nerve
endings in the colon.
A client with an infection in the area between the internal and external
sphincters. In which chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome Correct Ans - A. Crohn's Disease
The nurse is caring for a patient who has had an appendectomy. What is the
best position for the nurse to maintain the patient in after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees Correct Ans -
C. High Fowler's
A curse caring for a client with small-bowel obstruction should plan to
implement which nursing interventions first?
A. Administering pain medication
,B. Obtaining a blood sample for laboratory studies
C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids Correct Ans - D. Administering I.V. fluids
A client has been experiencing lower GI difficulties that have increased in
severity, and the gastroenterologist is concerned that the client's bowel is
not functioning properly. What function of the lower GI tract is most likely
to be affected by the client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct Correct Ans - A. water and electrolyte
absorption
The nurse observes the physician palpating the abdomen of a client that is
suspected of having acute appendicitis. When the abdomen is pressed in
the left lower quadrant the client complains of pain on the right side. What
does the nurse understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex Correct Ans - C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A nurse knows to
assess for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant Correct Ans - B. Left lower quadrant
Which type of diarrhea is caused by increased production of water and
electrolytes by the intestinal mucosa and their secretion into the intestinal
lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
, C. Mixed diarrhea
D. Diarrheal disease Correct Ans - B. Secretory diarrhea
Which is the most prominent signs of inflammatory bowel disease?
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea Correct Ans - B. Intermittent
pain and diarrhea
Clients with irritable bowel disease (IBS) are at significantly increased risk
for which condition?
A. Osteoporosis
B. DVT
C. Hypotension
D. Pneumonia Correct Ans - A. Osteoporosis
When planning care for a client with a small-bowel obstruction, the nurse
should consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D. reestablishing a normal bowel pattern Correct Ans - C.
maintaining fluid balance
A client is recently diagnosed with Crohn's disease and is beginning
treatment. What the first-line treatment does the nurse expect that the
client will be placed on to decrease the inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathroprine
D. Sulfasalazine Correct Ans - D. Sulfasalazine
During assessment of a client for a malabsorption disorder, the nurse notes
a history of abdominal pain and weight loss, marked steatorrhea,
Solutions
A patient is not have daily bowel movements and has begun taking a
laxative for this problem. What should the nurse educate the patient about
regarding laxative use?
A. When taking the laxatives, plenty of fluid should be taken as well.
B. The laxatives should be taken no more than 3 times a week or laxative
addiction will result.
C. Laxatives should not be routinely taken due to destruction of nerve
endings in the colon.
D. Laxatives should never be the first response for the treatment of
constipation; natural methods should be employed first. Correct Ans -
D. Laxatives should not be routinely taken due to destruction of nerve
endings in the colon.
A client with an infection in the area between the internal and external
sphincters. In which chronic disease is this condition commonly seen?
A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome Correct Ans - A. Crohn's Disease
The nurse is caring for a patient who has had an appendectomy. What is the
best position for the nurse to maintain the patient in after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees Correct Ans -
C. High Fowler's
A curse caring for a client with small-bowel obstruction should plan to
implement which nursing interventions first?
A. Administering pain medication
,B. Obtaining a blood sample for laboratory studies
C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids Correct Ans - D. Administering I.V. fluids
A client has been experiencing lower GI difficulties that have increased in
severity, and the gastroenterologist is concerned that the client's bowel is
not functioning properly. What function of the lower GI tract is most likely
to be affected by the client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct Correct Ans - A. water and electrolyte
absorption
The nurse observes the physician palpating the abdomen of a client that is
suspected of having acute appendicitis. When the abdomen is pressed in
the left lower quadrant the client complains of pain on the right side. What
does the nurse understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex Correct Ans - C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A nurse knows to
assess for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant Correct Ans - B. Left lower quadrant
Which type of diarrhea is caused by increased production of water and
electrolytes by the intestinal mucosa and their secretion into the intestinal
lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
, C. Mixed diarrhea
D. Diarrheal disease Correct Ans - B. Secretory diarrhea
Which is the most prominent signs of inflammatory bowel disease?
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D. Increased peristalsis and diarrhea Correct Ans - B. Intermittent
pain and diarrhea
Clients with irritable bowel disease (IBS) are at significantly increased risk
for which condition?
A. Osteoporosis
B. DVT
C. Hypotension
D. Pneumonia Correct Ans - A. Osteoporosis
When planning care for a client with a small-bowel obstruction, the nurse
should consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D. reestablishing a normal bowel pattern Correct Ans - C.
maintaining fluid balance
A client is recently diagnosed with Crohn's disease and is beginning
treatment. What the first-line treatment does the nurse expect that the
client will be placed on to decrease the inflammatory response?
A. Ciprofloxacin
B. Methotrexate
C. Azathroprine
D. Sulfasalazine Correct Ans - D. Sulfasalazine
During assessment of a client for a malabsorption disorder, the nurse notes
a history of abdominal pain and weight loss, marked steatorrhea,
