MED SURG CH 29 & 30 EXAM QUESTIONS
WITH COMPLETE ANSWERS
The nurse explains that a hernioplasty is a surgery that involves which
process? - ANSWER sewing synthetic mesh over the abdominal wall
defect to reduce the hernia
The nurse is educating a patient with diverticulitis. Which statement
indicates that the nurse's teaching about the importance of seeking
treatment has been successful? - ANSWER "If left untreated, the inflamed
bowel can perforate and cause peritonitis."
The nurse is educating a patient with inflammatory bowel disease (IBD)
about
recommended nutritional choices. Which statement indicates that the
nurse's teaching has been successful? - ANSWER "I should try to eat
foods like white rice and lean poultry."
The nurse is caring for a patient with a 4-day-old ileostomy. The patient
complains of cramping, the nurse notes a drop in the effluent for the
ileostomy, and the bowel sounds are rapid with a "tinkling" sound. What
action should the nurse take? - ANSWER notify the charge nurse
immediately
A 36-year-old woman who had an ascending colostomy angrily declares, "I
don't want this hateful thing on my body! This nasty thing is not me." Which
response is most appropriate for the nurse to make? - ANSWER "What
about this colostomy concerns you the most?"
, The nurse is caring for an older adult patient diagnosed with diverticulitis.
Which medication is the best choice to manage the patient's pain? -
ANSWER Morphine
The nurse is educating a group of patients about high-fiber dietary
selections. Which patient menu selection indicates that the nurse's
teaching has been successful? - ANSWER turkey sandwich on whole
wheat toast, pears, and tea
The nurse is caring for a patient who has been diagnosed with Crohn
disease. When providing education concerning dietary recommendations,
which statement indicates that the nurse's teaching has been successful? -
ANSWER "Reducing dietary fat and fiber will be helpful in managing my
condition."
The nurse is caring for a patient 1-day postoperative after a transverse
colostomy. When assessing the stoma, which finding requires the nurse's
immediate action? - ANSWER a purplish-red stoma
The nurse explains to the patient receiving bevacizumab (Avastin) for a
tumor in the colon that the drug slows cancer cell growth by which
process? - ANSWER Reducing blood flow to the tumor
The mechanical bowel obstruction caused when the bowel twists on itself is
known as _________. - ANSWER volvulus
The nurse caring for the patient who is immediately postoperative with a
new
ileostomy. Which intervention is most important for the nurse to implement
at this time? - ANSWER provide emotional support
The nurse explains which advantage benefits patients with a Kock pouch
ileostomy? - ANSWER the patient does not have to wear a collection
device
Which foods or beverages may trigger an attack of irritable bowel
syndromes (IBS)? (select all that apply.) - ANSWER coffee
yogurt
orange juice
WITH COMPLETE ANSWERS
The nurse explains that a hernioplasty is a surgery that involves which
process? - ANSWER sewing synthetic mesh over the abdominal wall
defect to reduce the hernia
The nurse is educating a patient with diverticulitis. Which statement
indicates that the nurse's teaching about the importance of seeking
treatment has been successful? - ANSWER "If left untreated, the inflamed
bowel can perforate and cause peritonitis."
The nurse is educating a patient with inflammatory bowel disease (IBD)
about
recommended nutritional choices. Which statement indicates that the
nurse's teaching has been successful? - ANSWER "I should try to eat
foods like white rice and lean poultry."
The nurse is caring for a patient with a 4-day-old ileostomy. The patient
complains of cramping, the nurse notes a drop in the effluent for the
ileostomy, and the bowel sounds are rapid with a "tinkling" sound. What
action should the nurse take? - ANSWER notify the charge nurse
immediately
A 36-year-old woman who had an ascending colostomy angrily declares, "I
don't want this hateful thing on my body! This nasty thing is not me." Which
response is most appropriate for the nurse to make? - ANSWER "What
about this colostomy concerns you the most?"
, The nurse is caring for an older adult patient diagnosed with diverticulitis.
Which medication is the best choice to manage the patient's pain? -
ANSWER Morphine
The nurse is educating a group of patients about high-fiber dietary
selections. Which patient menu selection indicates that the nurse's
teaching has been successful? - ANSWER turkey sandwich on whole
wheat toast, pears, and tea
The nurse is caring for a patient who has been diagnosed with Crohn
disease. When providing education concerning dietary recommendations,
which statement indicates that the nurse's teaching has been successful? -
ANSWER "Reducing dietary fat and fiber will be helpful in managing my
condition."
The nurse is caring for a patient 1-day postoperative after a transverse
colostomy. When assessing the stoma, which finding requires the nurse's
immediate action? - ANSWER a purplish-red stoma
The nurse explains to the patient receiving bevacizumab (Avastin) for a
tumor in the colon that the drug slows cancer cell growth by which
process? - ANSWER Reducing blood flow to the tumor
The mechanical bowel obstruction caused when the bowel twists on itself is
known as _________. - ANSWER volvulus
The nurse caring for the patient who is immediately postoperative with a
new
ileostomy. Which intervention is most important for the nurse to implement
at this time? - ANSWER provide emotional support
The nurse explains which advantage benefits patients with a Kock pouch
ileostomy? - ANSWER the patient does not have to wear a collection
device
Which foods or beverages may trigger an attack of irritable bowel
syndromes (IBS)? (select all that apply.) - ANSWER coffee
yogurt
orange juice
