ADULT HEALTH FINAL EXAM QUESTIONS WITH
RIGHT ANSWERS.
3. A 64-year-old woman who has chronic constipation asks the nurse about the use of psyllium
(Metamucil). Which information will the nurse include in the response?
a.
Absorption of fat-soluble vitamins may be reduced by fiber-containing laxatives.
b.
Dietary sources of fiber should be eliminated to prevent excessive gas formation.
c.
Use of this type of laxative to prevent constipation does not cause adverse effects.
d.
Large amounts of fluid should be taken to prevent impaction or bowel obstruction. ANS -D
A patient complains of gas pains and abdominal distention two days after a small bowel resection.
Which nursing action is best to take?
a.
Encourage the patient to ambulate.
b.
Instill a mineral oil retention enema.
c.
Administer the ordered IV morphine sulfate.
d.
Offer the ordered promethazine (Phenergan) suppository. ANS -a
A 58-year-old man with blunt abdominal trauma from a motor vehicle crash undergoes peritoneal
lavage. If the lavage returns brown fecal drainage, which action will the nurse plan to take next?
a.
Auscultate the bowel sounds.
b.
,Prepare the patient for surgery.
c.
Check the patient's oral temperature.
d.
Obtain information about the accident. ANS -B
perforation sign
A 27-year-old female patient is admitted to the hospital for evaluation of right lower quadrant
abdominal pain with nausea and vomiting. Which action should the nurse take?
a.
Encourage the patient to sip clear liquids.
b.
Assess the abdomen for rebound tenderness.
c.
Assist the patient to cough and deep breathe.
d.
Apply an ice pack to the right lower quadrant. ANS -D
decrease inflammation of appendicitis
Which nursing action will be included in the plan of care for a 27-year-old male patient with bowel
irregularity and a new diagnosis of irritable bowel syndrome (IBS)?
a.
Encourage the patient to express concerns and ask questions about IBS.
b.
Suggest that the patient increase the intake of milk and other dairy products.
c.
Educate the patient about the use of alosetron (Lotronex) to reduce symptoms.
, d.
Teach the patient to avoid using nonsteroidal antiinflammatory drugs (NSAIDs). ANS -A
A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain
and passing 15 or more bloody stools a day. The nurse will plan to
a.
administer IV metoclopramide (Reglan).
b.
discontinue the patient's oral food intake.
c.
administer cobalamin (vitamin B12) injections.
d.
teach the patient about total colectomy surgery. ANS -B
Which nursing action will the nurse include in the plan of care for a 35-year-old male patient admitted
with an exacerbation of inflammatory bowel disease (IBD)?
a.
Restrict oral fluid intake.
b.
Monitor stools for blood.
c.
Ambulate four times daily.
d.
Increase dietary fiber intake. ANS -B
A 22-year-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and
has excoriated perianal skin. Which patient behavior indicates that teaching regarding maintenance of
skin integrity has been effective?
a.
The patient uses incontinence briefs to contain loose stools.
RIGHT ANSWERS.
3. A 64-year-old woman who has chronic constipation asks the nurse about the use of psyllium
(Metamucil). Which information will the nurse include in the response?
a.
Absorption of fat-soluble vitamins may be reduced by fiber-containing laxatives.
b.
Dietary sources of fiber should be eliminated to prevent excessive gas formation.
c.
Use of this type of laxative to prevent constipation does not cause adverse effects.
d.
Large amounts of fluid should be taken to prevent impaction or bowel obstruction. ANS -D
A patient complains of gas pains and abdominal distention two days after a small bowel resection.
Which nursing action is best to take?
a.
Encourage the patient to ambulate.
b.
Instill a mineral oil retention enema.
c.
Administer the ordered IV morphine sulfate.
d.
Offer the ordered promethazine (Phenergan) suppository. ANS -a
A 58-year-old man with blunt abdominal trauma from a motor vehicle crash undergoes peritoneal
lavage. If the lavage returns brown fecal drainage, which action will the nurse plan to take next?
a.
Auscultate the bowel sounds.
b.
,Prepare the patient for surgery.
c.
Check the patient's oral temperature.
d.
Obtain information about the accident. ANS -B
perforation sign
A 27-year-old female patient is admitted to the hospital for evaluation of right lower quadrant
abdominal pain with nausea and vomiting. Which action should the nurse take?
a.
Encourage the patient to sip clear liquids.
b.
Assess the abdomen for rebound tenderness.
c.
Assist the patient to cough and deep breathe.
d.
Apply an ice pack to the right lower quadrant. ANS -D
decrease inflammation of appendicitis
Which nursing action will be included in the plan of care for a 27-year-old male patient with bowel
irregularity and a new diagnosis of irritable bowel syndrome (IBS)?
a.
Encourage the patient to express concerns and ask questions about IBS.
b.
Suggest that the patient increase the intake of milk and other dairy products.
c.
Educate the patient about the use of alosetron (Lotronex) to reduce symptoms.
, d.
Teach the patient to avoid using nonsteroidal antiinflammatory drugs (NSAIDs). ANS -A
A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain
and passing 15 or more bloody stools a day. The nurse will plan to
a.
administer IV metoclopramide (Reglan).
b.
discontinue the patient's oral food intake.
c.
administer cobalamin (vitamin B12) injections.
d.
teach the patient about total colectomy surgery. ANS -B
Which nursing action will the nurse include in the plan of care for a 35-year-old male patient admitted
with an exacerbation of inflammatory bowel disease (IBD)?
a.
Restrict oral fluid intake.
b.
Monitor stools for blood.
c.
Ambulate four times daily.
d.
Increase dietary fiber intake. ANS -B
A 22-year-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and
has excoriated perianal skin. Which patient behavior indicates that teaching regarding maintenance of
skin integrity has been effective?
a.
The patient uses incontinence briefs to contain loose stools.
