NURS 122 Exam 2 (LCCC) UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Ostomy Assessment - CORRECT ANSWER - the stoma site (eg, perfusion, proximity to
the skin), gastrointestinal function (eg, bowel sounds, flatus, stool), and self-care and body
image. Appliances must be properly fitted to prevent skin breakdown (eg, excoriation).
Ostomy nursing care - CORRECT ANSWER - Monitor for infection, assess peristomal
skin for signs of inflammation, provide stoma care, dress with clear protective dressing
Ostomy patient education - CORRECT ANSWER - • Physiology of ostomy & care
• Good hygiene
• How to control odor and gas
• Ileostomy patients hould not take time-release capsules & enteric-coated tablets, because they
will not be absorbed before they are expelled
• Adequate intake of fluids is important for all ostomy patients
Patient education for colonoscopy - CORRECT ANSWER - Prior to:
•Clear liquid diet (24-48 h before test)
• 2-day bowel preparation—strong cathartic and Dulcolax on day 1 and enema the day of the
test, or
• 1-day bowel preparation—ingestion of a gallon of bowel cleanser, such as GoLytely, in a short
period of time
After:
• Patient may experience flatulence or gas pains because air was used to distend the intestines for
better visibility.
• Usual diet may be resumed once patient recovers from the sedation.
• Check vital signs according to agency protocol.
, • Observe for signs of bowel perforation: rectal bleeding, abdominal pain and distention, fever,
malaise.
risk factors for IBS - CORRECT ANSWER - Being female
stress
eating large fatty meals
caffeine
alcohol
treatments for IBS - CORRECT ANSWER - psychotherapy, biofeedback, relaxation
techniques, medications, specialized diet
Complications of Crohn's - CORRECT ANSWER - peritonitis, bleeding due to
deterioration of the bowel, fluid and electrolyte imbalance, abscess and fistula formation, toxic
megacolon
Crohn's treatment - CORRECT ANSWER - laparoscopic stricturoplasty, surgical repair of
fistulas
Patient education for Crohn's - CORRECT ANSWER - seek help at signs of bowel
obstruction or perforation, avoid alcohol and caffeine, weigh yourself 1-2 times weekly.
Crohn's Diet - CORRECT ANSWER - limit dairy, low-fat foods, limit fiber, eat small-
frequent meals, increase fluids, nutritional supplements
Complications of ulcerative colitis - CORRECT ANSWER - peritonitis, bleeding due to
deterioration of the bowel, fluid and electrolyte imbalance, abscess and fistula formation, toxic
megacolon.
Treatments for Ulcerative Colitis - CORRECT ANSWER - colectomy with or without
ileostomy
ACTUAL Exam Questions and CORRECT
Answers
Ostomy Assessment - CORRECT ANSWER - the stoma site (eg, perfusion, proximity to
the skin), gastrointestinal function (eg, bowel sounds, flatus, stool), and self-care and body
image. Appliances must be properly fitted to prevent skin breakdown (eg, excoriation).
Ostomy nursing care - CORRECT ANSWER - Monitor for infection, assess peristomal
skin for signs of inflammation, provide stoma care, dress with clear protective dressing
Ostomy patient education - CORRECT ANSWER - • Physiology of ostomy & care
• Good hygiene
• How to control odor and gas
• Ileostomy patients hould not take time-release capsules & enteric-coated tablets, because they
will not be absorbed before they are expelled
• Adequate intake of fluids is important for all ostomy patients
Patient education for colonoscopy - CORRECT ANSWER - Prior to:
•Clear liquid diet (24-48 h before test)
• 2-day bowel preparation—strong cathartic and Dulcolax on day 1 and enema the day of the
test, or
• 1-day bowel preparation—ingestion of a gallon of bowel cleanser, such as GoLytely, in a short
period of time
After:
• Patient may experience flatulence or gas pains because air was used to distend the intestines for
better visibility.
• Usual diet may be resumed once patient recovers from the sedation.
• Check vital signs according to agency protocol.
, • Observe for signs of bowel perforation: rectal bleeding, abdominal pain and distention, fever,
malaise.
risk factors for IBS - CORRECT ANSWER - Being female
stress
eating large fatty meals
caffeine
alcohol
treatments for IBS - CORRECT ANSWER - psychotherapy, biofeedback, relaxation
techniques, medications, specialized diet
Complications of Crohn's - CORRECT ANSWER - peritonitis, bleeding due to
deterioration of the bowel, fluid and electrolyte imbalance, abscess and fistula formation, toxic
megacolon
Crohn's treatment - CORRECT ANSWER - laparoscopic stricturoplasty, surgical repair of
fistulas
Patient education for Crohn's - CORRECT ANSWER - seek help at signs of bowel
obstruction or perforation, avoid alcohol and caffeine, weigh yourself 1-2 times weekly.
Crohn's Diet - CORRECT ANSWER - limit dairy, low-fat foods, limit fiber, eat small-
frequent meals, increase fluids, nutritional supplements
Complications of ulcerative colitis - CORRECT ANSWER - peritonitis, bleeding due to
deterioration of the bowel, fluid and electrolyte imbalance, abscess and fistula formation, toxic
megacolon.
Treatments for Ulcerative Colitis - CORRECT ANSWER - colectomy with or without
ileostomy
