Test 6-Davis Advantage Intestinal
Disorders
A client has undergone a hemorrhoidectomy. Under which conditions will the client be discharged?
SATA - ANSWER-The clients BP is 130/80, The rectal area appears swollen
A client has undergone surgery for an inguinal hernia. Which nursing intervention needs further
revision? - ANSWER-Discussing the pain management after surgery
A client is diagnosed with inflammatory bowel disease. While reviewing the clients lab reports, the
PCP finds evidence of gallstones. Which manifestation does the nurse infer? - ANSWER-Cholelithiasis
A client reports ABD pain, fever, and vomiting. The PHP suspects appendicitis. Which diagnosis will
confirm the condition? - ANSWER-CT
A client reports pain in the abdomen and fever. Which other symptoms of the client will help to
diagnose the condition as diverticulitis? SATA - ANSWER-Tachycardia, Blood in stools, elevated WBC
A client underwent a surgical procedure for grade 3 hemorrhoids. The RN is teaching the nursing
student about the interventions that must be followed while caring for a client after surgery. Which
statements made by the nursing student indicate effective understanding? SATA - ANSWER-I will
administer docusate sodium for softening the stool, I will administer an analgesic before the first
bowel movement.
A client who is a mother of two children reports pain and bulging in the abdominal region and is
diagnosed with a hernia. Which type of hernia is most likely present in the client based on the
symptoms and history? - ANSWER-Umbilical hernia.
A client who is depressed is diagnosed with IBS. Which action of the nursing student indicates the
need for further education? - ANSWER-The nurse is judgmental toward the client.
A client who reports pain in the rectal area and blood in stools is diagnosed with hemorrhoids. Which
non-pharmacological therapy is most appropriate to alleviate the symptoms? - ANSWER-Sitz bath
A client with Crohn's disease has had an ileal resection. Which non-invasive monthly treatment is the
client most likely to require? - ANSWER-Vit B12 injections
A client with hemorrhoids is advised to have conservative therapy. Which methods are appropriate
for the client? - ANSWER-Sitz Bath
A nurse is assigned to teach a client with hemorrhoids. Which teachings of the nurse will help to
facilitate fast recovery of the client? SATA - ANSWER-Advise the client to take sitz bath, advise client
to avoid sitting for long periods of time, advise client to take docusate if constipation is experienced.
A nurse is caring for a client who presents to the ED with ABD trauma and requires advanced trauma
life support. Arrange the order in which the nurse should perform the task. - ANSWER-Airway,
Breathing, Circulation, Disability, Exposure
A nurse is discussing post surgery care techniques for a client with a hernia. Which techniques are
appropriate? SATA - ANSWER-Inspect the incision for s/s of infection and report, avoid heavy lifting,
splint the surgical site with pillows while coughing.
A nurse is teaching a client with IBS about a precautionary measure that he or she needs to take in
order to prevent further complications. Which statement made by the client indicates the need for
further teaching? - ANSWER-I should consume 10 grams of fiber each day.
Disorders
A client has undergone a hemorrhoidectomy. Under which conditions will the client be discharged?
SATA - ANSWER-The clients BP is 130/80, The rectal area appears swollen
A client has undergone surgery for an inguinal hernia. Which nursing intervention needs further
revision? - ANSWER-Discussing the pain management after surgery
A client is diagnosed with inflammatory bowel disease. While reviewing the clients lab reports, the
PCP finds evidence of gallstones. Which manifestation does the nurse infer? - ANSWER-Cholelithiasis
A client reports ABD pain, fever, and vomiting. The PHP suspects appendicitis. Which diagnosis will
confirm the condition? - ANSWER-CT
A client reports pain in the abdomen and fever. Which other symptoms of the client will help to
diagnose the condition as diverticulitis? SATA - ANSWER-Tachycardia, Blood in stools, elevated WBC
A client underwent a surgical procedure for grade 3 hemorrhoids. The RN is teaching the nursing
student about the interventions that must be followed while caring for a client after surgery. Which
statements made by the nursing student indicate effective understanding? SATA - ANSWER-I will
administer docusate sodium for softening the stool, I will administer an analgesic before the first
bowel movement.
A client who is a mother of two children reports pain and bulging in the abdominal region and is
diagnosed with a hernia. Which type of hernia is most likely present in the client based on the
symptoms and history? - ANSWER-Umbilical hernia.
A client who is depressed is diagnosed with IBS. Which action of the nursing student indicates the
need for further education? - ANSWER-The nurse is judgmental toward the client.
A client who reports pain in the rectal area and blood in stools is diagnosed with hemorrhoids. Which
non-pharmacological therapy is most appropriate to alleviate the symptoms? - ANSWER-Sitz bath
A client with Crohn's disease has had an ileal resection. Which non-invasive monthly treatment is the
client most likely to require? - ANSWER-Vit B12 injections
A client with hemorrhoids is advised to have conservative therapy. Which methods are appropriate
for the client? - ANSWER-Sitz Bath
A nurse is assigned to teach a client with hemorrhoids. Which teachings of the nurse will help to
facilitate fast recovery of the client? SATA - ANSWER-Advise the client to take sitz bath, advise client
to avoid sitting for long periods of time, advise client to take docusate if constipation is experienced.
A nurse is caring for a client who presents to the ED with ABD trauma and requires advanced trauma
life support. Arrange the order in which the nurse should perform the task. - ANSWER-Airway,
Breathing, Circulation, Disability, Exposure
A nurse is discussing post surgery care techniques for a client with a hernia. Which techniques are
appropriate? SATA - ANSWER-Inspect the incision for s/s of infection and report, avoid heavy lifting,
splint the surgical site with pillows while coughing.
A nurse is teaching a client with IBS about a precautionary measure that he or she needs to take in
order to prevent further complications. Which statement made by the client indicates the need for
further teaching? - ANSWER-I should consume 10 grams of fiber each day.
