The nurse teaches a patient with Crohn disease about surgery to create a continent ileostomy. Which patient statements indicate that teaching has been effective?
Select all that apply.
1. I will need to change my diet.
2. Stool will collect in an internal pouch.
3. Stool will not leak through the stoma.
4. I will use a catheter to drain the stool.
5. I will need to change the bag every day.
Question 2A patient with Crohn disease is instructed to ingest a low-residue diet. Which dietary choices indicate that the patient needs additional information about this eating plan?
Select all that apply.
1. corn flakes
2. poppy seed roll
3. tapioca pudding
4. steamed broccoli
5. whole grain bread
Question 3A patient receiving long-term antibiotic therapy for an infected joint replacement begins to experience diarrhea, abdominal cramps, malaise, fever, and anorexia. What interventions should the nurse prepare to administer to this patient?
Select all that apply.
1. Maintain nothing by mouth status.
2. Prepare to administer metronidazole.
3. Insert a nasogastric tube for feedings.
4. Collect all urine for a 24-hour specimen.
5. Discontinue the currently prescribed antibiotic.
Question 4The nurse is caring for an older patient recovering from a bleeding ulcer. Which manifestations should the nurse use to determine whether the patient is experiencing peritonitis?
Select all that apply.
1. confusion
2. bradycardia
3. restlessness
4. abdominal discomfort
5. decreased urinary output
Question 5After learning that a patient has abdominal pain that occurs at least 3 days per month over the last 3 months, the nurse suspects that a patient is experiencing irritable bowel syndrome. What findings did the nurse use to make this clinical decision?
Select all that apply.
1. abdominal pain that is relieved by eating
2. abdominal pain that improves with defecation
3. abdominal pain that is associated with a change in stool form
4. abdominal pain that is associated with a change in bowel frequency
5. abdominal pain that improves with physical activity and limiting food intake
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