A nurse plans care for a client who is recovering from an inguinal hernia repair. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Encouraging ambulation three times a day
b. Encouraging normal urination
c. Encouraging deep breathing and coughing
d. Providing ice bags and scrotal support
e. Forcibly reducing the hernia
Question 2A nurse assesses a client with irritable bowel syndrome (IBS). Which questions should the nurse include in this client's assessment? (Select all that apply.)
a. Which food types cause an exacerbation of symptoms?
b. Where is your pain and what does it feel like?
c. Have you lost a significant amount of weight lately?
d. Are your stools soft, watery, and black in color?
e. Do you experience nausea associated with defecation?
Question 3After teaching a client who is recovering from a colon resection, the nurse assesses the client's understanding. Which statements by the client indicate a correct understanding of the teaching? (Select all that apply.)
a. I must change the ostomy appliance daily and as needed.
b. I will use warm water and a soft washcloth to clean around the stoma.
c. I might start bicycling and swimming again once my incision has healed.
d. Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown.
e. I will check the stoma regularly to make sure that it stays a deep red color.
f.
I must avoid dairy products to reduce gas and odor in the pouch.
Question 4A nurse inserts a nasogastric (NG) tube for an adult client who has a bowel obstruction. Which actions does the nurse perform correctly? (Select all that apply.)
a. Performs hand hygiene and positions the client in high-Fowler's position, with pillows behind the head and shoulders
b. Instructs the client to extend the neck against the pillow once the NG tube has reached the oropharynx
c. Checks for correct placement by checking the pH of the fluid aspirated from the tube
d. Secures the NG tube by taping it to the client's nose and pinning the end to the pillowcase
e. Connects the NG tube to intermittent medium suction with an anti-reflux valve on the air vent
Question 5A nurse cares for a client who has a family history of colon cancer. The client states, My father and my brother had colon cancer. What is the chance that I will get cancer? How should the nurse respond?
a. If you eat a low-fat and low-fiber diet, your chances decrease significantly.
b. You are safe. This is an autosomal dominant disorder that skips generations.
c. Preemptive surgery and chemotherapy will remove cancer cells and prevent cancer.
d. You should have a colonoscopy more frequently to identify abnormal polyps early.
Question 6A nurse cares for a client who has a new colostomy. Which action should the nurse take?
a. Empty the pouch frequently to remove excess gas collection.
b. Change the ostomy pouch and wafer every morning.
c. Allow the pouch to completely fill with stool prior to emptying it.
d. Use surgical tape to secure the pouch and prevent leakage.
Question 7A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation should the nurse teach this client?
a. Eat low-fiber and low-residual foods.
b. White rice and bread are easier to digest.
c. Add vegetables such as broccoli and cauliflower to your new diet.
d. Foods high in animal fat help to protect the intestinal mucosa.
Question 8A nurse teaches a client who is recovering from a colon resection. Which statement should the nurse include in this client's plan of care?
a. You may experience nausea and vomiting for the first few weeks.
b. Carbonated beverages can help decrease acid reflux from anastomosis sites.
c. Take a stool softener to promote softer stools for ease of defecation.
d. You may return to your normal workout schedule, including weight lifting.
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