A nurse cares for a middle-aged male client who has irritable bowel syndrome (IBS). The client states, I have changed my diet and take bulk-forming laxatives, but my symptoms have not gotten better. I heard about a drug called Amitiza.
Do you think it might help? How should the nurse respond?
a.
This drug is still in the research phase and is not available for public use yet.
b.
Unfortunately, lubiprostone is approved only for use in women.
c.
Lubiprostone works well. I will recommend this prescription to your provider.
d.
This drug should not be used with bulk-forming laxatives.
Question 2A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, The stool in my pouch is still liquid. How should the nurse respond?
a. The stool will always be liquid with this type of colostomy.
b. Eating additional fiber will bulk up your stool and decrease diarrhea.
c. Your stool will become firmer over the next couple of weeks.
d. This is abnormal. I will contact your health care provider.
Question 3A nurse assesses a client who is prescribed 5-fluorouracil (5-FU) chemotherapy intravenously for the treatment of colon cancer. Which assessment finding should alert the nurse to contact the health care provider?
a. White blood cell (WBC) count of 1500/mm3
b. Fatigue
c. Nausea and diarrhea
d. Mucositis and oral ulcers
Question 4A nurse assesses a client with a mechanical bowel obstruction who reports intermittent abdominal pain. An hour later the client reports constant abdominal pain. Which action should the nurse take next?
a. Administer intravenous opioid medications.
b. Position the client with knees to chest.
c. Insert a nasogastric tube for decompression.
d. Assess the client's bowel sounds.
Question 5An emergency room nurse cares for a client who has been shot in the abdomen and is hemorrhaging heavily. Which action should the nurse take first?
a. Send a blood sample for a type and crossmatch.
b. Insert a large intravenous line for fluid resuscitation.
c. Obtain the heart rate and blood pressure.
d. Assess and maintain a patent airway.
Question 6A nurse cares for a client who is recovering from a hemorrhoidectomy. The client states, I need to have a bowel movement. Which action should the nurse take?
a. Obtain a bedside commode for the client to use.
b. Stay with the client while providing privacy.
c. Make sure the call light is in reach to signal completion.
d. Gather supplies to collect a stool sample for the laboratory.
Question 7A nurse cares for a client who states, My husband is repulsed by my colostomy and refuses to be intimate with me. How should the nurse respond?
a. Let's talk to the ostomy nurse to help you and your husband work through this.
b. You could try to wear longer lingerie that will better hide the ostomy appliance.
c. You should empty the pouch first so it will be less noticeable for your husband.
d. If you are not careful, you can hurt the stoma if you engage in sexual activity.
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