Exam 4 H&I continuation lower GI
Interventions for pulmonary fibrosis? Select all that apply
Medical management- optimize lung function and prevent infection
Lung transplant
Smoking cessation
Teach deep breathing and coughing
Ambulate/turn every 2 hrs.
Interventions for atelectasis? Select all that apply
Teach deep breathing and coughing
Incentive spirometer 10x/hr while awake
Ambulate/turn every 2 hrs
Smoking cessation
What are some s/s of constipation
Fever, n/v, pain in RLQ
Hard stool, abdominal pain, distention, indigestion
No symptoms present
Weight loss, appetite loss N/V
Diet for constipation?
Low fiber
High fiber, 2-3L of fluids
Low fat, low fiber
NPO
True or False: Opioids can cause constipation?
True
False
Treatment for constipation? Select all that apply
Exercise
Stool softeners
Opioids
NSAID's
Increase fluids
What should a nurse do if a patient with appendicitis expresses that they suddenly do not have pain anymore?
Document it
Call the MD immediately
Check vital signs
Give Pt education and Plan of care
S/S of appendicitis?
Hard stool, abdominal pain, distention, indigestion
No symptoms present
Weight loss, diarrhea, fluid imbalance
Fever, N/V, Anorexia, Pain in RLQ
Nursing interventions/treatment for appendicitis?
NSAIDs, high fiber diet
Low fat, low fiber
High protein diet, surgery
NPO, surgery
An LVN is reviewing the plan of care for a patient with diverticulitis, what indicates a good understanding of the teaching ?
"I should eat foods high in protein"
"I should notify the provider if fever is present"
" I should eat foods high in fiber"
"Notify the provider for any s/s of diverticulosis"
S/S of diverticulosis ?
Pain in the RLQ
Constipation, N/V
Fever, anorexia
No symptoms present
What is something that could happen in diverticulitis if it is left untreated?
Bowel perforation and peritonitis
Bloating and constipation
Blood and mucus per rectum
Crohn's disease
What is diverticulitis?
Multiple diverticula
Inflammation/infection of diverticulum
Outpouching of bowel mucus membranes
Inflammatory bowel disease
What is crohn's disease?
Inflammatory bowel disease affects large intestine and rectum
Outpouching of bowel mucus membranes
Inflammation/infection of diverticulum
Autoimmune inflammatory bowel disease, hereditary, involves any part of the intestine
What diet should a patient follow with crohn's disease?
Low fat, low protein
High fiber, low protein
High protein
Regular diet
S/S of crohn's disease? Select all that apply
Abdominal pain or cramping
5-10 liquid stools daily
Diarrhea
Rectal urgency
Fever
Weight loss
Fluid electrolyte imbalance
What are some nursing interventions/treatment for crohn's disease?
Avoid offending foods
Low protein diet
High fiber diet
Exercise
What are some medications given for crohn's disease?
Antidiarrheals
Corticosteroids
Immunomodulators
Opioids
5-aminosalcylate
NSAIDs
Biological response
What is ulcerative colitis ?
Inflammatory bowel disease affecting the large intestine and rectum
Autoimmune inflammatory bowel disease involves any part of the intestine
Inflammation/infection of diverticulum
Outpouching of bowel mucus membranes
What are some s/s of ulcerative colitis ? Select all that apply
N/V
Abdominal pain
5-10 liquid stools daily
Rectal urgency
Rectal bleeding
Lethargy
Fever
Dehydration
Fluid electrolyte imbalance
What diet should a patient follow with inflammatory bowel disease?
Low fat, low fiber
High fiber, high protein
Low fat, low protein
Low fat, high fiber
The nurse is collecting data on a patient admitted with a history of severe diarrhea. Findings include cool, pale skin, and red tongue with furrows. Vitals signs are blood pressure 102/74 mm Hg, pulse 106 beats per minute, respirations 20 breaths per minute, and temperature 99.9°F (37.7°C). Which action should the nurse take now?
Apply warm blankets
Give acetaminophen (Tylenol) as ordered
Obtain bedside commode.
Report findings to registered nurse.
The nurse is caring for a patient after an appendectomy. Which of the following interventions should the nurse include in the patient’s plan of care to prevent respiratory complications? Select all that apply.
Pain control
Early ambulation
Bedrest
Coughing and deep breathing
Incentive spirometer
The nurse is reinforcing patient teaching. Which of the following foods would the nurse reinforce that the patient with ulcerative colitis is to avoid?
Fresh fruit
White bread
Sweet dessert
Meat
The nurse participated in a patient’s teaching session for care to prevent respiratory complications after a hernia repair. Which statement by the patient would indicate to the nurse that the patient understood the teaching?
�I will cough every hour while awake.”
�I will deep breathe four times daily.”
�I will cough and deep breathe every hour.”
�I will deep breathe every hour while awake.”
The nurse would evaluate the patient as understanding diet teaching for celiac disease if the patient selected which of the following breakfast foods to eat? Select all that apply.
Fresh fruit and oatmeal with milk
Tomato juice and waffles
Hard-boiled egg, bacon, and blueberries
Banana, cream of wheat cereal, and coffee
Scrambled eggs and orange juice
Protein smoothie with carrots and spinach
The nurse is caring for a patient with a small-bowel obstruction who is NPO (nothing by mouth) with an orogastric tube on low intermittent suction. Which of the following ongoing data would be a priority for the nurse to monitor and collect? Select all that apply.
I&O
Pain level
Temperature
Pulse rate
Edema
Firmness of abdomen or distention
The nurse is caring for a patient who has a sudden onset of diarrhea with black tarry stools. Which action should the nurse take?
Obtain vital signs.
Monitor output.
Ask about a history of food allergies.
Place the patient on nothing by mouth status.
Which of these patient’s dietary habits does the nurse understand may increase the risk for development of colon cancer?
Low meat and protein intake
High intake of milk and milk products
High-fat, low-fiber intake
Low-fat, high-carbohydrate intake
The nurse is caring for a 1-day postoperative patient who has a new end colostomy that is a dusky color. Which action is the priority for the nurse to take?
Check the stoma drainage in 1 hour.
Monitor the stoma color in 4 hours.
Place a new ostomy appliance over the stoma.
Report this finding to the health care provider now.
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