Chapter 43 Nursing Management Lower Gastrointestinal Proble
Chapter 43: Nursing Management: Lower Gastrointestinal Problems
Test Bank
MULTIPLE CHOICE
1. Which action will the nurse include in the plan of care for a 42-year-old patient who is being
admitted with Clostridium difficile?
a. Educate the patient about proper food storage.
b. Order a diet with no dairy products for the patient.
c. Place the patient in a private room on contact isolation.
d. Teach the patient about why antibiotics will not be used.
ANS: C
Because C. difficile is highly contagious, the patient should be placed in a private room and contact precautions should be used. There is no need to restrict dairy products for this type of diarrhea. Metronidazole (Flagyl) is frequently used to treat C. difficile. Improper food handling and storage do not cause C. difficile.
DIF: Cognitive Level: Apply (application)
REF:
964
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
2. A 71-year-old male patient tells the nurse that growing old causes constipation so he has been
using a suppository for constipation every morning. Which action should the nurse take first?
a. Encourage the patient to increase oral fluid intake.
b. Assess the patient about risk factors for constipation.
c. Suggest that the patient increase intake of high-fiber foods.
d. Teach the patient that a daily bowel movement is unnecessary.
ANS: B
The nurse’s initial action should be further assessment of the patient for risk factors for constipation and for his usual bowel pattern. The other actions may be appropriate but will be based on the assessment.
DIF: Cognitive Level: Apply (application)
REF:
968-969
OBJ: Special Questions: Prioritization
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3. A 64-year-old woman who has chronic constipation asks the nurse about the use of psyllium
(Metamucil). Which information will the nurse include in the response?
a. Absorption of fat-soluble vitamins may be reduced by fiber-containing laxatives.
b.
Test Bank
MULTIPLE CHOICE
1. Which action will the nurse include in the plan of care for a 42-year-old patient who is being
admitted with Clostridium difficile?
a. Educate the patient about proper food storage.
b. Order a diet with no dairy products for the patient.
c. Place the patient in a private room on contact isolation.
d. Teach the patient about why antibiotics will not be used.
ANS: C
Because C. difficile is highly contagious, the patient should be placed in a private room and contact precautions should be used. There is no need to restrict dairy products for this type of diarrhea. Metronidazole (Flagyl) is frequently used to treat C. difficile. Improper food handling and storage do not cause C. difficile.
DIF: Cognitive Level: Apply (application)
REF:
964
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
2. A 71-year-old male patient tells the nurse that growing old causes constipation so he has been
using a suppository for constipation every morning. Which action should the nurse take first?
a. Encourage the patient to increase oral fluid intake.
b. Assess the patient about risk factors for constipation.
c. Suggest that the patient increase intake of high-fiber foods.
d. Teach the patient that a daily bowel movement is unnecessary.
ANS: B
The nurse’s initial action should be further assessment of the patient for risk factors for constipation and for his usual bowel pattern. The other actions may be appropriate but will be based on the assessment.
DIF: Cognitive Level: Apply (application)
REF:
968-969
OBJ: Special Questions: Prioritization
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3. A 64-year-old woman who has chronic constipation asks the nurse about the use of psyllium
(Metamucil). Which information will the nurse include in the response?
a. Absorption of fat-soluble vitamins may be reduced by fiber-containing laxatives.
b.