Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 46, Caring for Clients With Disorders of the Lower
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client realizes that regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions this client against the prolonged use of laxatives for which reason? | |
| A) | The client may develop inflammatory bowel disease. | |
| B) | The client may develop arthritis or arthralgia. | |
| C) | The client’s natural bowel function may become sluggish. | |
| D) | The client may lose his appetite. | |
| Ans: | C | |
| Feedback: | ||
| It is essential for the nurse to caution the client against the prolonged use of laxatives because it decreases muscle tone in the large intestine. Prolonged use of laxatives may cause the client’s natural bowel function to become sluggish. Laxatives do not increase the risk of developing inflammatory bowel disease, arthritis, or arthralgia, nor do they cause a loss in appetite. | ||
| 2. | The nurse would instruct a client who has an appendectomy to avoid which of the following? | |
| A) | Heavy lifting | |
| B) | Harsh sunlight | |
| C) | Dairy products | |
| D) | Purine-rich foods | |
| Ans: | A | |
| Feedback: | ||
| It is essential for clients who have undergone appendectomy to avoid heavy lifting or unusual exertion for several months to minimize the risk of postoperative complications. However, the client need not avoid sunlight because there is no risk of photosensitivity. It is not essential for the client to avoid dairy products or purine-rich foods because these food products have no implications on the client’s recovery. | ||
| 3. | After assessing a client with peritonitis, the nurse likely would document the client’s bowel sounds as? | |
| A) | Mild | |
| B) | High-pitched | |
| C) | Hyperactive | |
| D) | Absent | |
| Ans: | D | |
| Feedback: | ||
| Because lack of bowel motility typically accompanies peritonitis, bowel sounds are absent. Therefore, the nurse will not observe mild, high-pitched, or hyperactive bowel sounds. | ||
| 4. | In addition to teaching a client with constipation to increase dietary fiber intake to 25 g/day, which of the following would the nurse include as important? | |
| A) | Avoiding bran cereals and beans in the diet | |
| B) | Adding fiber-rich foods to the diet gradually | |
| C) | Limiting fluid intake to 5 to 6 glasses per day | |
| D) | Minimizing activity levels for at least 2 months | |
| Ans: | B | |
| Feedback: | ||
| The nurse instructs the client to add fiber-rich foods to the diet gradually to avoid bloating, gas, and diarrhea. It is essential for a client to include bran cereals and beans in the diet because they ease defecation. The nurse also instructs the client to increase fluids to 6 to 8 glasses per day to prevent hard, dry stools. The client should also develop a regular exercise program to increase peristalsis and promote bowel elimination. | ||
| 5. | A client with a hernia decides to manage the herniation with a truss. The nurse would emphasize which of the following? | |
| A) | Using laxatives to ensure regular bowel movement | |
| B) | Wearing warm, woolen clothes to avoid dryness | |
| C) | Applying a sunscreen to prevent exposure to direct sunlight | |
| D) | Using cornstarch to absorb moisture in the area | |
| Ans: | D | |
| Feedback: | ||
| When a client is managing herniation with a truss, the nurse informs the client to keep the skin clean and dry or to use cornstarch to absorb moisture. This minimizes the risk for infection. Use of warm, woolen clothes will not help reduce moisture; it may increase the moisture and increase the risk of infections. If the client’s bowel movements are regular, laxatives would not be necessary. However, the client would need teaching to prevent constipation. Applying sunscreen is a general recommendation for any client to reduce the risk of exposure to ultraviolet radiation from the sun. | ||
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