A Middle-Aged Male Client Has Irritable Bowel Syndrome That Has

Question 25

Multiple Choice

A middle-aged male client has irritable bowel syndrome that has not responded well to diet changes and bulk-forming laxatives.He asks the nurse about the new drug lubiprostone (Amitiza).What information does the nurse provide him? A) "This drug is investigational right now for irritable bowel syndrome." B) "Unfortunately, this drug is approved only for use in women." C) "Lubiprostone works well only in a small fraction of irritable bowel cases." D) "Let's talk to your health care provider about getting you a trial prescription."

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Q 26

The nurse is caring for a client who has undergone removal of a benign colonic polyp.The client asks the nurse why a follow-up colonoscopy is necessary.Which is the nurse's best response? A) "You are at risk for developing more polyps in the future." B) "You may have other cancerous lesions that could not be seen right now." C) "The doctor can remove only a few of the polyps during each colonoscopy." D) "This test will ensure that you have healed where the polyp was removed."

Q 27

The nurse is helping a student prepare to insert a nasogastric tube for an adult client with a bowel obstruction.Which actions by the student indicate to the nurse that a review of the procedure is needed? A) Gathering supplies, including an 8 Fr Levin tube, sterile gloves, tape, and water-soluble lubricant B) Performing hand hygiene and positioning the client in high Fowler's position, with pillows behind the head and shoulders C) Attaching a 60-mL irrigation syringe to the end of the nasogastric tube before inserting it into the nose D) Instructing the client to extend the neck against the pillow once the nasogastric tube has reached the oropharynx E) Checking for correct placement by checking the pH of the fluid aspirated from the tube F) Securing the nasogastric tube by taping it to the client's nose and pinning the end to the pillowcase G) Connecting the nasogastric tube to intermittent medium suction with an anti-reflux valve on the air vent

Q 28

The nurse is providing discharge teaching for a client who has undergone colon resection surgery with a colostomy.Which statements by the client indicate that the instruction was understood? A) "I will 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 will start bicycling and swimming again once my incision has healed." D) "I will notify the doctor right away if any bleeding from the stoma occurs." E) "I will check the stoma regularly to make sure that it stays a deep red color." F) "I will avoid dairy products to reduce gas and odor in the pouch." G) "I will cut the flange so it fits snugly around the stoma to avoid skin breakdown."