N105: Essentials of Nursing Care - Health Differences

Essentials of Nursing Study Guide

©2017 Achieve Test Prep Page 61 of 160 29. A client who was recently diagnosed with anemia and rheumatoid arthritis reports to the nurse that she has noticed that her stool is black, and she is concerned because there is a history of colon cancer in her family. Which of the following assessment questions is most likely to provide information regarding this client’s bowel problem? a. “What medications are you currently on?” b. “When did you have your last colonoscopy?” c. “Does the arthritis severely impair yourmobility?” d. “Would you like to have the stool tested for occult blood?” 30. Which of the following statements made by a nurse discussing the effect of an antibiotic on the gastrointestinal system reflects the best understanding of the possible occurrence of diarrhea? a. “The GI tract naturally rids itself of bacterial toxins by increasing peristalsis, and that causes diarrhea.” b. “The antibiotic is responsible for killing off the GI tract’s normal bacterial, and diarrhea is the result.” c. “For some, antibiotics irritate the mucous lining of the intestines, causing decreased absorption and diarrhea.” d. “When you are taking an antibiotic, your body is fighting off an infection, and peristalsis is faster and so diarrhea occurs.” 31. A client is reporting that the oral medication she was prescribed for her hypothyroidism does not seem to be helping. The client goes on to report that she has been experiencing tension- related headaches and constipation. She has been self-medicating with nonsteroidal anti- inflammatory drugs (NSAIDs) and bulk laxatives. Which of the following assessment questions is most likely to provide information regarding this client’s concern regarding her thyroidproblem? a. “How long have you taken Synthroid?” b. “What other medications are you currentlyon?” c. “How long have you been taking a bulk laxative?” d. “Have you developed any other gastrointestinal symptoms?” 32. The nurse is assessing a cognitively impaired older adult client and observes a leaking of liquid stool from the rectum. The nurse’s initial intervention for this client is to: a. Determine if the client has been eating sufficiently, especiallyfiber rich b. Determine how long it has been since the client had a normal-size, formed stool c. Perform a digital examination of the rectum to determine the presence of stool d. Call the health care provider to get a prescription for an antidiarrheal medication