Deck 30: Common Disorders of the Large Intestine

Question 1

Which side effect will the nurse observe in a client who is on epinephrine therapy?
1)Gastrocolic reflex
2)Injuries to the gastric epithelium
3)Suppression of the urge to defecate
4)Decreased gastrointestinal secretions

Answer 1

3

Question 2

In a client diagnosed with terminal ileal disease,the primary health care provider prescribed sulfasalazine.Which outcome in the client indicates the effectiveness of the therapy?
1)The client's gastrointestinal wall is normalized.
2)The client's hematocrit percentage is normal.
3)The client is able to absorb bile acids.
4)The client's urinalysis results show normal values.

Answer 2

1

Question 3

The nursing instructor is teaching a group of student nurses about the use of antibiotics in a client diagnosed with appendicitis.Which statement made by the student nurse indicates effective learning?
1)"Antibiotics should be administered before an operation and should be continued until 48 hours after the operation."
2)"Antibiotics should not be administered before diagnosis,as they interfere with the diagnostic signs."
3)"Antibiotics should be administered only after restoring the fluid and electrolyte balance."
4)"Antibiotics should only be used when there is no need for surgical removal of the appendix."

Answer 3

1

Question 4

Upon physical examination,the nurse detects abdominal tenderness,increased bowel sounds accompanied by signs of borborygmi,abdominal distension,and tympany on percussion.Which diagnostic test will confirm Crohn's disease in the client?
1)Colonoscopy
2)Urinalysis
3)Complete blood count
4)Chest X-ray

Question 5

A primary healthcare provider suspects diverticular disease in a client.Which diagnostic test would the primary health care provider order to visualize the lower bowel?
1)Biopsy
2)Chest x-ray
3)Colonoscopy
4)Sigmoidoscopy

Question 6

Which is the largest serous membrane in the body?
1)Peritoneum
2)Submucosal layer
3)Columnar epithelium
4)Circular muscle layer

Question 7

Which diagnostic test will help the nurse to confirm pancreatitis in the client?
1)Urinalysis
2)Serum amylase test
3)Complete blood count
4)Barium contrast studies

Question 8

Which part of the gastrointestinal (GI)tract is involved in the production of protective mucous?
1)Goblet cells
2)Submucosal layer
3)Circular muscle layer
4)Columnar epithelial cells

Question 9

Which disorder is characterized by the presence of cobblestoning upon examining the colon?
1)Volvulus
2)Appendicitis
3)Crohn's disease
4)Ulcerative colitis

Question 10

The nursing instructor teaches a group of student nurses about the diagnosis of irritable bowel syndrome.After the teaching session,the nursing instructor asks the student nurse to determine the presence of lactose intolerance in a client with irritable bowel syndrome.Which intervention by the student nurse indicates effective learning?
1)The student nurse performs a complete blood analysis of the client.
2)The student nurse performs a hydrogen breath test on the client.
3)The student nurse performs an upper endoscopy in the client.
4)The student nurse performs an abdominal computerized tomography scan of the client.

Question 11

The nursing instructor is teaching a group of student nurses about the importance of inserting a nasogastric tube in clients with large bowel obstruction.Which statement made by the student nurse indicates effective learning?
1)"A nasogastric tube relieves pressure caused by bowel obstruction."
2)"A nasogastric tube is primarily used to deliver medications directly to the client's stomach."
3)"A nasogastric tube removes free air present under the client's diaphragm."
4)"A nasogastric tube removes the mechanical obstruction in the large intestine."

Question 12

What is the significance of propulsive movements in the large intestine?
1)Absorption of water
2)Initiation of defecation
3)Absorption of electrolytes
4)Accumulation of bacteria in the feces

Question 13

The nursing instructor taught a group of student nurses about the physical examination of clients with appendicitis.In the practical session,the instructor asks one of the student nurses to assess the signs of rebound tenderness in the client.Which assessment by the student nurse indicates effective learning?
1)The student nurse deeply palpates the client's abdomen and then removes pressure.
2)The student nurse palpates the left lower quadrant of the abdomen.
3)The student nurse asks the client to be in the supine position and actively flex the right thigh at the hip.
4)The student nurse asks the client to rotate his or her flexed right hip both internally and externally.

Question 14

Which diagnostic test should the primary health care provider order to get the most accurate information related to appendicitis?
1)Urinalysis
2)Abdominal X-ray
3)Abdominal ultrasound
4)Computerized tomography scan

Question 15

A female client is admitted to the hospital with a complaint of abdominal pain that originates in the umbilical region and radiates to the right lower quadrant.The primary health care provider has ordered a urinalysis.How will this help the primary health care provider in diagnosing the client's condition?
1)By ruling out the possibility of calcium stones within the appendix
2)By ruling out the possibility of a kidney stone or pyelonephritis
3)By ruling out the possibility of ectopic pregnancy
4)By ruling out the possibility of a gynecological disorder

Question 16

What is a characteristic feature of ulcerative colitis?
1)Presence of pseudopolyps
2)Continuous areas of inflammation in the large intestine
3)Both A and B
4)None of the above

Question 17

In a client diagnosed with terminal ileal disease,the nurse administers cholestyramine.Which outcome in the client indicates the effectiveness of the medication?
1)The urinalysis report shows normal amounts of bile acids.
2)The hematocrit report shows normal red blood cell count.
3)The client no longer experiences abdominal cramps.
4)The client no longer experiences chronic diarrhea.

Question 18

The nursing instructor is teaching a group of student nurses about the treatment plan for Crohn's disease.Which statement made by the student nurse indicates effective learning?
1)"Cholestyramine should be prescribed to clients with ileal disease."
2)"Loperamide should be administered in clients to reduce abdominal cramps."
3)"Propantheline dicyclomine should be used to relieve chronic diarrhea."
4)"Multivitamin supplements are contraindicated since the clients have decreased absorption."

Question 19

In a client diagnosed with large bowel obstruction,an abdominal x-ray is performed,which shows the presence of free air under the diaphragm.After the diagnosis,the nurse initiates prophylactic antibiotic therapy and fluid replacement therapy per the directions of the primary healthcare provider.Which outcome in the client indicates the effectiveness of the therapy?
1)The client has normal levels of serum amylase.
2)The client has a normal count of red blood cells.
3)The client no longer experiences abdominal cramps.
4)The client no longer experiences chronic diarrhea.

Question 20

The nursing students are learning about precautions to be taken while caring for a client with suspected appendicitis.Which statement made by the student nurse indicates effective learning?
1)"The client should not be given IV fluids."
2)"The client should avoid taking ampicillin."
3)"The client should be given a laxative."
4)"The client should avoid taking pain medications."

Question 21

The nursing instructor is discussing the physical assessment findings for hemorrhoids.Which statement made by the student nurse indicates effective learning?
1)"Presence of anal fistulas is observed."
2)"Presence of blood in stools may be observed."
3)"McBurney's point indicates tenderness."
4)"Auscultation of the abdomen indicates high pitched bowel sounds."

Question 22

Which disorder of the large intestine may require laparoscopic surgery to unwind the intestine?
1)Volvulus
2)Appendicitis
3)Hemorrhoids
4)Diverticular disease

Question 23

The primary health care provider asks a client to lie down facing upwards and flex the right thigh at the hip.The client says,"I cannot do this.This position is hurting my abdomen." Which sign of appendicitis would the nurse suspect in this client?
1)Psoas sign
2)Rovsing sign
3)Obturator sign
4)Rebound tenderness

Question 24

Which condition shows an elevated level of white blood cells? Select all that apply.
1)Appendicitis
2)Constipation
3)Diverticular disease
4)Large bowel obstruction
5)Irritable bowel syndrome