Deck 58: Coordinating Care for Patients With Intestinal Disorders

Question 1

The nurse is providing education to a patient,diagnosed with colorectal cancer,who will be treated with chemotherapy.Which drug action should the nurse include in the teaching session for a patient who is prescribed capecitabine?

A) "This drug is cell-cycle specific and interferes with the synthesis of DNA and RNA,causing its death."
B) "This drug is converted in the tissue to 5-FU,which inhibits DNA and RNA synthesis by preventing thymidine production,causing death of rapidly replicating cells."
C) "This drug is a platinum-based antineoplastic agent that binds to DNA and RNA,miscoding information and/or inhibiting DNA replication,causing cell death."
D) "This drug is an antiangiogenesis medication that reduces blood flow to the tumor cells,depriving them of nutrients needed for replication."

Answer 1

"This drug is converted in the tissue to 5-FU,which inhibits DNA and RNA synthesis by preventing thymidine production,causing death of rapidly replicating cells."

Question 2

Which drug prescription should the nurse anticipate for a patient,diagnosed with hemorrhoids,to decrease pain?

A) Zinc oxide
B) Benzocaine
C) Witch hazel
D) Hydrocortisone

Answer 2

Benzocaine

Question 3

A patient has just been told that a colectomy and ileostomy are needed to treat a new diagnosis of colon cancer.Which diagnosis should the nurse use to plan this patient's preoperative nursing care?

A) Knowledge Deficit
B) Risk for Disuse Syndrome
C) Risk for Perioperative-Positioning Injury
D) Anticipatory Grieving

Answer 3

Anticipatory Grieving

Question 4

Which drug prescription should the nurse anticipate for a patient,diagnosed with hemorrhoids,to form a physical barrier on the skin to prevent irritation?

A) Zinc oxide
B) Benzocaine
C) Witch hazel
D) Hydrocortisone

Question 5

The nurse is speaking with a patient who wants information regarding colorectal cancer.Which statement indicates the patient understood the information presented by the nurse?

A) "The risk of colorectal cancer decreases with age."
B) "Colorectal cancer can be detected in early stages by measuring the level of the carcinogenic embryonic antigen (CEA)."
C) "Colorectal cancer occurs more frequently in patients who have a history of ulcerative colitis."
D) "Colorectal cancer has no symptoms in the early stage,and there are no definitive diagnostic tests."

Question 6

The nurse is providing education to a patient who will receive surgical intervention for the treatment of ulcerative colitis.Which patient statement indicates correct understanding of a proctocolectomy with a permanent ileostomy?

A) "My colon and rectum will be removed,and my anus will be closed."
B) "My colon will be removed,and my ileum is sutured to the anal canal."
C) "My colon will be removed while the distal portion of my ileum is used to create a pouch."
D) "My colon and rectal mucosa will be removed and a reservoir created using a portion of my ileum."

Question 7

Which drug prescription should the nurse anticipate for a patient,diagnosed with hemorrhoids,to promote skin dryness to relieve inflammation?

A) Zinc oxide
B) Benzocaine
C) Witch hazel
D) Hydrocortisone

Question 8

The nurse is providing care to a patient who is diagnosed with irritable bowel syndrome (IBS).Which drug prescription should the nurse anticipate to relieve diarrhea?

A) Tegaserod
B) Loperamide
C) Dicyclomine
D) Amitriptyline

Question 9

The nurse is providing care to a patient who is experiencing five to six loose,nonbloody stools each day.Which diagnosis does the nurse anticipate when planning care for this patient?

A) Diverticulitis
B) Crohn's disease
C) Ulcerative colitis
D) Colorectal cancer

Question 10

A nurse discusses medications prescribed to a patient who is diagnosed with Crohn's disease.Which is the typical prescribed pharmacological option for treatment?

A) Ciprofloxacin (Cipro)
B) Diazepam (Valium)
C) Furosemide (Lasix)
D) Digoxin (Lanoxin)

Question 11

The nurse is providing care to a patient who is experiencing 10 liquid,bloody stools each day.Which diagnosis does the nurse anticipate when planning care for this patient?

A) Diverticulitis
B) Crohn's disease
C) Ulcerative colitis
D) Colorectal cancer

Question 12

The nurse is evaluating care provided to a patient recovering from surgery for colorectal cancer.Which assessment data indicates the need for further intervention by the nurse?

A) Patient has an hourly urine output of 45 mL.
B) Patient performs morning care with assistance.
C) Patient states family members will care for the ostomy at home.
D) Patient tolerates full liquid diet and is requesting solid food.

Question 13

The nurse is providing education to a patient,diagnosed with colorectal cancer,who will be treated with chemotherapy.Which drug action should the nurse include in the teaching session for a patient who is prescribed bevacizumab?

A) "This drug is cell-cycle specific and interferes with the synthesis of DNA and RNA,causing its death."
B) "This drug is converted in the tissue to 5-FU,which inhibits DNA and RNA synthesis by preventing thymidine production,causing death of rapidly replicating cells."
C) "This drug is a platinum-based antineoplastic agent that binds to DNA and RNA,miscoding information and/or inhibiting DNA replication,causing cell death."
D) "This drug is an antiangiogenesis medication that reduces blood flow to the tumor cells,depriving them of nutrients needed for replication."

Question 14

The nurse is providing education to a patient,diagnosed with colorectal cancer,who will be treated with chemotherapy.Which drug action should the nurse include in the teaching session for a patient who is prescribed oxaliplatin?

A) "This drug is cell-cycle specific and interferes with the synthesis of DNA and RNA,causing its death."
B) "This drug is converted in the tissue to 5-FU,which inhibits DNA and RNA synthesis by preventing thymidine production,causing death of rapidly replicating cells."
C) "This drug is a platinum-based antineoplastic agent that binds to DNA and RNA,miscoding information and/or inhibiting DNA replication,causing cell death."
D) "This drug is an antiangiogenesis medication that reduces blood flow to the tumor cells,depriving them of nutrients needed for replication."

Question 15

An older adult African-American patient with a history of celiac disease presents with abdominal cramps,pain,and diarrhea.The patient denies the use of alcohol,but states,"my favorite foods are steak,cheese,and ice cream." Based on this data,which condition does the nurse suspect?

A) Acute pancreatitis
B) Appendicitis
C) Lactase deficiency
D) Food poisoning

Question 16

A patient recovering from surgery to place a permanent colostomy as treatment for colon cancer is concerned that her spouse will no longer find her sexually attractive.Which response by the nurse is the most appropriate?

A) "Tell me more about the concerns you are having."
B) "Would you like me to speak with your husband for you?"
C) "Do not worry about sex right now.It is more important to focus on recovery."
D) "I will refer you to a counselor to talk about your concerns."

Question 17

The nurse is providing care to a patient who is diagnosed with irritable bowel syndrome (IBS).Which drug prescription should the nurse anticipate to provide pain relief?

A) Tegaserod
B) Loperamide
C) Dicyclomine
D) Amitriptyline

Question 18

The nurse provides an educational session for community members about the risk factors for colorectal cancer.Which participant statement indicates the need for further education?

A) "There is a genetic link in the development of colorectal cancer."
B) "People with other bowel disease are at increased risk for developing this cancer."
C) "Eating a diet high in red meat reduces the risk for developing this type of cancer."
D) "Taking aspirin and a multivitamin each day reduces the risk of colorectal cancer."

Question 19

The nurse is providing education to a patient,diagnosed with colorectal cancer,who will be treated with chemotherapy.Which drug action should the nurse include in the teaching session for a patient who is prescribed 5-Fluorouracil?

A) "This drug is cell-cycle specific and interferes with the synthesis of DNA and RNA,causing its death."
B) "This drug is converted in the tissue to 5-FU,which inhibits DNA and RNA synthesis by preventing thymidine production,causing death of rapidly replicating cells."
C) "This drug is a platinum-based antineoplastic agent that binds to DNA and RNA,miscoding information and/or inhibiting DNA replication,causing cell death."
D) "This drug is an antiangiogenesis medication that reduces blood flow to the tumor cells,depriving them of nutrients needed for replication."

Question 20

The nurse is interpreting laboratory values for a patient suspected of having ulcerative colitis.Which finding does the nurse anticipate based on the diagnosis?

A) Protein in the urine
B) Increased sedimentation rate
C) Decreased white blood cell count
D) Antineutrophil cytoplasmic antibodies

Question 21

The nurse is providing education to a patient who will receive surgical intervention for the treatment of ulcerative colitis.Which patient statement indicates correct understanding of an ileal pouch-anal anastomosis (IPAA)procedure?

A) "My colon and rectum will be removed,and my anus will be closed."
B) "My colon will be removed,and my ileum is sutured to the anal canal."
C) "My colon will be removed while the distal portion of my ileum is used to create a pouch."
D) "My colon and rectal mucosa will be removed and a reservoir created using a portion of my ileum."

Question 22

The nurse is providing care to a patient who presents to the emergency department (ED)with an abdominal stab injury.Which should the nurse assess for based on the current data?

A) Spleen injury
B) Liver laceration
C) Intestinal obstruction
D) Traumatic brain injury

Question 23

The nurse is providing care to a patient who presents to the emergency department (ED)with blunt abdominal trauma after an automobile accident.Which should the nurse assess for based on the current data?

A) Spleen injury
B) Liver laceration
C) Intestinal obstruction
D) Traumatic brain injury

Question 24

The nurse is providing education to a patient who will receive surgical intervention for the treatment of ulcerative colitis.Which patient statement indicates correct understanding of an abdominal colectomy with ileoanal anastomosis?

A) "My colon and rectum will be removed,and my anus will be closed."
B) "My colon will be removed,and my ileum is sutured to the anal canal."
C) "My colon will be removed while the distal portion of my ileum is used to create a pouch."
D) "My colon and rectal mucosa will be removed and a reservoir created using a portion of my ileum."

Question 25

The nurse is providing education to a patient who will undergo diagnostic studies for colorectal cancer.Which patient statement indicates correct understanding regarding a double contract barium enema?

A) "A stool sample is collected by my doctor by digital rectal examination."
B) "After I have expelled most of the contrast,my intestine is filled with air and x-rays are taken."
C) "Constipation may occur as a result of this procedure,so I will increase my water and fiber intake."
D) "A flexible tube with a light and camera is inserted into my rectum so that tissue can be biopsied."

Question 26

The nurse is providing education to a patient who will receive surgical intervention for the treatment of ulcerative colitis.Which patient statement indicates correct understanding of a proctocolectomy with continent ileostomy?

A) "My colon and rectum will be removed,and my anus will be closed."
B) "My colon will be removed,and my ileum is sutured to the anal canal."
C) "My colon will be removed while the distal portion of my ileum is used to create a pouch."
D) "My colon and rectal mucosa will be removed and a reservoir created using a portion of my ileum."

Question 27

The nurse is providing education to a patient who is will undergo diagnostic studies for colorectal cancer.Which patient statement indicates correct understanding regarding a lower-GI series?

A) "A stool sample is collected by my doctor by digital rectal examination."
B) "After I have expelled most of the contrast,my intestine is filled with air and x-rays are taken."
C) "Constipation may occur as a result of this procedure,so I will increase my water and fiber intake."
D) "A flexible tube with a light and camera is inserted into my rectum so that tissue can be biopsied."