Nokea
The client with Crohn's disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem?
- A. Lying supine with the legs straight
- B. Massaging the abdomen
- C. Using antispasmodic medication
- D. Using relaxation techniques
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is performing a colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?
- A. Notify the physician
- B. Increase the height of the irrigation
- C. Stop the irrigation temporarily.
- D. Medicate with dilaudid and resume the irrigation
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following treatments is used for rectal cancer but not for colon cancer?
- A. Chemotherapy
- B. Colonoscopy
- C. Radiation
- D. Surgical resection
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has just had surgery for colon cancer. Which of the following disorders might the client develop?
- A. Peritonitis
- B. Diverticulosis
- C. Partial bowel obstruction
- D. Complete bowel obstruction
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following definitions best describes diverticulosis?
- A. An inflamed outpouching of the intestine
- B. A noninflamed outpouching of the intestine
- C. The partial impairment of the forward flow of intestinal contents
- D. An abnormal protrusion of an organ through the structure that usually holds it
Correct Answer: B
Rationale: The correct answer is B: 'A noninflamed outpouching of the intestine.' Diverticulosis refers to the presence of small, bulging pouches (diverticula) that can form in the lining of the digestive system, especially the colon. These pouches are typically noninflamed. Choice A is incorrect because it describes diverticulitis, which is the inflammation of these pouches. Choice C is incorrect as it defines bowel obstruction, not diverticulosis. Choice D is incorrect as it refers to a hernia, not diverticulosis.
Which of the following types of diets is implicated in the development of diverticulosis?
- A. Low-fiber diet
- B. High-fiber diet
- C. High-protein diet
- D. Low-carbohydrate diet
Correct Answer: A
Rationale: A low-fiber diet is implicated in the development of diverticulosis because it leads to harder stools and increased pressure in the colon. The lack of fiber results in decreased bulk and slower transit time, predisposing individuals to constipation and the formation of diverticula. High-fiber diets, on the other hand, promote regular bowel movements and help prevent diverticular disease. High-protein and low-carbohydrate diets do not have a direct association with diverticulosis.