Med Surg Success Questions IBD. Information for Med Practice and Practice exam quick revision.

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Med Surg Success Questions IBD 1. S/s of client diagnosed with ulcerative colitis – 20 bloody stools a day 2. Client with DM prescribed prednisone (steroid) for acute exacerbation of IBD. Di... scuss w/ client..? - Steroids can cause erosion of stomach, take with food - Moon face expected side effect 3. Client with IBD has Ka of 3.4. what action does nurse implement FIRST? 4. Pt diagnosed with acute exacerbation of UC. Which intervention should nurse implement? - Rest the pt bowels – whenever pt has acute exacerbation of GI disorder first 5. Pt diagnosed w/ IBD prescribed TPN. Which intervention should nurse implement? - Check pt glucose level because TPN is high in dextrose, so blood glucose level needs 6. Pt diagnose with acute exacerbation of IBD. Which priority intervention should nurse implement first? - Record frequency, amount and color of stools  severity of diarrhea helps 7. Pt diagnosed with Crohn’s disease crying & says “I can’t take it anymore, I never know when I will get sick and end up in this hell hole”. What’s the best statement to say to this hoe 8. Pt diagnosed w/ UC has ileostomy. Which statement indicates pt needs more teaching about ileostomy? 9. Client diagnosed w IBD prescribed sulfasalazine, antibiotic. Which statement best describes rationale for admin med 10. Pt diagnosed w/ crohns diseas (regional enteritis). Which statement by pt supports it? - My pain goes away when I have BM  this is because the terminal ileum is most - may be s/s of colon CA 11. Pt w/ UC is prescribed low residue diet. What meal selection shows pt understands? 12. Client w/ UC having ileostomy. What location will it be in Colorectal disease - Preventing colon CA w/ factory workers - Adenocarcinoma of rectosigmoid colon. What supports diagnosis - Lack of fiber in diet can cause CA – prolonged transit time allows carcinogenic agents in waste products to have greater exposure to lumen of colon  Mark drainage on dressing w/ time and date Diverticulosis/diverticulitis 1. Pt diagnosed w/ diverticulitis c/o severe in LLQ and temp of 100.6. which intervention 2. Nurse teaching pt w/ diverticulosis. Which instruction should nurse include in session? 3. Pt admin w/ acute diverticulitis. Which HCP order should nurse question? 4. Client has diverticulosis, which diet should be taught? - Whole wheat bread (high fiber) 5. Pt 2 hr post op which assess data needs immediate intervention by nurse 6. Nurse admin initial dose of aminoglycoside antibiotic to pt diagnosed w. acute diverticulitis. Which intervention should nurse implement Gallbladder disorders 1. Client is 4 hr post op cholecystectomy. Which data warrants immediate intervention by nurse? 2. Pt 2 hr post op laparoscopic cholecystectomy c/o sever pain in R shoulder. Which nursing intervention should nurse implement? 3. Which s/s should nurse report to HCP about pt recovering from open cholecystectomy? - Clay- colored stools – r/t recurring stricture of common bile duct, which is a sign of post cholecystectomy syndrome 4. Nurse caring for immediate post op pt who had laparoscopic cholecystectomy. Which task could nurse delegate to UAP? 5. Which data should nurse expect to assess in pt who had UGI series - Chalky white stools – requires pt to swallow barium which passes through intestines 6. Pt is 1 hr post endoscopic retrograde cholangiopancreatogram (ERCP). Which intervent should nurse include in plan of care? 7. Which outcome should nurse identify for pt scheduled to have cholecystectomy? 8. Shallows resp may indicate pt needs pain meds after open cholecystectomy 9. Lab values expected in pt w/ cholecystitis w/ chronic inflammation – elevated WBC count, Highest priority prob w/ pt who had open cholecystectomy surg? - Alt in comfort – pain management is highest priority pt problem after surgery b/c pain may indicate life-threatening prob Assesses large amount of red drainage on dressing of 6 hr post open cholecystectomy pt. which intervention should nurse implement? Liver Failure Pt diagnosed w/ end stage liver failure is admit w/ esophageal bleeding. HCP inserts and inflates triple lumen NGT. Which nursing intervention should nurse implement for this tx? Pt had liver biopsy. Which postprocedure intervent should nurse implement? Pt w/ end stage liver failure is admit w/ hepatic encephalopathy. Which dietary restriction should be implemented by nurse – reduce protein intake 60 to 80 g/day - Med Surg Success Questions IBD [Show More]

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