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NCLEX Physiological Integrity-Lower GITest Bank-2021/2022

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NCLEX Physiological Integrity-Lower GITest Bank-2021/2022 1. A patient who is hospitalized with watery, incontinent diarrhea is diagnosed with Clostridium difficile. Which action will the nurse include in the plan of care? a. Order a diet with no dairy products for the patient. b. Place the patient in a private room with contact isolation. c. Teach the patient about why antibiotics are not being used. d. Educate the patient about proper food handling and storage. 2. A 67-year-old patient tells the nurse, “I have problems with constipation now that I am older, so I use a suppository every morning.” Which action should the nurse take first? a. Encourage the patient to increase oral fluid intake. b. Inform the patient that a daily bowel movement is unnecessary. c. Assess the patient about individual risk factors for constipation. d. Suggest that the patient increase dietary intake of high-fiber foods. 3. In teaching a patient who has chronic constipation about the use of psyllium (Metamucil), which information will the nurse include? a. Absorption of fat-soluble vitamins may be reduced by fiber-containing laxatives. b. Dietary sources of fiber should be eliminated to prevent excessive gas formation. c. Use of this type of laxative to prevent constipation does not cause adverse effects. d. Large amounts of fluid should be taken to prevent impaction or bowel obstruction. 4. The nurse is obtaining a history for a 23-year-old woman who is being evaluated for acute lower abdominal pain and vomiting. Which question will be most useful in determining the cause of the patient’s symptoms? a. “Is it possible that you are pregnant?” b. “Can you tell me more about the pain?” c. “What type of foods do you usually eat?” d. “What is your usual elimination pattern?” 5. Two days after an exploratory laparotomy with a resection of a short segment of small bowel, a patient complains of gas pains and abdominal distention. Which nursing action is best to take at this time? a. Give a return-flow enema. b. Assist the patient to ambulate. c. Administer the ordered IV morphine sulfate. d. Insert the ordered promethazine (Phenergan) suppository. 6. A patient who has blunt abdominal trauma after an automobile accident is complaining of severe pain. A peritoneal lavage returns brown drainage with fecal material. Which action will the nurse plan to take next? a. Auscultate the bowel sounds. b. Prepare the patient for surgery. c. Check the patient’s oral temperature. d. Obtain information about the accident.

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