Nursing Elites

1. A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?

• A. Barium Swallow.
• B. Stool examination.
• C. Gastric analysis.
• D. Sigmoidoscopy.

Correct answer: D

Rationale: Sigmoidoscopy is the diagnostic test that confirms the diagnosis of an acute episode of ulcerative colitis.

2. When teaching an elderly client how to prevent constipation, which of the following instructions should the nurse include?

• A. Drink 6 glasses of fluid each day.
• B. Avoid grain products and nuts.
• C. Add at least 4 grams of brain to your cereal each morning.
• D. Be sure to get regular exercise.

Correct answer: D

Rationale: To prevent constipation, elderly clients should be encouraged to get regular exercise, which promotes bowel motility.

3. A client with irritable bowel syndrome is being prepared for discharge. Which of the following meal plans should the nurse give the client?

• A. Low fiber, low-fat
• B. High fiber, low-fat
• C. Low fiber, high-fat
• D. High-fiber, high-fat

Correct answer: B

Rationale: A high fiber, low-fat diet is recommended for clients with irritable bowel syndrome to promote bowel regularity and reduce symptoms.

4. Which of the following complications of gastric resection should the nurse teach the client to watch for?

• A. Constipation
• B. Dumping syndrome
• C. Gastric spasm
• D. Intestinal spasms

Correct answer: B

Rationale: Clients should be taught to watch for symptoms of dumping syndrome, a common complication after gastric resection.

5. The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?

• A. Cleanse the peristomal skin meticulously
• B. Take in high-fiber foods such as nuts
• C. Massage the area below the stoma
• D. Limit fluid intake to prevent diarrhea.

Correct answer: A

Rationale: Cleansing the peristomal skin meticulously is crucial to prevent irritation and infection around the stoma.

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