A client with a history of diverticulosis has a large bowel obstruction. Which assessment finding does the nurse expect?

The nurse is caring for a client with a history of peptic ulcer disease. When reviewing the client’s home medications, which medication will require follow-up by the nurse?

The nurse is assessing the stoma of a client after a transverse colostomy. The nurse observes the stoma to be black, dusky, with sloughy skin. What is the next action by the nurse?

After obtaining the vital signs of a client with acute pancreatitis, the nursing assistant reports to the nurse that the client is requesting a dose of pain medication. The client has hydromorphone 1 mg IV ordered every 3 hours as needed for pain. The client was last medicated 2 hours prior. What is the next action by the nurse?

The nurse in the emergency department is caring for a client who has been transferred to the endoscopy unit for diagnostic testing after reporting multiple “coffee ground” emesis at home. Upon resuming care of this client, which assessment will be the priority?

The nurse is providing education to a client with irritable bowel syndrome. Which client statement indicates a need for further instruction?

A client with Crohn’s disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. Which information will the nurse add to a teaching plan in order to individualize the teaching for this client?

Patient Profile  A 22-year-old male who comes to the health care provider for reports of frequent diarrhea and abdominal pain. He reports a 5-pound weight loss over the last month. He had appendicitis with appendectomy at age 9. He currently takes no medications. Subjective Data Frequently has abdominal pain and bloody diarrhea Objective Data Physical Examination Temperature 99.9° F, pulse 78, respirations 16, blood pressure 114/62 Height 5’3”, weight 120 lb, BMI 21.3 kg/m2 Diagnostic Studies Lab values WBC                    11,600/µL                                 4,000 – 11,000 /µL RBC                      3.4 million/µL                          4.7 – 6.1 million/µL (male) Hematocrit        33%                                            41-53% Hemoglobin      10 g/dL                                      14-18 g/dL Platelets             190,000/µL                               150,000-450,000/µL CRP                      57 mg/dL                                 less than 5 mg/dL Sodium                135 mEq/L                              135-145 mEq/L Potassium          3.5 mEq/L                                3.5-5.0 mEq/L                             HCO3                   25.4 mEq/L                              22-26 mEq/L Chloride              99.5 mEq/L                              98-106 mEq/L Fecal occult blood tests positive Colonoscopy shows acute inflammatory process with multiple ulcerations throughout the rectum and large colon.  The client’s most likely problem is [BLANK-1] as evidenced by [BLANK-2]. The nurse will teach about [BLANK-3]. It will be most important to monitor [BLANK-4].    Word Bank A Word Bank B Word Bank C Word Bank D    irritable bowel syndrome hemoglobin eliminating gluten from the diet client weight    celiac disease electrolyte levels medication and side effects serum electrolytes    Crohn’s disease WBC enteral nutrition hemoglobin    ulcerative colitis colonoscopy results blood transfusion food intake    

The nurse is providing discharge teaching for a client who had surgical therapy for treatment of peptic ulcer disease. Which client statement indicates that further teaching is needed?

A client has a new diagnosis of Crohn’s disease after having frequent diarrhea and a weight loss of 10 pounds (4.5 kg) over 2 months. What will the nurse include in the teaching plan?