WorksheetsAbrams Chapter 40
Total questions: 20
Worksheet time: 11mins
Which organism is most likely to cause gastroenteritis and vomiting among the students and staff at a local school?
Norwalk-like virus (calicivirus)
Clostridium difficile
Vibrio vulnificus
E. coli
The nurse is assessing an older adult client who reports diarrhea. What should the nurse explore as the most likely cause?
Fluid volume deficit
Antihypertensive agents
Laxative abuse
Anemia
The nurse is preparing to administer bismuth subsalicylate to a client. What assessment is most important to make before administration?
Pain
Electrolytes
Allergy to aspirin
Allergy to opioids
The nurse is preparing to administer polycarbophil to a client experiencing liquid stools. How should the nurse describe the action of this substance?
It absorbs large amounts of water and decreases fluidity of stools.
It will correct enzyme deficiencies.
It will provide pain relief and decrease cramping and bloating.
A client diagnosed with Crohn's disease is experiencing diarrhea during an exacerbation of symptoms. What medication will the nurse most likely administer?
Bismuth salts
Ciprofloxacin
Cholestyramine
Octreotide acetate
The nurse is caring for a female client diagnosed with chronic severe diarrhea-predominant irritable bowel syndrome that has not responded to conventional therapy. Which medication should the nurse anticipate being prescribed?
Rifaximin
Nitazoxanide
Alosetron
Cholestyramine
A client who has been treated successfully for diarrhea has had only one loose bowel movement during the day. Which food should be introduced back into the diet first?
A. Chicken breast
B. Beef stew
C. Baked potato
D. Lentils
The nurse is reviewing the history of a client who has been prescribed diphenoxylate. The nurse is aware that documentation of what disorder requires cautious administration?
Edema
Hepatorenal disease
A client diagnosed with HIV/AIDS has diarrhea not responding to antidiarrheal agents. Which medication will best assist in treating this client's diarrhea?
Bismuth salts
Ciprofloxacin
Cholestyramine
Octreotide acetate
A 20-month-old child is experiencing diarrhea. What is the priority assessment?
Electrolyte deficiencies
Anorectal bleeding
Anal fissures
Nausea
An adult client has presented to the emergency department after 36 hours of severe diarrhea. The ED nurse should know that diphenoxylate is contraindicated in what situation?
Documented history of laxative abuse
Diarrhea caused by toxins
Diarrhea due to stress
Allergy to aspirin
A client has been taking loperamide for the past day-and-a-half without improvement. When should the medication be discontinued?
12 hours
2 days
3 to 4 days
An older adult has received a third dose of diphenoxylate. What should the nurse prioritize in assessment?
A. Neurologic status
B. Oxygen saturation
C. Nutritional status
D. Fluid and electrolyte balance
A client's severe diarrhea has necessitated treatment with polycarbophil. What adverse effect should the nurse caution about?
Nausea and vomiting
Headache and visual disturbances
Abdominal fullness and bloating
Gastroesophageal reflux
When reviewing a client's medication history, the nurse notes recent nitazoxanide use. What microorganism was likely treated?
A. Giardia lamblia
B. E. coli
C. Salmonella
D. Campylobacter jejuni
An appropriate nursing measure when treating a 5-year-old child with a 1-day onset of mild diarrhea involves encouraging which of the following?
regular diet
intake of clear liquids
intake of milk products
no fluids for 24 hours
A 28-year-old patient is hospitalized on antibiotic therapy. The patient is experiencing fever, abdominal pain, and diarrhea containing mucus, pus, and blood. The best nursing intervention in this situation is to do which of the following?
Continue the antibiotic because the patient has signs of a gastrointestinal infection.
Monitor the patient’s vital signs and notify the provider if there is further deterioration.
Withhold the antibiotic and notify the provider of the patient’s condition.
Encourage fluid intake because fever is a sign of dehydration.
A 68-year-old patient has been taking nonprescription loperamide for diarrhea. Which of the following symptoms should the nurse explain are signs of adverse effects? (Select all that apply.]
abdominal pain
dizziness
bloody diarrhea
fatigue
torsades de pointes
A patient with diarrhea begins complaining of eye pain after administration of diphenoxylate with atropine. The nurse should do which of the following?
Offer an over-the-counter analgesic such as acetaminophen.
Discontinue the diphenoxylate with atropine and notify the provider.
Tell the patient that this is a common side effect and will soon pass.
Apply a cool compress to the eyes for relief of the discomfort.
A 28-year-old female with chronic severe diarrhea–predominant irritable bowel syndrome (IBS) has been given a new prescription for alosetron, and the nurse is providing education about this medication. Which of the following if said by the patient indicates that the patient teaching has been successful? (Select all that apply.)
“I will stop taking the medication if constipation occurs.”
“I will notify my health care provider if constipation occurs.”
“I understand the risk of taking alosetron and agree to take the medication as prescribed.”
“I will stop taking alosetron and contact my healthcare provider after 4 weeks of therapy with alosetron if the symptoms of my IBS are not controlled.”
“I will stop taking alosetron and contact my health care provider if I get belly pain, blood in my stool, or a feeling of urgency to move my bowels.”
