Gastrointestinal Disorders and Nursing Care, Exams of Nursing

Download Gastrointestinal Disorders and Nursing Care and more Exams Nursing in PDF only on Docsity!

NURS 309 Quiz #17 GI 2 Questions With Complete Solutions A patient is prescribed sulfasalazine for the treatment of ulcerative colitis (UC). Which patient statement indicates the patient is experiencing a side effect of this drug? a. "My skin is covered with a rash" b. "My knees hurt" c. "My appetite has increased" d. "I wake up at night sweating sometimes" Correct Answers a. "My skin is covered with a rash" A patient is suspected to have ulcerative colitis (UC). Which diagnostic tests does the nurse expect the patient to undergo to confirm the diagnosis? Select all that apply. a. Sigmoidoscopy b. C-reactive protein c. Albumin levels d. Erythrocyte sedimentation rate e. Magnetic resonance enterography (MRE) f. Clotting studies Correct Answers b. C-reactive protein c. Albumin levels d. Erythrocyte sedimentation rate e. Magnetic resonance enterography (MRE) A patient returns to the unit following a total proctocolectomy with a permanent ileostomy. The nurse understands that which organs were removed during this procedure? a. All of the small intestine b. Distal colon and rectum c. Colon, rectum, and anus

d. Colon, rectum, and anus, with surgical closure of the anus Correct Answers d. Colon, rectum, and anus, with surgical closure of the anus A patient with a colostomy may safely include which food item in the diet? a. Burritos b. Yogurt c. Cabbage d. Carbonated beverages Correct Answers b. Yogurt A patient with Crohn's disease (CD) has a fistula. What assessment finding indicates possible dehydration? a. Weight gain of 2 lbs in one day b. Abdominal pain c. Foul-smelling urine d. Decreased urinary output Correct Answers d. Decreased urinary output A patient with ulcerative colitis (UC) who had had an ileostomy is being discharged home. Which statements by the patient indicate the discharge teaching has been effective? Select all that apply. a. "I will avoid foods that cause gas" b. "I will call the health care provider if I have a fever over 101 F" c. " I will change the adhesive for the appliance daily" d. "I know the pouch needs emptying when I feel pain in that area" e. "I will call the health care provider if I feel like my heart is beating fast"

f. "I will include adequate amounts of salt and water in my diet because an ileostomy causes their loss" Correct Answers a. "I will avoid foods that cause gas" b. "I will call the health care provider if I have a fever over 101 F" e. "I will call the health care provider if I feel like my heart is beating fast" f. "I will include adequate amounts of salt and water in my diet because an ileostomy causes their loss" After colostomy surgery, which intervention does the nurse employee? a. Cover the stoma with a dry, sterile dressing b. Apply a pouch system as soon as possible c. Make a hole in the pouch for gas to escape d. What for the colostomy to start functioning on Correct Answers b. Apply a pouch system as soon as possible As part of the routine treatment plan for a patient with bacterial gastroenteritis, which drugs does the nurse anticipate the patient will most likely be prescribed? a. Anticholinergics b. Antiemetics c. Antiperistaltic drugs d. Antibiotics Correct Answers d. Antibiotics In caring for a patient with Crohn's disease (CD), the nurse observes for which complications? Select all that apply. a. Peritonitis b. Small bowel obstruction c. Nutritional and fluid imbalances

d. Presence of fistulas e. Appendicitis f. Severe nausea and vomiting Correct Answers a. Peritonitis b. Small bowel obstruction c. Nutritional and fluid imbalances d. Presence of fistulas The emergency department nurse is assessing a patient admitted with frequent, liquid, foul-smelling stools containing mucous and blood. Assessment findings include temperature 103.8 F, tenesmus, abdominal tenderness, and vomiting. Which additional laboratory test (s) does the nurse expect to collect? a. Serial stool samples b. Urine culture c. Throat culture d. Sputum culture Correct Answers a. Serial stool samples The fluid shift that occurs in peritonitis may result in which of the following events? a. Intracellular fluid moving into the peritoneal cavity b. Significant increase in circulatory volume c. Decreased circulatory volume and hypovolemic shock d. Increased bowel motility caused by increased fluid volume Correct Answers c. Decreased circulatory volume and hypovolemic shock The nurse assesses a patient with a hernia and finds that the patient's symptoms include abdominal distention, nauseam vomiting and pain. The patient's heart rate is 118/min and temperature is 101 F. Which type of hernia does the nurse suspect?

a. Incisional b. Incarcerated c. Strangulated d. Unbilical Correct Answers c. Strangulated The nurse is assessing a patient newly admitted with obstipation and failure to pass flatus. Which condition is the most likely cause of this patient's symptoms? a. Complete obstruction b. Partial obstruction c. Colorectal cancer d. Crohn's disease Correct Answers a. Complete obstruction The nurse is assessing a patient with viral gastroenteritis. Which data is the nurse most concerned about? a. Orthostatic blood pressure changes b. Poor skin turgor c. Dry mucous membranes d. Rebound tenderness Correct Answers d. Rebound tenderness The nurse is assessing an older adult patient with abdominal pain. Assessment findings include generalized abdominal pain with rigidity, nausea and vomiting, temperature 101.2 F, heart rate 122/min, and chills. The patient is also somewhat confused and does not know where he is. What does the nurse suspect with this patient? a. Crohn's disease b. Ulcerative colitis c. Diverticulitis d. Peritonitis Correct Answers d. Peritonitis

The nurse is caring for a patient with gastroenteritis who has frequent stools. Which task is best to delegate to the unlicensed assistive personnel (UAP)? a. Teach the patient to avoid use of toilet paper and harsh soaps b. Instruct the patient on how to take a sitz bath c. Use a warm washcloth to remove stool from the skin d. Dry the skin with absorbent cotton Correct Answers c. Use a warm washcloth to remove stool from the skin The nurse is caring for the patient with acute appendicitis. Which interventions will the nurse perform? Select all that apply. a. Maintain the patient on NPO status b. Administer IV fluids as prescribed c. Apply warm compresses to the right lower abdominal quadrant d. Maintain the patient in the supine position e. Administer laxatives f. If tolerated, maintain the patient in a semi-Fowler's position Correct Answers a. Maintain the patient on NPO status b. Administer IV fluids as prescribed f. If tolerated, maintain the patient in a semi-Fowler's position The nurse is instructing a patient about home care after an exploratory laparotomy for peritonitis. Which statement by the patient indicates that teaching has been effective? a. "It is normal for the incision site to be warm" b. "I will stop taking the antibiotics if diarrhea develops" c. "I will call the health care provider for a temperature greater than 101 F

d. "I will resume activity with my bowling league this week for exercise" Correct Answers c. "I will call the health care provider for a temperature greater than 101 F The nurse is performing an abdominal assessment on a patient suspected of having an abdominal hernia. The nurse auscultates the abdomen and determines the absence of bowel sounds. What does the nurse suspect in this patient? a. Peritonitis b. IBS c. Obstruction and strangulation d. Low intraabdominal pressure Correct Answers c. Obstruction and strangulation The nurse is providing care for a patient who had a minimally invasive inguinal hernia repair (MIIHR) through a laparoscope. What must the nurse be sure to include during discharge teaching? Select all that apply. a. "Avoid strenuous activity for several days before returning to work and normal activity" b. "Limit your fluid intake to 1000 to 1200 mL per day" c. "Take your prescribed stool softener to prevent constipation" d. "You will need to learn how to insert a straight catheter for the first week after surgery" e. "Observe your incisions for signs of infection or increased pain and report this immediately" f. "This procedure is fairly painless, so you should not need any pain drugs" Correct Answers a. "Avoid strenuous activity for several days before returning to work and normal activity" c. "Take your prescribed stool softener to prevent constipation"

e. "Observe your incisions for signs of infection or increased pain and report this immediately" The nurse is providing teaching about ways to reduce the risk for colorectal cancer. Which dietary suggestions will the nurse be sure to include in the teaching? Select all that apply. a. Low fat b. Low protein c. High fiber d. High in red meat e. Low in refined carbohydrates f. High in brassica vegetables Correct Answers a. Low fat c. High fiber e. Low in refined carbohydrates f. High in brassica vegetables The nurse is providing teaching for a patient with an anal fissure as a complication of Crohn's disease (CD). Which statement by the patient indicates the need for further teaching? a. "I will use warm sitz baths" b. "A diet that is low in bulk-producing agents is best for me" c. "Hydrocortisone cream may be helpful to decrease discomfort" d. "Topical anti-inflammatory agents will help if I am uncomfortable" Correct Answers b. "A diet that is low in bulk- producing agents is best for me" The nurse is teaching a group of older adults how to prevent fecal impaction. Which are key teaching points? Select all that apply.

a. Include plenty of raw fruits and vegetables and whole-grain products in your diet b. Take your prescribed laxative every morning as directed c. Walking every day is an excellent exercise for increasing bowel motility d. Take bulk-forming products, such as Metamucil, to provide fiber e. Use a bedpan instead of a commode or toilet for bowel movements f. Drink lots of fluids, especially water Correct Answers a. Include plenty of raw fruits and vegetables and whole-grain products in your diet c. Walking every day is an excellent exercise for increasing bowel motility d. Take bulk-forming products, such as Metamucil, to provide fiber f. Drink lot of fluids, especially water The nurse is teaching a patient about colostomy care. Which information does the nurse include in the teaching plan? a. The stoma will enlarge within 6-8 weeks of surgery b. Use a moisturizing soap to cleanse the area around the stoma c. Place the colostomy bag on the skin when the skin sealant is still damp d. An antifungal cream or powder can be used if a fungal rash develops Correct Answers d. An antifungal cream or powder can be used if a fungal rash develops The nurse is teaching a patient about how to control gas and odor from a colostomy. Which information does the nurse include?

a. Placing a breath mint in the pouch can help b. Place an aspirin in the colostomy c. Do not consume buttermilk d. Do not eat parsley Correct Answers a. Placing a breath mint in the pouch can help The nurse is teaching a patient about what kind of stool to expect after a descending colon colostomy. The nurse tells the patient to expect to have what kind of stool? a. Similar to stool expelled from the rectum b. Thick and paste-like c. Thin and gelatin-like d. Watery Correct Answers a. Similar to stool expelled from the rectum The nurse is teaching a patient with IBS about complementary and alternative therapies for the disease. Which patient statements indicate that teaching has been effective? Select all that apply. a. "Hydrotherapy may help decrease symptoms" b. "Probiotics can help decrease bacteria and decrease my IBS symptoms" c. "Peppermint oil has been used to expel gas and relax spastic intestinal muscles" d. "Regular exercise will help decrease stress and lead to regular bowel movements" e. "Ginkgo can be used for abdominal discomfort and to expel gas" f. "Meditation may help decrease stress and help with GI symptoms" Correct Answers b. "Probiotics..." c. "Peppermint..."

d. "Regular..." f. Meditation...." The nurse is to administer alvimopan to a patient with postoperative ileus. What is the action of this drug? a. Increases gastrointestinal (GI) motility b. Laxatives promotes bowel movement c. Antibiotic prevents infection d. Prevents nausea and vomiting Correct Answers a. Increases gastrointestinal (GI) motility The nurse on the surgical unit is expecting to admit the patient who had had an appendectomy with abscess. What does the nurse anticipate care for this patient will include? Select all that apply. a. Clear liquids b. Wound drains c. IV antibiotics d. Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain control e. Nasogastric (NG) tube care f. Prescribed opioid pain drugs Correct Answers b. Wound drains c. IV antibiotics e. Nasogastric (NG) tube care f. Prescribed opioid pain drugs The nurse providing care for a patient with a bowel obstruction notes that the patient has started passing flatus and had a small bowel movement. What has occurred with this patient? a. Blockage is complete

b. Peristalsis has returned c. Peritonitis has occurred d. The patient is rehydrated Correct Answers b. Peristalsis has returned The nurse would include which intervention in the plan of care for a male patient who has had an inguinal herniorrhaphy? a. Apply a warm pack to the scrotum b. Elevate the scrotum on a pillow c. Encourage use of a bedpan to void d. Decrease fluid intake to decrease bladder emptying Correct Answers b. Elevate the scrotum on a pillow The nurse would teach the patient about what preventive measure for diverticular disease? a. Excluding whole-grain breads from the diet b. Avoiding fresh apples, broccoli, and lettuce c. Taking bulk agents such as psyllium hydrophilic mucilloid d. Taking routine anticholinergics to reduce bowel spasms Correct Answers c. Taking bulk agents such as psyllium hydrophilic mucilloid The patient comes to the emergency department (ED) with right lower quadrant pain. what does the ED nurse suspect? a. Gastroenteritis b. Ulcerative colitis c. Appendicitis d. Crohn's disease Correct Answers c. Appenicitis The patient comes to the Urgent Care Unit and describes symptoms of diarrhea, abdominal pain, and low-grade fever. She

states she has constant abdominal pain in the right lower quadrant and has lost 25 pounds in the past month. What diagnosis does the nurse expect? a. Ulcerative colitis b. Diverticulitis c. Peritonitis d. Crohn's disease Correct Answers d. Crohn's disease The patient has a diagnosis of irritable bowel syndrome (IBS). Which forms can IBS take? Select all that apply. a. Diarrhea (IBS-D) b. Constipation (IBS-C) c. Bloating (IBS-B) d. Alternating diarrhea and constipation (IBS-A) e. Mix of constipation and diarrhea (IBS-M) f. Uncertain (IBS-U) Correct Answers a. Diarrhea b. Constipation d. Alternating diarrhea and constipation e. Mix of constipation and diarrhea The patient has an abdominal hernia with a sac that can be returned into the abdominal cavity by gentle pressure. Which type of hernia does the nurse recognize? a. Incisional b. Irreducible c. Indirect inguinal d. Reducible Correct Answers d. Reducible The patient has been diagnosed with acute appendicitis. Based on this diagnosis, which intervention does the nurse perform? a. Start a bowel cleansing program

b. Prepare the patient for surgery c. Apply a heating pad to the lower abdomen d. Assess the patient's knowledge about dietary modifications Correct Answers b. Prepare the patient for surgery The patient recovering form surgery for peritonitis tells the nurse that he is experiencing abdominal pain and has developed foul-smelling drainage from his wound, and his incision is red and swollen. What is the nurse's best first action? a. Clean and dress the incision b. Measure the patient's abdominal girth c. Notify the health care provider d. Place the patient on bedrest in semi-Fowler's position Correct Answers c. Notify the health care provider The patient who had an ileostomy asks the nurse about how to choose the best ostomy pouching system. Which guidelines best describes an effective system? Select all that apply. a. The adhesive barrier lasts 1-2 days b. The system protects the patient's skin c. The pouch system contains the drainage and reduces odor d. The ostomy pouch system is relatively inexpensive e. The pouch remains securely attached to the skin for a dependable period of time f. A large pouch is best because it holds more stool Correct Answers b. The system protects the patient's skin c. The pouch system contains the drainage and reduces odor e. The pouch remains securely attached to the skin for a dependable period of time

The patient with gastroenteritis due to infection with the norovirus asks the nurse how this illness occurred. Which statement by the patient indicates correct understanding of the nurse's teaching? a. "I got this infection form being around my grandchildren when they had respiratory illnesses" b. "It is likely that I got this illness from either contaminated water or food" c. "I may have gotten sick when I was travelling last month" d. "It's really important that everything I eat is cooked until it is well done" Correct Answers b. "It is likely that I got this illness from either contaminated water or food" The patient with IBS reports abdominal distention and feeling bloated to the nurse. The patient states she had a bowel movement that morning. What drug treatment does the nurse expect the health care provider to order? a. Loperamide b. Psyllium hydrophilic mucilloid c. Lubiprostone d.Rifaximin Correct Answers d. Rifaximin The patient with malabsorption syndrome is experiencing liquid stools. Which drug does the nurse expect will be prescribed? a. Dicyclomine hydrochloride b. Docusate c. Atropine sulfate d. Penicillin Correct Answers c. Atropine sulfate The patient with malabsorption syndrome is prescribed IV fluids of one liter 0.9 saline to infuse over 8 hours for hydration. At

what rate does the nurse set the IV pump in mL/hr to infuse this fluid as ordered? a. 100mL/hr b. 110/mL/hr c. 120mL/hr d. 125mL/hr Correct Answers d. 125mL/hr The respiratory problems that may accompany peritonitis are a result of which factor? a. Associated pain interfering with ventilation b. Decreased pressure against the diaphragm c. Fluid shifts to the thoracic cavity d. Decreased oxygen demands related to the infectious process Correct Answers a. Associated pain interfering with ventilation What action of darifenacin makes it suitable for treatment of IBS? a. Inhibits intestinal motility b. Decreases abdominal distention c. Eliminates constipation d. Increases fluid in the intestines Correct Answers a. Inhibits intestinal motility What are the major focus areas for interventions aimed at treating malabsorption syndromes? Select all that apply. a. Avoiding substances that aggravate malabsorption b. Use of complementary and alternative therapies c. Supplementation of nutrients d. Assessment and supplementation of coping strategies e. Curative radiation therapy

f. Chemotherapy to prevent cancer Correct Answers a. Avoiding substances that aggravate malabsorption c. Supplementation of nutrients What is the classic symptoms of malabsorption syndrome? a. Unintentional weight loss b. Decreased libido c. Bloating with flatus d. Chronic diarrhea Correct Answers d. Chronic diarrhea What is the nature of pain associated with diverticulitis? a. Intermittent becoming progressively steady b. Sharp and continuous c. Localized to the right upper quadrant d. Severe and incapacitating Correct Answers a. Intermittent becoming progressively steady What is the priority nursing concern for a patient with gastroenteritis? a. Nutrition therapy b. Fluid replacement c. Skin care d. Drug therapy Correct Answers b. Fluid replacement What key assessment data would the nurse expect to find in a patient with peritonitis? a. Fever and headache b. Dizziness with nausea and vomiting c. Abdominal pain, distention, and tenderness d. Nausea and loss of appetite Correct Answers c. Abdominal pain, distention, and tenderness

What nursing care does a patient with a nasogastric (NG) tube require? Select all that apply. a. Assess proper placement at least every 12 hours b. Keep patient in a semi-Fowler's position c. Confirm NG tube placement by x-ray if it is repositioned d. Monitor contents of the NG tube e. Irrigate the tube with 30 mL of normal saline as ordered f. Instruct the patient that feelings of nausea are due to tube placement Correct Answers b. Keep patient in a semi-Fowler's position c. Confirm NG tube placement by x-ray if it is repositioned d. Monitor contents of the NG tube e. Irrigate the tube with 30 mL of normal saline as ordered What type of stoma will a patient with diverticulitis most likely have postoperatively? a. Ileostomy b. Jejunostomy c. Colostomy d. Cecostomy Correct Answers c. Colostomy Which acid-base abnormality results from a bowel obstruction high in the small intestine? a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis Correct Answers d. Metabolic alkalosis

Which action should the nurse delegate to the unlicensed assistive personnel (UAP) when providing care for a patient with Crohn's disease? a. Check the patient's daily weight b. Instruct the patient about the importance of adequate nutrition c. Assess the patient's skin for areas of breakdown d. Provide the patient with information about the disease process Correct Answers a. Check the patient's daily weight Which activity does the nurse tell the patient to avoid after surgery for a hernia repair? a. Ambulating b. Turning c. Coughing d. Deep-breathing Correct Answers c. Coughing Which are common manifestations in a 28-year-old patient with dehydration secondary to gastroenteritis? Select all that apply. a. Peripheral edema b. Elevated temperature c. Dry mucous membranes d. Hypertension e. Oliguria f. Poor skin trugor Correct Answers b. Elevated temperature c. Dry mucous membranes e. Oliguria f. Poor skin turgor Which are examples of mechanical bowel obstructions? Select all that apply. a. Paralytic ileus

b. Adhesions c. Tumors d. Absent peristalsis e. Fecal impaction f. Hernias Correct Answers b. Adhesions c. Tumors e. Fecal impaction f. Hernias Which are potential complications of polyps? Select all that apply. a. Gross rectal bleeding b. Colorectal cancer c. Intestinal obstruction d. Septic shock e. Intussusception f. Bowel strangulation Correct Answers a. Gross rectal bleeding c. Intestinal obstruction e. Intussusception Which are the most common signs of colorectal cancer? Select all that apply. a. Change in stool consistency b. Absent bowel sounds c. Abdominal cramping d. Anemia e. Rectal bleeding f. Gas pains Correct Answers a. Change in stool consistency d. Anemia e. Rectal bleeding

Which are true statements about caring for a patient with a truss? Select all that apply. a. A surgical binder holds the truss in place b. The truss is removed only for bathing c. The truss is only used after the hernia has been reduced by the health care provider d. The truss is applied before the hernia is reduced to decrease pain e. Powder should be applied to the skin under the truss daily f. The patient should apply the truss on waking Correct Answers c. The truss is only used after the hernia has been reduced by the health care provider e. Powder should be applied to the skin under the truss daily f. The patient should apply the truss on waking Which characteristics pertain to Crohn's disease (CD)? Select all that apply. a. It begins in the rectum and proceeds in a continuous manner toward the cecum b. Fistulas commonly develop c. There are five to six soft, loose, nonbloody stools per day d. There is an increased risk of colon cancer e. Some patients experience extraintestinal manifestations such as migratory polyarthritis, ankylosing spondylitis, and erythema nodosum f. There is a cobblestone appearance of the internal intestine Correct Answers b. Fistulas commonly develop c. There are five to six soft, loose, nonbloody stools per day f. There is a cobblestone appearance of the internal intestine

Which description best defines an anal fissure? a. Perianal tear that can be very painful b. Duct obstruction and infection c. Communicating tract d. Localized area of induration with pus Correct Answers a. Perianal tear that can be very painful Which description best defines intussusception of the intestine? a. Twisting of the intestine b. Fecal constipation or impaction c. Telescoping of a segment of the intestine within itself d. Adhesions forming scar tissue Correct Answers c. Telescoping of a segment of the intestine within itself Which diagnostic test measures urinary excretion of vitamin B12 for diagnosis of pernicious anemia and other malabsorption syndromes? a. Bile acid breath test b. Schilling test c. Hydrogen breath test d. D-xylose absorption test Correct Answers b. Schilling test Which discharge information does the nurse include for the patient who has had an intestinal obstruction caused by fecal impaction? a. Encourage the patient to report abdominal distention, nausea and vomiting, and constipation b. Provide the patient a written description of a low-fiber diet c. Remind the patient to limit activity

d. Remind the patient to decrease fluid intake Correct Answers a. Encourage the patient to report abdominal distention, nausea and vomiting, and constipation Which discharge instruction does the nurse include for a patient after abdominoperitoneal (AP) resection? a. "Use a soft pillow to sit on whenever you sit down" b. "Lie on your back when you are resting in bed" c. "Use a rubber doughnut device for sitting on when in the car" d. "Sit in a chair for at least 4 consecutive hours a day" Correct Answers a. "Use a soft pillow to sit on whenever you sit down" Which drug is often used in older patients for pain management of moderate to severe diverticulitis? a. An NSAID drug b. An acetaminophen-based drug c. An aspirin-based drug d. An opioid analgesic drug Correct Answers d. An opioid analgesic drug Which findings does the nurse expect for a postoperative colostomy patient? Select all that apply. a. Reddish-pink, moist stoma b. Small amount of bleeding c. Large amount of stoma swelling d. Mucocutaneous separation e. Smooth, intact peristomal skin f. Excoriation immediately around the stoma Correct Answers a. Reddish-pink, moist stoma b. Small amount of bleeding e. Smooth, intact peristomal skin

Which findings for a patient with a new colostomy will the nurse report to the surgeon? Select all that apply. a. A dark-red, dry stoma b. Stoma protruding about 2 cm from the abdominal wall c. Mucocutaneous separation d. A slight amount of edema in the initial postoperative period e. Large amount of bleeding f. Moist pink stoma Correct Answers a. A dark-red, dry stoma c. Mucocutaneous separation e. Large amount of bleeding Which information does the nurse include when teaching a patient with new-onset hemorrhoids about prevention of hemorrhoid flare-up? Select all that apply. a. "Increase the fiber in your diet to prevent constipation" b. " Do not participate in any physical exercise" c. "Maintain a healthy weight" d. "Increase your amount of fluid intake" e. "Prolonged sitting or standing will not affect the development of hemorrhoids" f. "Avoid stimulant laxatives" Correct Answers a. "Increase the fiber in your diet to prevent constipation" c. "Maintain a healthy weight" d. "Increase your amount of fluid intake" f. "Avoid stimulant laxatives" Which intervention applies to the nursing care of an older patient with heart failure and hypovolemia related to an intestinal obstruction? a. Provide frequent mouth care with lemon-glycerin swabs

b. Offer ice chips to suck on before surgery c. Offer a small glass of water d. Assess for crackles in the lungs Correct Answers d. Assess for crackles in the lungs Which intervention does the nurse delegate to the unlicensed assistive personnel (UAP) when caring for a postoperative patient with peritonitis? a. Measure intake and output b. Assess wound drainage c. Administer IV antibiotics d. Teach patient about wound care Correct Answers a. Measure intake and output Which intervention is contraindicated in the nonsurgical management of hemorrhoids? a. Diets low in fiber and fluids b. Dibucaine ointment c. Warm sitz baths three or four times a day d. Cleansing the anal area with moistened cleaning tissues Correct Answers a. Diets low in fiber and fluids Which interventions are useful in preventing spread of gastroenteritis? Select all that apply. a. Careful handwashing b. Sanitizing all surfaces that may be contaminated c. Prophylactic use of antibiotics d. Easily accessible hand sanitizers e. Testing all feel preparation employees f. Proper food and beverage preparation Correct Answers a. Careful handwashing