A patient with Crohn’s disease has recently undergone surgery to create an ileostomy.
For which common complication of this type of surgery should the nurse monitor the patient in the postoperative period?

Intestinal obstruction.

Fluid and electrolyte imbalance.

Malabsorption of fat.

Folate deficiency.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While intestinal obstruction can occur after any abdominal surgery, it is not the most common complication following ileostomy creation.
Choice B rationale
Fluid and electrolyte imbalance is a common complication following ileostomy surgery. This is due to the fact that the ileum, which is now rerouted to an external opening in the abdominal wall, is responsible for absorbing a significant amount of fluid and electrolytes. When it is diverted, these substances can be lost, leading to imbalances.
Choice C rationale
Malabsorption of fat is not typically a primary concern following ileostomy surgery. While malabsorption can occur in diseases affecting the ileum, it is not a direct result of the surgery itself.
Choice D rationale
Folate deficiency is not a common complication following ileostomy surgery. The terminal ileum, which is typically used to create the ileostomy, is primarily responsible for the absorption of vitamin B12, not folate.

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Correct Answer is C

Explanation

Choice A rationale
Weighing the patient weekly may not be sufficient in the case of cirrhosis with ascites. Fluid accumulation can occur rapidly, and more frequent weight checks may be necessary.
Choice B rationale
Positioning the patient flat in bed is not typically recommended for patients with ascites, as this can increase pressure on the diaphragm and make breathing more difficult.
Choice C rationale
Measuring the patient’s abdominal girth every 8 hours is a common nursing intervention for patients with ascites. It allows for monitoring of fluid accumulation in the abdomen.
Choice D rationale
While managing discomfort is important, acetaminophen should be used cautiously in patients with liver disease, as the liver is involved in drug metabolism.

A. Acid indigestion B. Headache C. Diarrhea D. Nausea

Correct Answer is A

Explanation

Choice A rationale

Omeprazole is a proton pump inhibitor that reduces gastric acid secretion. It is used to treat conditions such as duodenal and gastric ulcers, prolonged dyspepsia, gastroesophageal reflux disease, and erosive esophagitis. Therefore, relief from acid indigestion would indicate that the medication is effective.
Choice B rationale
While headaches can be a side effect of omeprazole, relief from headaches is not a primary indicator of the medication’s effectiveness in treating conditions related to gastric acid secretion.
Choice C rationale
Diarrhea can be a side effect of omeprazole, but relief from diarrhea does not directly indicate the effectiveness of omeprazole in reducing gastric acid secretion.
Choice D rationale
Nausea can be a symptom of the conditions that omeprazole treats, but relief from nausea alone does not directly indicate the effectiveness of omeprazole in reducing gastric acid secretion.

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A patient with Crohn’s disease has recently undergone surgery to create an ileostomy. For which common complication of this type of surgery should the nurse monitor the patient in the postoperative period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a patient who has cirrhosis of the liver with ascites. What action should the nurse take?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

Correct Answer is A

Explanation

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A patient with Crohn’s disease has recently undergone surgery to create an ileostomy.
For which common complication of this type of surgery should the nurse monitor the patient in the postoperative period?