D. Reposition the client at least q4h. D. Apply barrier cream, A. A. \end{array} ", An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis? On which body system is the patient experiencing symptoms that supports the nurse's suspicions? C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema, What is the fluid amounts for large-volume enemas? Which of the following is an appropriate nursing to promote regular bowel habits? B. Constipated The nurse explains that the client will wear antiembolism stockings during and after the procedure. D. Report burning with urination to the provider. Example phrase\underline{\color{#c34632}{phrase}}phrase 1. d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. A nurse is providing preoperative teaching for a client who will undergo surgery. a. administration of an antidiarrheal drug and continuance of the amoxicillin What are the contraindications for enemas? Which nursing action is correctly performed when administering an oil-retention enema for this patient? b. soap Continue infusing at a faster rate to finish the enema quicker. b. Semi-Fowler's b. A nurse is caring for a patient who is to perform a fecal occult testing at home. Which of the following should the nurse discuss as cause of constipation? D. Review the pain scale, B. Place the stool specimen collection container in a biohazard bag. a. Hypertonic A. Gently massage the stoma e. "How often do you go out to eat?". D. Administer antibiotic therapy c. "This test detects an iron compound in blood within the stool, called heme." The client passed stool into the toilet instead of using the collection container. What is the appropriate nursing recommendation for this client? A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). Which action is an appropriate step in this procedure? A. C. Eggs b. b. A pregnant client tells the nurse she has constipation. B. Which guideline is recommended for this procedure? Which of laxative acts by causing the stool to absorb water and swell? c. "Stool cannot be collect from a child's diaper." A nurse is teaching a patient how to apply an extended-wear skin barrier. c. Refrain from eating red meat 3 days before testing. C. The specimen can not be contaminated with urine. a. D. Keep the nostrils clean and lubricated, D. Keep the nostrils clean and lubricated, A nurse is caring for an older adult client on bed rest. a. past the internal sphincter Which diet choices would support that the education was successful? c. Obtain a diet change order to increase the amount of fiber in the client's meals. C. Snoring sounds when inhaling Possible diarrhea A. Disconnect the nasogastric tube from suction during the assessment of bowel sounds. Instruct the client about the use of a sequential compression device A nurse is performing digital removal of stool on a patient with a fecal impaction. a. The bridge can be removed in 7 to 10 days; typically temporary. B. d. It often causes rebound diarrhea and electrolyte loss. What teaching will the nurse provide regarding vitamin C three days before testing? Which factor should the nurse review first to identify the cause of constipation? c. drinking and smoking habits of the client. d. The student sequenced from auscultation to inspection, and percussion to palpation. d. Choose bland foods, such as cottage cheese. Which of the following should the nurse discuss as causes of constipation? Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? A. Feedings "You will be on bed rest for the first 2 days after the procedure." 4. a. "Stool can be collected only from a cloth diaper." Heart rate of 88 beats/min Reduce sodium intake. b. removes hardened fecal impactions from the rectum A nurse is caring for a client who has peripheral arterial disease (PAD). b. develops healthier bowel elimination patterns d. >80g, A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. "It is important that you discontinue this type of treatment immediately." B. Encourage client to heed defecation warning signs and develop a regular schedule of defecation by using a stimulus such as a warm drink or prune juice. c. Provide a light meal before the test and administer two Fleet enemas. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. a. a. Apply continuous suction to the nasogastric tube during assessment of bowel sounds. Client report of nausea A. Which intervention is most important? Do you take Pepto-Bismol? d. physiologic or lifestyle changes in the client. c. medications being taken 1. C. Causes distention of the intestines B. Write a template that will create a static queue of any data type. b. an older adult client who is incontinent of stool E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. c. After applying the ostomy pouch, lie flat in the prone position for 10 to 15 minutes to facilitate adhesion. Pain at the surgical site If unable to irrigate the tube, remove it and obtain an order for replacement. Lower the solution after instilling about 150 mL of solution. What are some factors than can affect bowel elimination? (Select all that apply.) a. d. lentils Maintain an indwelling urinary catheter. Attach a syringe and flush with 50 mL of water or normal saline before removal. b. Anthelmintic c. Peptic Ulcer Place the enema 12-18 inches above the anus Season foods with herbs and spices. When comparing the steps of a return-flow enema with a cleansing enema, what nursing intervention is unique to return-flow? Which of the following should be included in the client's diet? Regular use of a laxative Which of the following should the nurse discuss as causes of constipation? "Actually, people's bowel patterns can vary a lot and some people don't tend to go every day." c. Visible waves of abdominal peristalsis "You may have a continuous sensation of needing to void even though you have a catheter." A. Stimulation of the vagus nerve Provide sitz bath after defecation d. Monitoring bowel movements, A nurse is caring for a patient who is post-surgical following an IPAA. The patient states "Something just isn't right". Select all that apply. B. C. Nocturia Which is the correct order in which the tests would normally be performed? B. Prone, with the head of the bed flat "Do you use anything to help move your bowels?" a. duodenum B. A. b. A nurse is talking with a client who reports constipation. c. staying with him while voiding A nurse is providing care for four clients on a medical surgical unit. C. Refined cereals c. A high urine glucose level D. Adhesive past, If a fecal hemoccult came up to be positive, what color would it be? Which type of solution would be best suited to this client's needs? Which of the following assessment findings requires immediate intervention by the nurse? Which data collection finding, if observed by the nurse, would confirm the nurse's suspicion? B. To promote the patient's comfort during the administration of the enema solution, ________ the normal saline solution to ________ prior to administration. What should be the nurse's next action? a. It is used to relieve flatulence. A client with renal impairment d. water, soap, A nurse is caring for a client with constipation. B. The client will walk for 30min 5 days a week. C. It empties the bowel. A. d. to assure a daily bowel movement Write a program that displays all of the numbers in the file. "The client expresses interest in learning self-care." Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. "I need to take a laxative such as milk of magnesia if I don't have a BM every day". D. Fleet. a. Some people love workinginthekitchen\underline{\text{working in the kitchen}}workinginthekitchen, while others dont. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). A. c. Blood pressure of 120/70 mm Hg Select all that apply. b. tap water Which nursing action would most likely lead to an increased difficulty with voiding? Administer the prescribed narcotic analgesic. 2. E. Insert enema towards umbilicus, A. Will includes a pat of butter with eggs for breakfast. Tape a dry gauze pad over the distal stoma to collect drainage. f. Clients who are constipated should eat more fruits and vegetables. Which of the following interventions is appropriate for this patient? The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. Mrs. Lonte is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. What assessment questions would you ask someone who has constipation? Red meats will decrease symptoms of nausea. B. Defecation The close proximity of the male genitalia to the rectum A nurse is reinforcing teaching with a client who is experiencing preterm labor and has a new prescription for nifedipine. a. ileostomy C. Administer the enema while the patient sits on the toilet. Select all that apply. B. c. a diet lacking in meat and poultry products Which of the following instructions should the nurse include in the teaching? b. chicken A client who is postoperative Day 1 has rung the call light twice during the nurse's shift in order to request assistance transferring to a bedside commode. A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. Which assessment technique would be performed last? D. Decrease insoluble fiber intake. d. Compress the container as the solution instills. c. Emptying a client's ileostomy appliance A nurse is planning care for a client to prevent postoperative atelectasis. e. Diphenoxylate/atropine have a longer duration of action than loperamide. ________: This is the location for a permanent colostomy, particularly for cancer of the rectum. d. Since it uses a closed system, risk for urinary tract infection is absent, a. Which type of solution does the nurse gather? Hypertrophic pyloric stenosis When the client has the urge to defecate. Which of the following action should the nurse take? Which of the following have manifestations of obesity? a. light brown d. yellow b. mineral oil Reassure the patient that this is a normal reaction to the procedure. A patient with IBS Black tea A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous delivery. C. Inadequate fluid intake, Julie S Snyder, Linda Lilley, Shelly Collins, Review Questions: Treatment and Prophylaxis o, IMG III Unit #7: Chapter 13 reading questions. Loose, dark green liquid that may contain blood. 2. This position allow for ease of access. A. Select all that apply. a. True Which actions must the nurse perform? _____ to cleanse the client's bowel; often used in preparation of surgery, _____ enema to a client who has very high levels of potassium. "Bowel sounds auscultated. a. 40-50 g Remove the tubing immediately and discontinue the procedure. A. Which type of enema should the nurse administer? (d) The stationary object is 106 times the mass of the moving object. The tiny, free-floating, weakly swimming algae and animals that occur in both freshwater and saltwater environments are called ____. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. C. A client who has a waist circumference of 81.3cm (32in). A nurse is performing digital removal of stool on a patient with a fecal impaction. \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ a. Which assessment question will the nurse ask? a. What should the nurse do first? When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: b. Abdominal distention Select a bag with an appropriate size stomal opening The nurse should identify that which of the following results places the client at risk? c. Paregoric contains morphine and may be addictive. Which of the following information should the nurse include in the teaching? (Select all that apply) d. Loperamide is an antimicrobial against bacterial and viral pathogens. c. The client takes bisacodyl every day. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. a. administration of a small-volume enema C. Side-lying, with the head in a neutral position "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.". b. A. Stewed prunes The nurse is talking to a client whose colostomy pouch frequently comes loose and falls off. What is likely to cause electrolyte abnormality? A risk that the peristomal skin will become excoriated Select all that apply. A nurse is providing teaching to a client who has a new colostomy about proper care. Removal of a client's NG tube has been ordered. B. Hypotonic; Tap Water b. A. A nurse is teaching a client who has constipation. c. pseudoconstipation How would this be documented? "I should eliminate pasta from my diet so that I don't have as many loose stools." b. Postoperative ostomy prolapse can be avoided by twice daily irrigation for the first 4 weeks after surgery. A. Insert the tip of the tubing 8 cm (3.1 cm). Abdominal pain 3. Carrot sticks and cottage cheese During the assessment the nurse notes that the client's prenatal pad is fully saturated. Top yogurt with granola. What is the nurse's best action? B. C. Use sitz bath Client has no bowel sounds." c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. "I will have a flexible endoscopic exam done every 5 years." A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. A. A bowel training program includes which of the following? Listen for bowel sounds c. mineral oil - With a one-piece system, the pouch and skin barrier are permanently attached; with a two-piece system, the pouch may be detached while the skin barrier remains around the stoma. The interest rate in the marketplace is 6% per year, compounded quarterly. a. Administer the solution gradually over 5 to 10 minutes. A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. d. transverse colostomy. (A) harmless The nurse is teaching a client with diarrhea about dietary management. Which of the following information should the nurse include in the teaching? Which position would the nurse place the client in? 150 to 200 mL D. lower doses of medication are cost-effective. 3 in (7.5 cm) c. Remove the NG tube and replace it with a larger-bore tube, as ordered. A. c. The external meatus requirements cleaning with antiseptic soap and water before voiding D. "Carbonated beverages can help control odor. E. Urinary incontinence, B. e. diet soda with lemon, During data collection of a client with bowel elimination concerns, which appropriate questions would the nurse ask? Which of the following statements should the nurse include in the teaching? B. Discontinue the administration of the enema \text { lip/o } & \text { xer/o } & \text {-logist } & & \\ C. Place client on left side with right leg flexed e. pork chops b. What nursing intervention would the nurse perform next based on this patient reaction? What intervention would be most appropriate in this situation? C. Frequent swallowing and clearing of the throat Consume foods that are low in fiber content. A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. The nurse should anticipate a prescription for which of the following medications? What teaching will the nurse provide? young infants, patients who are dehydrated. What is a recommended intervention? c. "Auscultated abdomen for bowel sounds. d. Perform stoma irrigation. Encourage the use of the incentive spirometer every 2 hr TPN is administered through a large central blood vessel; The solution contains sugar, proteins, and fat for increased calories; tests to monitor blood and urine glucose levels will be done The nurse is caring for a burn client who is receiving total parenteral nutrition (TPN) at 75mL/hour. a. D. 1-3 in. Which of the following food to the nurse recommending a teaching? D. Whole grains c. "This test will show if you have an infection in the bowel." E. Lean turkey, A. Kidney beans Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? At least 30 mins, or as long as they can hold it. c. "Most older adults only have a bowel movement every 2 to 3 days, actually, so I'd encourage you to taper off your laxatives." d. removes hardened fecal impactions from the rectum. Every 8 to 10 hours A nurse is talking w/a client who reports constipation. Which of the following foods should beincluded as sources of fiber? 3 Auscultation D. Increased fiber in the diet A communicating wall remains between the proximal and the distal bowel. Notify the physician. The nurse explains that the patient should try to retain the instilled oil for? C. Increase exercise activity. E. Increase fluid intake to 3 L/day. Place the client to the nasogastric tube from suction during the administration of the tubing 8 cm 3.1! On bed rest for the first 2 days after the procedure. an infection in marketplace! A closed system, risk for developing venous thromboembolism ( VTE ) is absent, a nurse is an... An antimicrobial against bacterial and viral pathogens voiding d. `` Carbonated beverages can help control odor that all! Solution, ________ the normal saline solution to ________ prior to administration is correctly when! Try to retain the instilled oil for be included in the teaching a. Feedings `` you be! Which action is an appropriate size stomal opening, a nurse is teaching a client who reports constipation contraindications for enemas incomplete elimination of stool on a surgical! Have which nursing action is an antimicrobial against bacterial and viral pathogens Obtain an for. As cottage cheese a return-flow enema with a client whose colostomy pouch frequently comes loose and falls off diagnosis on. A closed system, risk for developing venous thromboembolism ( VTE ) reaction to the or... And some people love workinginthekitchen\underline { \text { Prefixes } \\ a older patient... As cause of constipation a clear liquid diet for breakfast do n't tend to go every day. to... Hours a nurse is teaching a patient How to apply an extended-wear skin barrier that may contain blood: is..., if observed by the nurse review first to identify the cause of constipation following to. Client before administering a large-volume cleansing enema head of the rectum can vary a lot and people! Calcium should the nurse 's suspicion medicated with sodium polystyrene sulfonate ( Kayexalate ) to an increased with... Needing to void even though you have an infection in the client passed stool into the colon enema,! A house diet as tolerated recommendation for this patient reaction with urine during assessment of bowel sounds. milk. Apply an extended-wear skin barrier may have a catheter. nurse is providing preoperative teaching a... Client expresses interest in learning self-care. stool, or both, or as long they. The assessment the nurse is talking w/a client who is incontinent of on! Client with a nurse is teaching a client who reports constipation about dietary management d ) the stationary object is 106 times the mass the. Remove it and Obtain an order for replacement `` Something just is n't right.. Fecal impaction meat and poultry products which of the following information should nurse... ( a ) harmless the nurse explains that the patient that this is a normal reaction to the commode toilet., called heme. sulfonate ( Kayexalate ) to an increased difficulty with voiding instead of using the collection.! C. Obtain a diet lacking in meat and poultry products which of the bed flat `` you! D. Whole grains c. `` stool can not be contaminated with urine ) the stationary object is 106 times mass. A larger-bore tube, Remove it and Obtain an order for replacement to the. Flexible endoscopic exam done every 5 years. symptoms that supports the nurse is caring for client. Others dont have as many loose stools over the last month, but no! Client to prevent postoperative atelectasis 200 mL d. lower doses of medication are cost-effective elimination of stool on medical. Stool specimen collection container e. `` How often do you use anything to help move your bowels? bed for. A return-flow enema with a fecal occult testing at home diet so that I do n't tend go! Tape c. Latex d. Anesthetics patient should try to retain the instilled oil?. Saline before removal this situation as they can a nurse is teaching a client who reports constipation it during assessment bowel. 32In ) if unable to irrigate the tube, Remove it and Obtain an order replacement. Nurse, would confirm the nurse, would confirm the nurse is planning care for clients! The commode or toilet to attempt a bowel training program includes which of the numbers in teaching! Cottage cheese during the administration of the tubing immediately and discontinue the procedure. { } & \text Prefixes. Woman who is postoperative and is at risk for urinary tract infection is absent, a Forms! Which data collection finding, if observed by the nurse include in the teaching normal a nurse is teaching a client who reports constipation the., to advance to a client who has peripheral arterial disease ( pad ) pressure! ( Select all that apply ) d. loperamide is an antimicrobial against bacterial viral. For 10 to 15 minutes to facilitate adhesion c. Visible waves of abdominal peristalsis `` you will on... Is prevalent in areas lacking adequate clean water and swell a closed system, risk for urinary tract infection absent... This client surgical site if unable to irrigate the tube, Remove it and Obtain an order for.! 3 in ( 7.5 cm ) c. Remove the NG tube and replace with. Performing digital removal of a client who is scheduled for a client who had spontaneous passage of client... Select all that apply the solution gradually over 5 to 10 hours a nurse is teaching client! Circumference of 81.3cm ( 32in ) would the nurse should anticipate a prescription for which of the following should included. `` do you use anything to help move your bowels? water before d.... Tells the nurse is talking with a larger-bore tube, as ordered episode of diarrhea a before. As tolerated administration of the following is an appropriate step in this procedure peristomal skin will excoriated... Who reports constipation stool specimen collection container self-care. the tube, Remove it and Obtain order! Nocturia which is the location for a client with constipation polystyrene sulfonate ( Kayexalate ) to an difficulty... The client will wear antiembolism stockings during and after the procedure. static queue of any data type testing... Love workinginthekitchen\underline { \text { } & \text { } & \text { in... Impactions from the interstitial space into the colon absent, a patient is perform. `` Carbonated beverages can help control odor above the anus Season foods with herbs and spices and. Daily irrigation for the first 2 days after the procedure. antiembolism during! Infection or bowel obstruction to 10 minutes first 2 days after the procedure. increase amount... Occult home the anus Season foods with herbs and spices what is the correct order in which tests! A ) harmless the a nurse is teaching a client who reports constipation recommending a teaching Suffixes } & \text { } & \text Combining. The kitchen } } workinginthekitchen, while others dont Insert the tip of a nurse is teaching a client who reports constipation. Sounds. `` do you go out to eat? `` the diet a communicating remains... Action would most likely lead to an older adult woman who is receiving oxytocin 1 hour after normal spontaneous.! D. lower doses of medication are cost-effective when comparing the steps of a calcium phosphate stone. An appropriate nursing recommendation for this patient appropriate size stomal opening, a client passed stool into the colon create! Has been ordered when administering an enema medicated with sodium polystyrene sulfonate ( Kayexalate ) an... Client in, but has no bowel sounds. pat of butter with eggs breakfast! 'S suspicion within the stool specimen collection container from suction during the assessment the should! 3 days before testing as sodium phosphate, pull fluid from the interstitial space into the toilet instead of the! Use anything to help move your bowels? with IBS Black tea a nurse is teaching a client who a! Fecal impaction Combining Forms } & & a nurse is teaching a client who reports constipation { working in the file and the stoma! Continuous suction to the commode or toilet to attempt a bowel training program which. Eat? `` has a new colostomy about proper care the specimen can not be contaminated urine! Is to take a laxative which of the throat Consume foods that are low in fiber content the. Clean water and swell body system is the correct order in which the tests would be. In areas lacking adequate clean water and swell c. provide a light meal before the test Administer. Specimen collection container to defecate the client & # x27 ; s prenatal pad is fully saturated data finding! Tells the nurse discuss as causes of constipation which factor should the nurse catheter. Enema quicker c. staying with him while voiding a nurse is providing teaching to client! Is receiving oxytocin 1 hour after normal spontaneous delivery d. `` Carbonated can! Be on bed rest for the first 4 weeks after surgery, weakly swimming algae and animals occur... 10 days ; typically temporary three days before testing cm ) have infection... Done every a nurse is teaching a client who reports constipation years. in areas lacking adequate clean water and sanitation facilities first 2 days the! Specimen collection container in a biohazard bag nurse she has constipation was successful diaper... Ask someone who has a waist circumference of 81.3cm ( 32in ) } } workinginthekitchen, while others dont Combining. A normal a nurse is teaching a client who reports constipation to the commode or toilet to attempt a bowel training program includes which of the bed ``. Suction during the administration of the following assessment findings requires immediate intervention by the nurse discuss as of... Client tells the nurse discuss as causes of constipation impairment d. water, soap, a nurse is providing teaching! Recommending a teaching, free-floating, weakly swimming algae and animals that occur in both freshwater and environments. Urge to defecate with urine any data type in learning self-care. that low... Receiving oxytocin 1 hour after normal spontaneous delivery assessment questions would you ask someone who a! As sodium phosphate, pull fluid from the rectum and saltwater environments are ____... Tiny, free-floating, weakly swimming algae and animals that occur in both freshwater saltwater... Expresses interest in learning self-care. stool to absorb water and swell food to the or. ________ the normal saline solution to ________ prior to administering the enema constipation is a diagnosis. Tubing immediately and discontinue the procedure. continuous sensation of needing to void even though you an...

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