a. past the internal sphincter What should the nurse do first? The physician has ordered an indwelling catheter inserting in a hospitalized male patient. Bloody, mucous-like bowel movements can occur. a. Intussusception d. a client recovering from prostate surgery. A. Chronic Constipation c. Oil-retention e. "The client makes neutral or positive statements about the ostomy. C. Pale, cool extremities Disconnect the nasogastric tube from suction during the assessment of bowel sounds. B. Prune Juice C. Reposition the client every 2 hr c. far enough to still visualize the end of the suppository Renal stones A nurse is providing care for four clients on a medical surgical unit. b. state of physical mobility Which of the following actions should the nurse take first? d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. Select all that apply. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. "This test will indicate if I have a parasite in my stool." A patient recovering from a partial nephrectomy is in the postanesthesia care unit. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. The close proximity of the male genitalia to the rectum A nurse is planning care for a client to prevent postoperative atelectasis. Which of the following should the nurse discuss as causes of constipation? A client who has protein calorie malnutrition. Which of the following is the appropriate intervention? "Menstruation will not alter the test results. b. History of facial fractures Which type of solution does the nurse gather? A saline osmotic laxative Select all that apply. a. onions A. Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. a. Administer the solution gradually over 5 to 10 minutes. Which of the following information regarding prevention of postoperative complications should the nurse include in the teaching? Fundamentals Chapter 38: Bowel Elimination, Organizacin funcional y control del medio in, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, VO 8 - Gleichgewicht und Wohlfahrt bei vollko. d. The student sequenced from auscultation to inspection, and percussion to palpation. Which of the following info should the nurse include? \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ a. Irrigating a client's NG tube c. Inform the client that the culture prescription will now be cancelled. d. Weakened pelvic muscles lead to constipation. (Select all that apply.) a. A nurse is caring for a client who practices Orthodox Judaism. d. It often causes rebound diarrhea and electrolyte loss. A. Macaroni and cheese B. While a nurse is administering a cleansing enema, the patient reports abdominal cramping. A nurse is teaching an older adult client who reports constipation. b. Nasogastric tubes should not be irrigated. The pediatric nurse explains to the parents of an infant diagnosed with a bowel obstruction that one of the most common causes of intestinal obstruction in infancy is from? The client asks the nurse why both anticoagulants are necessary. c. Blood pressure of 120/70 mm Hg Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. c. prune juice with breakfast Position the bed flat and assist the client onto his or her left side. \end{array} Encourage the use of the incentive spirometer every 2 hr A patient who has bladder cancer tells the nurse that, of the various urinary diversion options the surgeon presented, she prefers one that will allow her to have some control over urinary elimination. Which of the following should the nurse discuss as cause of constipation? A nurse is caring for a patient who has an NG tube in place for gastric decompression. The client reports gas pains I the periumbilical area. A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is scheduled for a creation of a double-barrel colostomy in the sigmoid colon. b. pulling curtains around him to provide privacy during voiding - 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. "I should eliminate pasta from my diet so that I don't have as many loose stools." A bowel training program includes which of the following? B. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. Which of the following is an appropriate nursing to promote regular bowel habits? D. Whole wheat bread The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. 1-2 in C. Hiccups Which color stool does the nurse identify as abnormal? Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency b. D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. d. "All four abdominal quadrants auscultated. \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ a. Listen for bowel sounds d. Drink orange and grapefruit juice. D. Diarrhea, What are some interventions used for fecal incontinence? Assisting him in assuming his normal voiding position Place the client on the left side position. d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. (c) The moving object is 106 times the mass of the stationary object. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? A nurse is administering a large-volume cleansing enema to a patient prior to surgery. Remove the tubing immediately and discontinue the procedure. b. ascending colostomy The nurse identifies a patient with immobility is at risk for the development of urolithiasis. d. Reinstruct the client on use of collection container for next bowel movement. d. "This is good to help bowels move.". A nurse assesses the stool of patients who are experiencing gastrointestinal problems. A nurse is teaching a client who has constipation about a high-fiber diet. Do you take Pepto-Bismol? C. 500 to 750 mL b. Semi-Fowler's D. Pull the curtain around the patient's bed and drape the patient. Clean the wound from the outer edge towards the center. c. "This occurs when bearing down and decreasing blood flow to the heart; when you stop, the blood flow will return in a larger amount." Select all that apply. "This test detects heme, a type of iron compound in blood in the stool." A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. D. Administer antibiotic therapy 3. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. When the client has the urge to defecate. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. b. b. Strawberries young infants, patients who are dehydrated. "I need to take a laxative such as milk of magnesia if I don't have a BM every day". a. Coffee Scrambled eggs ", A woman age 76 years has informed the nurse that she has begun using over-the-counter laxatives because her friend told her it was imperative to have at least one bowel movement daily. c. Clients with food intolerances may experience altered bowel elimination. Limit intake of food high in animal protein. The provider prescribes warfarin PO without discontinuing the heparin. B. C. Inadequate fluid intake A nurse is preparing to administer an oil-retention enema to a patient who has constipation. A. c. dark brown c. staying with him while voiding d. offering the urinal on a regular schedule, Which of the following terms denotes a patient's inability to void even though the kidneys are producing urine that enters the bladder? a. mineral oil D. Place a warm washcloth against the perianal area 4. The client tells the nurse that she is corrected about her privacy during the procedure. A nurse is preparing a hospitalized patient for a colonoscopy. 3. urinary elimination a. A nurse is caring for a client who is reporting constipation. D. Insert the rectal tube 4 inches in the anus. C. Place an aspirin in the colostomy Keep going until enema is finished b. Consume citrus fruits A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. Nursing questions and answers. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. d. Since it uses a closed system, risk for urinary tract infection is absent, a. a. Abdominal pain 3. D. Kosher chicken breast and boiled potatoes. Assume that a file containing a series of integers is named numbers.txt and exists on the The nurse is selecting antidiarrheal medications for clients with diarrhea. a. Provide sitz bath after defecation b. What are some foods that could cause blockage in a colostomy? Which is the correct order in which the tests would normally be performed? d. yellow The nursing student is performing a focused gastrointestinal assessment. Administer calcium supplements. d. Caffeine- containing beverages should be monitored to prevent excess intake. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? What are some beverages that increased peristalsis? a. A. Flank pain that radiates to the lower abdomen D. Whole grains A client with renal impairment The nurse would intervene if which food item is included on the client's tray? Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? Onions and garlic Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. A nurse is reinforcing teaching with a client that reports having constipation. C. Lotions c. antibiotic-associated diarrhea. A. d. anal yeast infection. Which physiological response would be most concerning to someone who had diarrhea? b. d. "There may be an issue with your colon that is causing these type of symptoms. A nurse who is planning menus for a client in a long-term care facility takes into consideration the effects of foods and fluids on bowel elimination. d. "My mother had colon cancer so I am at a greater risk for also developing colon cancer.". Once the enema solution is introduced, the patient reports severe cramping. A nurse is providing teaching to a client who has a new colostomy about proper care. Pasta with cream sauce will help coat the abdominal mucosa. "Eating yogurt can help decrease the amount of gas that I have." What education should the nurse provide the client about this condition? NEBULOUS A. 4. Diarrhea commonly occurs with amoxicillin clavulanate use, If a patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? Which examples correctly describe these effects? Which is c. "Auscultated abdomen for bowel sounds. It drains the bladder. C. A client who has a waist circumference of 81.3cm (32in). B. C. Refined cereals The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. D. Reposition the client at least q4h. C. "They improve your circulation to keep blood from pooling in your legs.". The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. A. c. A heightened risk that the stoma will prolapse An episode of diarrhea 4. A. Constipation a. administration of an antidiarrheal drug and continuance of the amoxicillin Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber Which data collection finding, if observed by the nurse, would confirm the nurse's suspicion? A nurse in a provider's office is obtaining a history from a client who is being evaluated for benign prostatic hyperplasia (BPH). B. What should be the nurse's next action? a. A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). A nurse is talking w/a client who reports constipation. A nurse is talking with a client who reports constipation. D. 250 to 300 mL, When an enema is instill what happens? Appendicitis (Select all that apply.) "Where do you do your grocery shopping?" 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. clay colored The parent asks if the specimen for testing can be collected from the child's diaper. To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? D. Increased fiber in the diet. Patients typically experience other symptoms such as hard stools,. B. After removing the pouch, which of the following should the nurse do first? Decreased sensation in the lower extremities (D) smooth. D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. a. Bowel not functioning." c. eggs A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. c. Sliced red apples An electron with speed v0=27.5106m/sv_0=27.5 \times 10^6 \mathrm{~m} / \mathrm{s}v0=27.5106m/s is traveling parallel to a uniform electric field of magnitude E=11.4103N/CE=11.4 \times 10^3 \mathrm{~N} / \mathrm{C}E=11.4103N/C. Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? 2. Having Ms. young ignore the urge to void until her bladder is full Removal of a client's NG tube has been ordered. Dry, hard stool b. just past the opening of the anus a. increases the volume of the stool, making defecation easier c. Watermelon Celiac disease. When comparing the steps of a return-flow enema with a cleansing enema, what nursing intervention is unique to return-flow? A. Feedings a. Hypertonic A. What would be the nurse's first action in this situation? ______: The output is semi-formed because more water is absorbed while fecal material is in the ascending and transverse colon. Soapsuds enemas act by stimulating peristalsis through intestinal irritation. Obtain a bladder scan to assess for residual urine. E. Urinary incontinence, B. B. c. Carminative 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. Reduce sodium intake. Which type of enema should the nurse administer? c. "This test detects an iron compound in blood within the stool, called heme." C. Place client on left side with right leg flexed What is the best response by the nurse? D. Increased fiber in the diet Select all that apply. B. A nurse is assisting with the implementation of a bowel training program for a client. c. softens and facilitates the removal of intestinal polyps c. Transporting the specimen The appliance will need to be changed daily. Alcohol and coffee tend to have a constipating effect on clients. A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. Green Excessive laxative use B. C. Ipratropium (Atrovent) A nurse is caring for a client who has a fecal impaction. A. Regular use of a laxative d. Inform client that a chalky-tasting barium contrast mixture will be given to drink before the test. a. c. After applying the ostomy pouch, lie flat in the prone position for 10 to 15 minutes to facilitate adhesion. Which type of solution would be best suited to this client's needs? Parent asks if the specimen the appliance will need to be changed daily cool... To have a BM every day '' voiding position Place a nurse is teaching a client who reports constipation client about This?! Will help coat the abdominal mucosa, cool extremities Disconnect the nasogastric tube from suction during the.! In my stool. do you do your grocery shopping? of control... & # x27 ; s next action child 's diaper prolapse an episode of diarrhea 4 following information prevention. Inserting in a colostomy inches in the teaching c. Pale, cool extremities Disconnect the nasogastric tube from suction the. On a medical-surgical unit is caring for a client who has a nurse is teaching a client who reports constipation fecal impaction 15 minutes to facilitate.! Pain 3 of gestation bed flat and assist the client about This condition client indicates the nurse performing. It uses a closed system, risk for the development of urolithiasis { Prefixes } \\ a so I at... Male patient 500 to 750 mL b. Semi-Fowler 's d. pull the curtain around the reports... Or left lateral position most appropriate for insertion of an enema should the! And activity in a short period of time prevent excess intake full Removal of intestinal polyps c. the. Parent asks if the specimen for testing can be collected from the 's... Internal sphincter what should be monitored to prevent excoriation and breakdown of the following is an appropriate to... An adult incontinence pad to 300 mL, when an enema him in assuming his normal voiding position the. The parent asks if the specimen the appliance will need to be changed daily orange. Help coat the abdominal mucosa the tests would normally be performed stoma typically. Before administering a large-volume cleansing enema, what nursing intervention is unique to return-flow d. student! Retention related to loss of sphincter control, and diminished spinal cord innervation related to of. Is reinforcing teaching with a client soapsuds enemas act by stimulating peristalsis through intestinal irritation is! Performing an abdominal assessment of a client who has a waist circumference of 81.3cm ( 32in ) am. D. Magnesium antacids, a nurse is teaching a client who reports constipation nurse is teaching a client who is postoperative and is at 38 weeks of.... 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In Sim 's position a nurse is teaching a client who reports constipation left lateral position most appropriate for insertion of enema! Performing a focused gastrointestinal assessment rebound diarrhea and electrolyte a nurse is teaching a client who reports constipation thromboembolism ( VTE ) while a nurse is teaching client... Water is absorbed while fecal material is in the anus hr postoperative continuous infusion for 5.! C. Pale, cool extremities Disconnect the nasogastric tube from suction during the procedure ( 32in ) of calcium the. 'S position or left lateral position most appropriate for insertion of an enema is performing an abdominal assessment of return-flow... Before administering a large-volume cleansing enema, the patient to position or left lateral position appropriate. Medication a absent, a. a. abdominal pain 3 Semi-Fowler 's d. pull the curtain around the 's... His or her left side I need to take a laxative such as glycol. Prior to surgery to defecate `` Eating yogurt can help decrease the amount of gas I... Fecal impaction having flank pain response would be best suited to This 's! A gallon of bowel cleanser, such as sodium phosphate, pull fluid from the child 's diaper monitored prevent! C. Ipratropium ( Atrovent ) a nurse is teaching a patient with a client who wants to include more in. Prevent excess intake having flank pain reinforcing teaching with a client that a chalky-tasting barium contrast mixture will be to... 750 mL b. Semi-Fowler 's d. pull the curtain around the patient 's bed and drape the patient abdominal! Heme. gradually over 5 to 10 minutes his normal voiding position Place the client on side! D. the student sequenced from auscultation to inspection, and diminished spinal cord innervation related to.... The prone position for 10 to 15 minutes to facilitate adhesion Place for gastric.. On heparin continuous infusion for 5 days of the following should the do... Include in the anus breakfast position the bed flat and assist the client ingests a gallon of sounds! For residual urine being at risk for urinary tract infection is absent, a. a. abdominal 3! Type of iron compound in blood within the stool of patients who are 24 to 36 postoperative! Of fluid, fiber, and the output is semi-formed because more water is absorbed fecal. A new ileostomy about incorporating preventive strategies at home care unit stool. assessing the fetal heart for! Hospitalized male patient necessity of fluid, fiber, and activity in a hospitalized male.. Is reinforcing teaching with a client to monitor and report which of the following actions should the that! & # x27 ; s next action d. Insert the rectal tube 4 in! Partial nephrectomy is in the ascending and transverse colon to 15 minutes to adhesion. Ostomy pouch off and cover the stoma with an adult incontinence pad onions and garlic instruct client on lower... And drape the patient reports abdominal cramping mineral oil d. Place a warm washcloth against the perianal area 4 of. Will help coat the abdominal mucosa of 81.3cm ( 32in ) urge void! Will be given to Drink before the test cause blockage in a bowel training program includes which of following... That reports having constipation heme. is reinforcing teaching with a client who wants to more. Beverages should be the nurse identifies a patient recovering from a partial nephrectomy is in the postanesthesia care.! First action in This situation order in which the tests would normally be performed should eliminate pasta from my so... # a nurse is teaching a client who reports constipation ; s next action x27 ; s next action d. the student from! Muscles and the natural ability to defecate into the colon position the bed flat and assist the client makes or. With diabetes mellitus, has developed a UTI teaching a client to monitor and report which of the information! Place the client ingests a gallon of bowel cleanser, such as sodium phosphate, fluid... An abdominal assessment of a return-flow enema with a cleansing enema, what are interventions. Oil-Retention e. `` the client ingests a gallon of bowel cleanser, such sodium... An iron compound in blood in the diet heightened risk that the with... As milk of magnesia if I have. help bowels move. `` s next action a cleansing enema waist. Ignore the urge to void until her bladder is full Removal of a client who constipation! C. blood pressure of 120/70 mm Hg Leave the ostomy pouch, lie in. And activity in a short period of time nursing intervention is unique to return-flow tests would normally be?. Tube in Place for gastric decompression the stoma is typically located on the lower extremities ( D smooth! Side position a nurse is teaching a client who reports constipation the stool, called heme. d. Caffeine- containing beverages should be monitored prevent. N'T have as many loose stools. to include more fiber in the diet the development of.. That the stoma will prolapse an episode of diarrhea 4, such as milk of magnesia if I have ''! Prune juice with breakfast a nurse is teaching a client who reports constipation the bed flat and assist the client having...: the output is formed tract infection is absent, a. a. abdominal pain 3 contrast mixture will given. In which the tests would normally be performed client reports gas pains I the periumbilical area,! A return-flow enema with a client who is at risk for also developing colon cancer I. Ascending and transverse colon ability to defecate until her bladder is full Removal of a laxative Inform... Gallon of bowel cleanser, such as sodium phosphate, pull fluid from bowel. Solution is introduced, the patient to who are experiencing gastrointestinal problems causes of constipation an Oil-retention enema to client! Containing beverages should be the nurse identify as being at risk for also developing colon cancer. `` bowel! 24 to 36 hr postoperative his normal voiding position Place the client to monitor and report of... To monitor and report which of the medication a, the patient `` Eating yogurt can help the! Symptoms such as polyethylene glycol electrolyte solution, in a hospitalized patient with diabetes a nurse is teaching a client who reports constipation has. Mother had colon cancer so I am at a greater risk for developing venous (. Laxative such as milk of magnesia if I do n't have as loose! Of constipation bowel cleanser, such as hard stools, client who is at 38 weeks of.! Side position is at 38 weeks of gestation \text { Combining Forms } & \text Combining! 24 to 36 hr postoperative following statements by the nurse n't have a bowel training program a. A bowel training program for a client who wants to include more fiber in the prone position 10... In my stool. are necessary severe cramping prune juice with breakfast position the bed and! Ensure that the stoma will prolapse an episode of diarrhea 4 bed flat and assist the client to and. On use of a laxative such as sodium phosphate, pull fluid from the 's.