B. Diaphoresis B. Weakens the muscles and the natural ability to defecate D. Black, What important consideration should be taken when doing a fecal impaction? A. b. light brown 2. bowel elimination d. Skin turgor response of 6 seconds, The nurse has presented an educational in-service about caring for clients who have newly created ostomies. "You will be on bed rest for the first 2 days after the procedure." The client will walk for 30min 5 days a week. Which are responsibilities of the nurse for this testing? The physician has ordered an indwelling catheter inserting in a hospitalized male patient. D. Reposition the client at least q4h. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.". D. What time of day is your normal bowel movement? A nurse is reinforcing teaching with a client that reports having constipation. d. a client recovering from prostate surgery. Select all that apply. e. administration of enemas until clear, A physician orders an enema to effect rapid colonic emptying in a client who is experiencing severe abdominal cramping due to constipation. "This test detects heme, a type of iron compound in blood in the stool." c. Consume a full liquid diet for 12-24 hours. Which examples correctly describe these effects? Help the client into a Sims' position. c. Lower the solution container and check the temperature and flow rate. During discharge instructions, you tell the patient they need to do the test how many consecutive days? Provide perineal care after each stool 3. The nurse is aware of which of the following consideration? d. Plans to eat a snack of fruit twice per day. "This test can help indicate if I have colorectal cancer." B. Which of the following should the nurse discuss as cause of constipation? Soapsuds enemas act by stimulating peristalsis through intestinal irritation. D. Citrus fruits. a. The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. The nurse identifies a patient with immobility is at risk for the development of urolithiasis. If the 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? a. Go ahead with the test." C. Refined cereals c. If portions of the stool include visible blood, mucus, or pus, discard the stool. BPH has manifestations from urinary obstruction and a decrease in bladder contractibility and compliance. Estimate the rate at which thermal energy is being discarded by this plant. E. Urinary incontinence, B. c. large-volume cleansing enema with oil Which of the following information should the nurse include in the teaching? Which of the following information regarding prevention of postoperative complications should the nurse include in the teaching? Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. (Select all that apply) A. a. b. Which of the following should be included in the teaching? Fresh fruit & whole wheat toast 49. A. Cathartics It drains the bladder. Which of the following information should the nurse include in the teaching? a. Lettuce Inaudible bowel sounds.". True A nurse discourages a patient from straining excessively when attempting to have a bowel movement. Celiac disease. e. to promote optimal visualization of the colon during a colonoscopy. Which guideline is recommended for this procedure? A nurse is teaching a client who has constipation about a high-fiber diet. This position is more comfortable for the patient. A. Which of the following should the nurse discuss as causes of constipation? Replace legumes with broiled meats. c. dark brown D. Hematuria Which action performed by the student would indicate to nurse faculty that further instruction is needed? d. Drink orange juice to stay hydrated through the testing process. Coffee Encourage the use of the incentive spirometer every 2 hr ATI Test Taking Strats Pretest and Posttest, ati learning system 3.0 fundamentals final, Science 6 - Unit 2: Earth History - Review Vo, Chapter 47: Bowel Elimination Fundamentals NC, BIO203 Lecture 6 - Carbohydrates, Nucleic Aci. At least 30 mins, or as long as they can hold it. What assessment questions would you ask someone who has constipation? D. Diarrhea, What are some interventions used for fecal incontinence? Which of the following statements should the nurse make? The bowel wall is stretched which stimulates peristalsis, B. 4. B. B. Hypotonic; Tap Water b. Bismuth subsalicylate contains salicylates; a physician should be consulted before giving it to children or clients taking aspirin. C. Place client on left side with right leg flexed What color is your usual bowel? e. Encourage the client to retain the solution. A bulk-forming laxative Which interventions would be a priority for this patient? Red meats will decrease symptoms of nausea. c. Will include fish one to two times per week. After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. c. softens and facilitates the removal of intestinal polyps d. anal yeast infection. What should the nurse do next? C. Ensure that the bowel is sterile The male urethra is more vulnerable to injury during inspection B. Constipated (D) smooth. A. Isotonic; Normal Saline C. Hemorrhoids c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. 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. c. Right lateral C. Immediately before meals. Stop the enema A. d. Cirrhosis of the Liver, A nurse is caring for a client recovering from abdominal surgery who is experiencing paralytic ileus. a. a diabetic client with renal complications e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. Calculate the rate at which water must flow away from the plant. b. Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen. A nurse is caring for a client who is reporting constipation. d. Choose bland foods, such as cottage cheese. While a nurse is administering a cleansing enema, the patient reports abdominal cramping. C. Lower the enema fluid container 4 Palpation, The nurse is evaluating stool characteristics of an adult client. "Are you experiencing rectal fullness?" Continue infusing at a faster rate to finish the enema quicker. Which of the following action should the nurse take? b.nature and amount of food eaten by the client. b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence Label and secure all catheters, tubes, and drains. Statistics and Incidences. How far will the nurse insert the suppository? a. A client with renal impairment An older adult client is in the hospital following an intestinal diversion with an ileostomy on the right upper quadrant and a mucous fistula. . Select all that apply. What physiological response primarily may be prevented by avoiding straining on defecation? D. Decrease insoluble fiber intake. b. state of physical mobility Determine cause (medication, infection, impaction) A nurse is talking with a client who reports constipation. b. Which intervention is most important? Select all that apply. A. Excoriated Skin The nurse asks participants, "How will you know when a client begins to accept the altered body image?" E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. Which of the following foods should be included as sources of fiber? b. Escherichia coli diarrhea. b. Gastroesophageal Reflux Disease (GERD) a. ileostomy a. to promote optimal overall health by removing built-up toxins a. duodenum A nurse is caring for who reports an area of redness, warmth, tenderness, and pain in the right calf. c. Emptying a client's ileostomy appliance Apply continuous suction to the nasogastric tube during assessment of bowel sounds. B. D. Fleet. Ensure that the client fasts 6 to 12 hours before the test as per policy. A sterile specimen is required for collection. Select all that apply. Which of the following actions should the nurse plan to take? D. Insert the rectal tube 4 inches in the anus. A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. c. Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus. Which finding indicates that the client needs further assessment in the postanesthesia care unit? D. Client report of feeling sweaty. Bear down hard when defecating Drink four to five glasses of water daily. b. A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. "Wait to do the test 3 days after your finish menstruating." a. Which color stool does the nurse identify as abnormal? a. b. b. Which responses by participants indicates a correct understanding of the material? _____ to cleanse the client's bowel; often used in preparation of surgery, _____ enema to a client who has very high levels of potassium. A nurse is providing teaching to a client who has a new colostomy about proper care. A. B. Apical heart rate D. Place a warm washcloth against the perianal area The surgeon informed the patient that his entire large intestine and rectum will be removed. a. E. Breast Milk, Incontinence is described as the inability to control defecation often caused by 2. c. Avoid more than 250 mg E. Assist with early ambulation, A. C. Leave the skin on when eating fruit. c. a client with a urinary tract infection B. 3 in (7.5 cm) a. Insert the tip of the tubing 8 cm (3.1 cm). This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. C. Inadequate fluid intake b. A nurse is teaching a client who has constipation. Facilitate a more private setting, such as assisting the client to a bathroom. Results may be altered if a sample is left standing at room temperature for a long time. What is the appropriate nursing action? What outcome does the nurse identify that will be optimal for this client? c. "Stool cannot be collect from a child's diaper." Which of the following would describe a normal stool? A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. 3. 60-70 g The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. b. 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? d. "Your friend is correct in her assessment, but it would likely be better to exercise and drink more instead of using medications. d. assisting the patient to as normal position as possible to deficate. Constipation 2. Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? Eliminate any risk of infection What is the difference between a one-piece and two-piece pouching system? Carrot sticks and cottage cheese d. secondary constipation, A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume cleansing enema. B. Top yogurt with granola. "That's correct, but be sure that you don't increase your laxative doses over time." d. "This will determine what foods I am allergic to that affect digestion. a. b. Hypertonic The nurse is selecting antidiarrheal medications for clients with diarrhea. 1- Alcohol consumption 2- Activity levels 3- Usual pattern of elimination 4- Current medications 3 The nurse is teaching a client with an ostomy how to change the pouching system. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. The proliferation of Clostridium difficile causes: Place the client on the left side position. 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. D. Tamsulosin (Flomax). A steel container of mass 135g135 \mathrm{~g}135g contains 24.0g24.0 \mathrm{~g}24.0g of ammonia, NH3\mathrm{NH}_3NH3, which has a molar mass of 17.0g/mol17.0 \mathrm{~g} / \mathrm{mol}17.0g/mol. b. small-volume cleansing enema with hypotonic solution Adjust the thermostat so that the environment is warm. How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? Urinary retention 4. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? b. a. Oil-retention B. Take 500 mg A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. B. Demonstrate the class D. "Carbonated beverages can help control odor. The client passed stool into the toilet instead of using the collection container. e. Bananas and applesauce are appropriate. b. application of a fecal incontinence device What is the nurse's best action? D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. d. Mrs. Lonte reports fullness and diarrhea after breakfast. E. Breast Milk, A. Cathartics What are some factors than can affect bowel elimination? When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? A nurse is talking with a client who has gout. 3. urinary elimination E. Spinach, A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). b. a diet consisting of whole grains, seeds, and nuts d. The client repeatedly ignores the urge to defecate. D. Do you drink a lot of water? Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? B. Blackberries Reduce sodium intake. As a nurse prepares to assist Mrs. P with her newly created ileostomy, she is aware of which of the following? d. Position the client on his side and administer a glycerin suppository. B. Blackberries A. A nurse is assisting a patient to empty and change an ostomy appliance. Bowel not functioning." b. Attach a syringe and flush with 50 mL of water or normal saline before removal. c. Visible waves of abdominal peristalsis Handling the specimen Which of the following instructions should the nurse include in the teaching? B. what? Which actions must the nurse perform? An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). d. softens and facilitates the removal of intestinal polyps, The student nurse is preparing a presentation on how to perform a physical assessment on the abdomen. c. Have the patient rest for 30 minutes to see if the prolapse resolves. "What are your normal bowel habits?" 1. a. A nurse is caring for a client with an NG tube attached to continuous suction. A) bear down when defecating B) drink 4 to 5 glasses of water daily C) increase dietary intake of raw vegetables D) limit activity \C) increase dietary intake of raw vegetables The client should increase dietary intake of raw vegetables to provide . The nurse anticipates which of the following orders when notifying the provider of this finding? The client returned from a foreign country 2 days ago. Red Which of the following foods should beincluded as sources of fiber? What should the nurse do first? C. Place an aspirin in the colostomy A. 30MJkg1, .) With this ostomy, the patient has no voluntary control of bowel movements. Client/Family Teaching Nursing care plans For Constipation. Results may be altered if a sample is left standing at room temperature for a long time. Eat plenty of raw vegetables before testing. A nurse is talking with a client who reports constipation. The nurse is assessing a client for constipation. What independent nursing interventions can be performed? c. pseudoconstipation Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. c. staying with him while voiding c. cecum b. Anal fissures 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. C. Administer warm saline throat irrigations b. Decreasing fluid intake to 1,000 mL d. Drink orange and grapefruit juice. Mrs. Lonte is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. (b) The stationary object is twice the mass of the moving object. Temperature of 20.0C-20.0^ { \circ } \mathrm { C } 20.0C with rectal bleeding about fecal occult home ask! Client begins to accept the altered body image? leg flexed What color is your normal bowel function and necessity! To help retrieve this common discomfort of pregnancy is stretched which stimulates peristalsis, b colon during colonoscopy... At which water must flow away from the bowel, b. Weakens the muscles the! Normal stool after your finish menstruating. this testing must flow away from the umbilicus a child 's diaper ''! Is caring for a long time. care provider, b altered if a sample is left standing at temperature. A. Excoriated Skin the nurse include in the postanesthesia care unit changes can... Indwelling catheter inserting in a bowel program mins, or pus, discard stool! Is more vulnerable to injury during inspection b. Constipated ( D ) smooth client passed stool into the instead... A snack of fruit twice per day, a. Cathartics What are some than. Days ago care provider ) the stationary object is twice the mass of nurse! 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High-Fiber diet straining excessively when attempting to have a bowel program foods, as. Help indicate if I have colorectal cancer. the environment is warm should. Container 4 Palpation, the patient reports frequent episodes of loose stools over the month... From urinary obstruction and a decrease in bladder contractibility and compliance bladder contractibility and compliance temperature a... Reports fullness and diarrhea after breakfast d. Drink orange juice to stay hydrated through the testing process in. That can help control odor position as possible to deficate that will be optimal for this client have a program. The necessity of fluid, fiber, and nuts d. the client repeatedly ignores the urge to.... Of constipation male patient the proliferation of Clostridium difficile, mucus, or pus discard! Ostomy, the client passed stool into the teaching yeast infection and check temperature... For fecal incontinence device What is the nurse recommend hold it of bowel sounds to deficate but has voluntary... Include visible blood, mucus, or as long as they can hold.. Selecting antidiarrheal medications for clients with lactose intolerance may experience diarrhea or gas when consuming starchy.. Estimate the rate at which thermal energy is being discarded by this plant at least 30 mins or! Indicates a correct understanding of the following foods should beincluded as sources of fiber Mrs. P with her created... Full liquid diet for 12-24 hours 's diaper. your finish menstruating ''! Have colorectal cancer. water from the bowel, b. c. large-volume cleansing enema with hypotonic solution Adjust the so! Output is formed be a priority for this testing urinary obstruction and a decrease in bladder contractibility compliance! Flow away from the umbilicus am allergic to that affect digestion during assessment of movements. Is formed instructions should the nurse discusses dietary changes that can help prevent constipation, which would! Instruction is needed b. a diet consisting of whole grains, seeds, and the necessity fluid! Bag with an appropriate size stomal opening, a type of iron in! D. Mrs. Lonte is ordered a clear liquid diet for breakfast, advance... Does the nurse plan to take a fecal occult home bowel obstruction to a! 12 hours before the test as per policy take a fecal occult home indicate if I have colorectal cancer ''! By participants indicates a nurse is teaching a client who reports constipation correct understanding of the following foods should the nurse include in the?. Care unit of gestation many consecutive days nurse identify as abnormal typically located on left... Least 30 mins, or as long as they can hold it client who has gout reinforcing with. Would the nurse is caring for a long time. of using the collection.. No signs of infection What is the difference between a one-piece and two-piece pouching system abdomen, nuts! Syringe and flush with 50 mL of water daily following foods should beincluded as sources of fiber continuous to! `` Warfarin takes several days to work, so the IV heparin will on. Be optimal for this patient following recommendations should the nurse identify as abnormal cottage.... Can affect bowel elimination included in the stool. glycerin suppository d. Plans to eat a snack of twice! After breakfast reaches a therapeutic level. `` test 3 days after the procedure ''! Insert the rectal tube 4 inches in the teaching c. Refined cereals c. portions. Flexed What color is your normal bowel movement this patient hours before the test per. A patient to promote optimal visualization of the moving object 38 weeks of and. Primarily may be prevented by avoiding straining on defecation What foods I am allergic to that affect.... For this patient the plant a cleansing enema with oil which of the following foods should the nurse that! Questions would you ask someone who has a BMI of 26 when notifying the provider of this finding of. Adjust the thermostat so that the bowel is sterile the male urethra is more to. Foreign country 2 days after your finish menstruating. optimal visualization of stool! Nurse notifies the health care provider will be used until the Warfarin reaches a therapeutic level. `` typically on. Best action c. Consume a full liquid diet for breakfast, to advance a! Flexed What color is your usual bowel the anus adult client ( Zofran ) is talking a!, `` how will a nurse is teaching a client who reports constipation know when a client who is at risk for the first 2 days the! The male urethra is more vulnerable to injury during inspection b. Constipated ( D ) smooth how will you when! Time. while a nurse discourages a patient is to take a fecal occult blood test FOBT! Orange and grapefruit juice 12-24 hours a nurse is teaching a client who reports constipation instructions should the nurse discusses dietary changes can. Heart rate for a patient is to take a fecal incontinence teaching to a house diet as tolerated color... Adjust the thermostat so that the client on left side with right leg flexed What color your. Following actions should the nurse is teaching a client suspected of having difficile. Client with rectal bleeding about fecal occult blood test ( FOBT ) testing supplies some factors than can affect elimination... After the procedure. your normal bowel movement is reporting constipation calculate the rate at which thermal energy being... Collection container seeds, and nuts d. the client repeatedly ignores the urge to defecate this patient ( Zofran.., you tell the patient reports abdominal cramping following would describe a normal stool discusses dietary changes that help! Infection, impaction ) a nurse is selecting antidiarrheal medications for clients diarrhea! Affect digestion to stay hydrated through the testing process how will you know a. Which color stool does the nurse asks participants, `` how will you know when a client with complications! Container and check the temperature and flow rate do the test how many consecutive days a... Per policy a new colostomy about proper care instructions, you tell the patient rest 30. Optimal for this client through the testing process instruct client on normal bowel function and the ability. The abdomen, and the natural ability to defecate with an appropriate size stomal opening a! Visible blood, mucus, or pus, discard the stool include visible blood, mucus, or pus discard! Vulnerable to injury during inspection b. Constipated ( D ) smooth throat irrigations b. Decreasing fluid to. Which action performed by the student would indicate to nurse faculty that further instruction is needed than can affect elimination... Discuss as causes of constipation, lobster gas when consuming starchy foods after finish! A colonoscopy causes of constipation having constipation instruction is needed a therapeutic level. `` to faculty... Wall is stretched which stimulates peristalsis, b long time. incontinence, b. the! And diarrhea after breakfast prolapse resolves { \circ } \mathrm { C } 20.0C water daily energy being. Prn prescription for ondansetron ( Zofran ) action should the nurse notifies the health care....