"The client uses spray deodorant several times an hour to mask odor." a. a diet lacking in fruits and vegetables Hypertrophic pyloric stenosis Tape a dry gauze pad over the distal stoma to collect drainage. substiture salad dressing for Mayonnaise on sandwiches. b. What should be the nurse's next action? C. Dehydration A nurse is providing preoperative teaching for a client who will undergo surgery. e. Bananas and applesauce are appropriate. d. Cantaloupe Ignoring the urge to defecate c. Peptic Ulcer C. Strain urine for 48 hr. ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? Older adults should peel fruits before eating. E. Breast Milk, Incontinence is described as the inability to control defecation often caused by Which is Select all that apply. Why is this preoperative procedure done? b. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. B. Squatting A nurse is preparing to administer a cleansing enema to a patient who is prone to more fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. Select all that apply. 2. What is the best response by the nurse? Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . C. Inadequate fluid intake Teach the client how to use the PCA pump D. Citrus fruits. Which type of enema should the nurse administer? C. Administer the enema while the patient sits on the toilet. b. Semi-Fowler's a. b. cabbage C. Side-lying, with the head in a neutral position a. mineral oil 4 to 5 in It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. Will includes a pat of butter with eggs for breakfast. c. Iron supplements b. Adds water to the bowel d. clay colored b. (d) The stationary object is 106 times the mass of the moving object. d. Caffeine- containing beverages should be monitored to prevent excess intake. If the specimen contains barium or enema solution, document this on the container. A nurse is performing digital removal of stool on a patient with a fecal impaction. b. Weight loss B. Bruising C. Constipation D. Blurred vision 26. a. A client with constipation has been instructed to increase the intake of foods high in fluid. A nurse is performing digital removal of stool on a patient with a fecal impaction. Results may be altered if a sample is left standing at room temperature for a long time. a. Hyperactive bowel sounds Which of the following food to the nurse recommending a teaching? Which physiological response would be most concerning to someone who had diarrhea? D. Administer an antidiarrheal medication 3 hr. \text { lip/o } & \text { xer/o } & \text {-logist } & & \\ a. to promote optimal overall health by removing built-up toxins Write a template that will create a static queue of any data type. Which nursing diagnoses is/are most applicable to a client with fecal incontinence? A nurse is teaching a patient how to apply an extended-wear skin barrier. c. egg yolks A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. C. Respiratory rate The nurse needs to collect a stool specimen for culture from a client. c. dark brown Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. 3. urinary elimination B. Hypotonic; Tap Water The nurse should recognize that which of the following actions is the priority? Determine cause (medication, infection, impaction) b. Decreasing fluid intake to 1,000 mL D. Do you drink a lot of water? An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). What is the present worth of a $50,000 debenture bond that has a bond coupon rate of 8% per year, payable quarterly? A. a. administration of an antidiarrheal drug and continuance of the amoxicillin ", For which client would a hypertonic enema most likely be contraindicated? d. Quickly and carefully remove tube while the client breathes out. Decreased immunity Cleanse the skin around the stoma with warm water. c. prune juice with breakfast A. ", A. e. Platelet count of 19,500/mm3 (195.00 109/L) D. Notify the doctor. c. Carminative D. A client who weighs 28% above ideal body weight. Digital removal of stool may cause parasympathetic stimulation. Which of the following info should the nurse include? 3 in (7.5 cm) 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. Which food(s) will the nurse include in the client's education? Which statement best explains why digital removal of stool is considered a last resort after other methods of bowel evacuation have been unsuccessful? Demonstrate the class a. c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. D. 1-3 in. c. "I will have a fecal occult blood test done every 5 years." a. B. d. chocolate, A client is preparing for a fecal occult blood test. (A) harmless a. A. A. Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. The surgeon informed the patient that his entire large intestine and rectum will be removed. Select all that apply. The nurse is selecting antidiarrheal medications for clients with diarrhea. 4. Make a prediction for each scenario below, explaining your reasoning. 25. Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? a. ______: The output is semi-formed because more water is absorbed while fecal material is in the ascending and transverse colon. e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. Which of the following assessments would indicate her diet should not be advanced? D. Blood-tinged mucus, C. Frequent swallowing and clearing of the throat, A nurse is completing the admission assessment of a client who has a kidney stone. a. What result would contraindicate the safe administration of an enema? Select all that apply. 1. skin integrity c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. What is the most important nursing action in the care of this client? For which condition should the nurse administer this medication to the postoperative client? computers disk. (Select all that apply.) Which of the following strategies should the nurse instruct the patient to use for maximal adherence? Removal of a client's NG tube has been ordered. In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? B. Flatulence e. "How often do you go out to eat?". C. The specimen can not be contaminated with urine. a. Irrigation of the catheter with 30 mL of normal saline solution every 4 hours A. Feedings B. Malnutrition (Select all that apply). e. pork chops Select all that apply. Select all that apply. D. Review the pain scale, B. d. "Your friend is correct in her assessment, but it would likely be better to exercise and drink more instead of using medications. a. small-volume cleansing enema with isotonic solution What are some factors than can affect bowel elimination? 10 use milk instead of water and recipes. The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. Listen for bowel sounds The client presses the call bell and tells the nurse that about feeling dizzy. A cleansing enema has been ordered for the client to soften and lubricate stool. (Select all that apply.) D. Spray air freshener in room before and after removal, B. c. Before removing the tube, discontinue suction and separate the tube from suction. A student nurse studying human anatomy knows that a structure of the large intestine is the: Remove the tubing immediately and discontinue the procedure. On which body system is the patient experiencing symptoms that supports the nurse's suspicions? Which of the following is most likely to validate that a client is experiencing intestinal bleeding? c. Have the patient rest for 30 minutes to see if the prolapse resolves. "What are your normal bowel habits?" C. Reposition the client every 2 hr "Menstruation will not alter the test results. When the client has the urge to defecate. A nurse is providing preoperative teaching for a patient who has colon cancer. C. Happiness b. 5 A nurse is teaching a client about the use of an incentive spirometer. A Alcohol d. yellow b. This type of enema should be avoided in ___________ and ________________. B. Q2h while the patient is awake. C. Clean stoma with alcohol d. age of the patient, Mr. Bales is 60 year old and alert. b. black \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ d. "If you are having a light flow or spotting then you can perform the test. The incontinence pattern "Eating yogurt can help decrease the amount of gas that I have." a. \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ d. The student sequenced from auscultation to inspection, and percussion to palpation. A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. d. Skin turgor response of 6 seconds, The nurse has presented an educational in-service about caring for clients who have newly created ostomies. Ignoring the urge to defecate Place the client on a bedpan in the supine position while receiving the enema. d. a diet lacking in glucose and water, Which medication causes constipation? The surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed. False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? C. Do you use anything to help you defecate? a. a. "It depends on which testing developer is used." A. A risk that the peristomal skin will become excoriated d. It often causes rebound diarrhea and electrolyte loss. The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. 1. ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. c. oil b. Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen. What physiological response primarily may be prevented by avoiding straining on defecation? He is timid and reluctant to talk about his urinary retention problem. B. d. Clients who want to self-irrigate their colostomy must sign a contract and agree to use the equipment only for its intended use. Assisting him in assuming his normal voiding position Black tea A nurse is planning a bowel-training program for a patient with frequent constipation. The client returned from a foreign country 2 days ago. When the client asks what the stockings do, which of the following responses should the nurse make? 2 Percussion This position allow for ease of access. d. Abdominal bloating, After data collection on a client, the nurse suspects that the client has diarrhea. Loose, dark green liquid that may contain blood. What are some beverages that increased peristalsis? a. IntQueue is a class that implements a static queue of integers. 30MJkg1, .) The nurse identifies a patient with immobility is at risk for the development of urolithiasis. When was your last bowel movement? D. Black, What important consideration should be taken when doing a fecal impaction? d. transverse colostomy. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. d. "This will determine what foods I am allergic to that affect digestion. A. a. hypertonic saline D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. c. The client takes bisacodyl every day. b. A. Constipation Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? d. Choose bland foods, such as cottage cheese. C. Inadequate fluid intake. Cleanse the stoma and the peristomal skin. D. Bradypnea, A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. C. "I will have a flexible endoscopic exam done every 5 years." Strain all urine. What response should the nurse give to the client? a. B. a. onions b. a. A. A. Disconnect the nasogastric tube from suction during the assessment of bowel sounds. c. Clients with food intolerances may experience altered bowel elimination. d. discontinuation of the amoxicillin and the administration of a different antibiotic, A hypertonic enema solution lubricates the stool and intestinal mucosa, making stool passage more comfortable. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? c. eggs a. C. Macaroni and cheese and peas B. E. Urinary incontinence, B. Discontinue the administration of the enema The client has a daily fluid intake of 2,000 to 3,000 mL. The client asks the nurse why both anticoagulants are necessary. The nurse explains that the patient should try to retain the instilled oil for? A. Which factor is related to developmental changes in bowel habits for older adult clients? Which statement about ostomy irrigation is true? a. hot tea with meals a. B. c. After applying the ostomy pouch, lie flat in the prone position for 10 to 15 minutes to facilitate adhesion. a. water b. Alcohol and coffee tend to have a constipating effect on clients. What would be the nurse's first action in this situation? Plans to eat 4 ounces of protein 3 times per day. A saline osmotic laxative The patient states "Something just isn't right". What is the difference between a one-piece and two-piece pouching system? Which factor is most likely the cause of his UTI? c. "The client is willing to look at the stoma." Go ahead with the test." a. provides an outlet for diarrhea to be funneled into a collection unit d. Compress the container as the solution instills. c. Will include fish one to two times per week. B. Untape the tube periodically d. assisting the patient to as normal position as possible to deficate. 5. Patient complains of black stool. B. ", The nurse has provided a client with supplies for a fecal immunochemical test (FIT). ", A. Choose from the available options the most suitable response: A. Cathartics C. Lubricate 5 inches of the rectal tube. Consume foods that are low in fiber content. What is the nurse's best action? Which of the following instructions should the nurse include in the teaching? Fresh fruit and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice: B is correct. b. Select all that apply. Which of the following actions should the nurse anticipate? What is the next step for the nurse? Which finding is most important for the nurse to report to the health care provider? (C) very old a. (Select all that apply) A nurse is caring for who reports an area of redness, warmth, tenderness, and pain in the right calf. E. Encourage the patient to rock back and forth while defecating, A. Inaudible bowel sounds.". Instruct the client about the use of a sequential compression device c. Oil-retention D. Report burning with urination to the provider. Which laxative would be contraindicated for this patient? Determine cause (medication, infection, impaction) He reports that his concerns about leakage have limited his social activites. Which of the following surgical procedures places the client at risk for deep-vein thrombosis? "You may have a continuous sensation of needing to void even though you have a catheter." The provider has prescribed an enema. b. pulling curtains around him to provide privacy during voiding A nurse is providing discharge teaching ti a client who has peripheral arterial disease (PAD). Statistics and Incidences. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. What action would the nurse take to prepare the client for this procedure? What should not be used on stomas? c. Fish and dried lentils A nurse is talking with a client who has gout. Replace legumes with broiled meats. Monitor urine pH. b. a diet consisting of whole grains, seeds, and nuts (D) smooth. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. Excessive laxative use The bond matures in 15 years. Apply lubricant to the anus Which task should the nurse delegate to unlicensed assistive personnel (UAP)? Which is the best statement to include? "Are you experiencing rectal fullness?" Ignore the change in volume of the steel. "Bowel sounds auscultated. a. hypertonic saline E. Increase fluid intake to 3 L/day. Which diet choices would support that the education was successful? The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. a. Which of the following statements should the nurse make? d. until the client reports feelings of discomfort. "I eat two eggs for breakfast each morning. C. Provide the client a high vitamin C diet. A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. B. Consume 1/2 cup of bran daily. During discharge instructions, you tell the patient they need to do the test how many consecutive days? d. "All four abdominal quadrants auscultated. c. Wipe the lubricated tip of the container before insertion. d. a client recovering from prostate surgery. a. e. clay colored, the nurse insert the tubing into the rectum? What outcome does the nurse identify that will be optimal for this client? c. antibiotic-associated diarrhea. d. Reposition the rectal tube and check for any fecal content. Calculate the rate at which water must flow away from the plant. Maintenance of good posture The nurse explains that the client will wear antiembolism stockings during and after the procedure. Cheese D. Urinary Incontinence, A patient comes into the ER with a colostomy. How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? A. Gently massage the stoma c. Obtain a diet change order to increase the amount of fiber in the client's meals. In which patients would diarrhea be a possible finding? B. A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. During the aging or wearout period, the deterioration of a machine usually B. Defecation Frequent urinary tract infections Which finding would most likely contraindicate placement of a nasogastric (NG) tube by the nurse in this client? Hematest-positive nasogastric tube drainage 3. A nurse is providing teaching to a client who has a new colostomy about proper care. a. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. D. After client feels abdominal cramping. "This is an indicator of heart disease and we should do an electrocardiogram to be sure that it has not caused damage to the heart." "This test will indicate if I have a parasite in my stool." d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. Place the patient on the bedpan in dorsal recumbent position on bedpan. b. with a driver program. Eliminate any risk of infection b. A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following information should the nurse include in the teaching? "I will need yearly screenings for colon cancer." Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? D. Hematuria f. Ordering the test. C. the risk of constipation is decreased. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? A. C. Fleet's Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? Bear down hard when defecating a. \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ b. Strawberries How far will the nurse insert the suppository? B. 2. b. Using a diet that is low in bulk Which food will the nurse recommend that the client consume? Decrease expected blood loss during surgery D. "Your urine should be clear yellow the evening after the surgery. b. Administer a PRN dose of laxative to the client to collect new sample. c. "Perhaps you should do this twice daily." 1-2 in Reduce sodium intake. Excessive laxative use. b. develops healthier bowel elimination patterns D. Apply barrier cream, Ostomies of the upper GI tract, Gastrostomy and Jejunostomy, are often used for what? A patient admitted with possible kidney stones suddenly experiences acute crampy pain on the left side that radiates into the groin. Several U.S. astronauts have had some very close calls in space. Scrambled eggs c. Visible waves of abdominal peristalsis B. b. Identify the sequence of steps the nurse should take to properly administer the enema. Which of the following assessment findings requires immediate intervention by the nurse? 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. A nurse is caring for an older adult who has constipation. b. retention 2. Which actions must the nurse perform? The client drinks 8 glasses of fluid daily. B. A nurse prepares to assist a patient with a newly created ileostomy. Which of the following is a true statement about the effects of medication on bowel elimination? Green C. Pale, cool extremities d. Stroking Ms. youngs leg or thigh, b. Two objects undergo an elastic head-on collision in one dimension, with one object initially at rest and the other moving at 12m/s[E]12 \mathrm{~m} / \mathrm{s}[\mathrm{E}]12m/s[E]. B. e. Diphenoxylate/atropine have a longer duration of action than loperamide. A client with renal impairment The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. c. a diet lacking in meat and poultry products Select all that apply. C. Increase dietary intake of raw vegetables Red meat What independent nursing interventions can be performed? A. Kosher roast beef and ice cream B. The nurse is assessing a client for constipation. What is the appropriate nursing recommendation for this client? "Where do you do your grocery shopping?" c. Remove the NG tube and replace it with a larger-bore tube, as ordered. Which type of solution does the nurse gather? Which of the following have manifestations of obesity? D. Pull the curtain around the patient's bed and drape the patient. 2. NEBULOUS Which intervention is most important? The client states, "I am menstruating right now. c. sigmoid colostomy a. Auscultation c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. a. As a nurse prepares to assist Mrs. P with her newly created ileostomy, she is aware of which of the following? B. a. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. How would this be documented? A nurse is caring for a patient who is to perform a fecal occult testing at home. a. C. Provide the client a high vitamin C diet. Apply lubricant to the anus 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." c. 5 in (12.5 cm) Which nursing action would most likely lead to an increased difficulty with voiding? A nurse is providing teaching to an older adult client who has constipation. A nurse is administering a large-volume cleansing enema to a patient prior to surgery. a. a. A nurse is talking with a client who reports constipation. A nurse is teaching a client who has constipation about a high-fiber diet. He is 80 years old and has an indwelling catheter in place. f. Attapulgite does not interfere with the absorption of other oral medications. In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? D. lower doses of medication are cost-effective. D. Increased fiber in the diet c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. d. physiologic or lifestyle changes in the client. c. digital removal of stool b. d. Asparagus and turnip, The nurse will gather which type of solution to administer a cleansing enema to a client who needs to have water drawn into the bowel? Select all that apply. Turn off the suction for 30 minutes and then turn it on again. Which assessment technique would be performed last? A. Macaroni & cheese B. What action would the nurse perform next? The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. (b) The stationary object is twice the mass of the moving object. a. Irrigating a client's NG tube A nurse is assessing the abdomen of a patient who is experiencing frequent bouts of diarrhea. C. Mineral Oil It drains the bladder. c. pseudoconstipation Lower the solution after instilling about 150 mL of solution. Diminished peripheral pulses in the lower extremities, A client has just undergone a surgical procedure with general anesthesia. \end{array} "The client expresses interest in learning self-care." B. Which of the following statements should the nurse include in the teaching? c. oliguria For which adverse effect would the nurse monitor in this patient? 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. D. Temperature. Which of the following instruction should the nurse include in the teaching? a. Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. Select a bag with an appropriate size stomal opening a. Oil-retention b. Which of the following should the nurse discuss as cause of constipation? 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? 3 Auscultation Which of the following is a clinical finding of postoperative bleeding? Which of the following statements should the nurse include? Select all that apply.

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