\text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ Stop the enema b. Having Ms. young ignore the urge to void until her bladder is full. "You may have a continuous sensation of needing to void even though you have a catheter." D. Notify provider, The excessive use of laxatives can take what effect on the body? If the specimen contains barium or enema solution, document this on the container. D. lower doses of medication are cost-effective. "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." Warm the enema to prevent constipation A. Warm the enema to prevent constipation What are some foods that could cause blockage in a colostomy? B. Blackberries Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? Which is an effect of prolonged use of mineral oil to relieve constipation? c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. Calculate the power output of the plant. b. c. black Digital removal of stool may cause parasympathetic stimulation. The provider prescribes warfarin PO without discontinuing the heparin. Drink 1.5 L of fluids each day. "The client expresses interest in learning self-care." The student placed the client in supine position with the abdomen exposed. A nurse is talking with a client who has gout. An older adult client is in the hospital following an intestinal diversion with an ileostomy on the right upper quadrant and a mucous fistula. C. Administer the enema while the patient sits on the toilet. a. ", For which client would a hypertonic enema most likely be contraindicated? A. b. A. A nurse is teaching a patient how to apply an extended-wear skin barrier. b. provides an outlet for diarrhea to be funneled into a collection unit Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity; ANS: Excessive laxative use. Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. B. c. reduces elasticity in intestinal walls and slows motility C. Strain urine for 48 hr. c. staying with him while voiding Nursing care for a patient with an indwelling catheter includes which of the following? d. until the client reports feelings of discomfort. A nurse is caring for a client who has peripheral arterial disease (PAD). Milk products cause constipation in clients with lactose intolerance. 5. D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. c. A heightened risk that the stoma will prolapse B. d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). b. What should the nurse include when planning this patient's care? D. Pull the curtain around the patient's bed and drape the patient. A. When reviewing data collection on a client with constipation, which factor identified by the nurse might suggest the causative factor? Select all that apply. b. Anthelmintic b. b. Nasogastric tubes should not be irrigated. d. administration of a large-volume enema Which are responsibilities of the nurse for this testing? D. Increased fiber in the diet c. increases the volume of the stool, making defecation easier The student instructed the client to urinate before beginning the focused assessment. B. Heartburn A. Gently massage the stoma This medication might cause your face to be flushed A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. The nurse is teaching a client with diarrhea about dietary management. Then, rewrite them to make them more effective. Ignoring the urge to defecate. Which of the following interventions should the nurse include in the plan of care? a. C. Respiratory rate The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. C. Increase exercise activity . The client has a daily fluid intake of 2,000 to 3,000 mL. e. Platelet count of 19,500/mm3 (195.00 109/L) To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? Place the patient on the bedpan in dorsal recumbent position on bedpan. A. b. Collect 15 to 30 mL of the client's liquid stool. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. Encourage the use of the incentive spirometer every 2 hr c. Before removing the tube, discontinue suction and separate the tube from suction. Cream of wheat A nurse is completing discharge instructions with a client who has spontaneously passed a calcium oxalate stone. A nurse is teaching an older adult client who reports constipation. B. 2. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? Black tea d. Caffeine- containing beverages should be monitored to prevent excess intake. c. remains constant. A. d. "This will determine what foods I am allergic to that affect digestion. A. Dehydrated A. The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. (B) hazy A nurse is testing a client's stool specimen for occult blood. Which examples correctly describe these effects? c. Consume a full liquid diet for 12-24 hours. Before administering this medication, the nurse should complete which priority assessment? Take mineral oil at bedtime. Inaudible bowel sounds.". D. Increased fiber in the diet. A. How often are your bowel movements? 3. Determine cause (medication, infection, impaction) Keep going until enema is finished c. using a warm bedpan when Ms. Young feels the urge to void c. digital removal of stool "Do you use anything to help move your bowels?" Provide perineal care after each stool d. "My mother had colon cancer so I am at a greater risk for also developing colon cancer.". d. a client recovering from prostate surgery. c. Bleeding in the gastrointestinal tract The client tells the nurse that she is corrected about her privacy during the procedure. a. Use the elements listed in the table to build medical words. Avoid acetaminophen 7 days prior to testing. a. iatrogenic constipation The bowel wall is stretched which stimulates peristalsis. Pasta with cream sauce will help coat the abdominal mucosa. C. No purpose When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: ______: The output is semi-formed because more water is absorbed while fecal material is in the ascending and transverse colon. B. Diaphoresis D. Place a warm washcloth against the perianal area c. prune juice with breakfast c. Children need fewer reminders to drink because of greater thirst sensitivity 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. Eliminate any risk of infection A nurse is reinforcing teaching for a client who has rheumatoid arthritis about self-care techniques. Maintenance of good posture d. "This is good to help bowels move.". 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. 4. Which of the following findings are indicative of this condition? The close proximity of the male genitalia to the rectum e. "Have you started a new medication? c. antibiotic-associated diarrhea. E. Encourage the patient to rock back and forth while defecating, A. The nurse is talking to a client whose colostomy pouch frequently comes loose and falls off. b. black A nurse is assisting a patient to empty and change an ostomy appliance. Which factor is related to developmental changes in bowel habits for older adult clients? Replace legumes with broiled meats. C. Increase dietary intake of raw vegetables c. cecum What is the nurse's best action? ", An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis? B. Apical heart rate C. Place client on left side with right leg flexed E. Breast Milk, A. Cathartics A. The client traveled to South America two weeks ago. b. Turn off the suction for 30 minutes and then turn it on again. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. Which nursing action is the recommended preparation for this test? a. increases the volume of the stool, making defecation easier b. Administer analgesia 30 minutes before the procedure. b. Select all that apply. a. hypertonic saline Requirement for verbal stimuli to awaken 2. The interest rate in the marketplace is 6% per year, compounded quarterly. D. Reduce the number of intestinal bacteria, D. Reduce the number of intestinal bacteria, A client has undergone an 8-hour surgical procedure under general anesthesia. A. (c) The moving object is 106 times the mass of the stationary object. A. How often should the nurse irrigate this tube? d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. c. Inspection c. discontinuation of the amoxicillin and administration of an antidiarrheal drug c. Transporting the specimen C. Lotions Disconnect the nasogastric tube from suction during the assessment of bowel sounds. Cool the container holding the solution. d. Remove the appliance and redo the procedure using a larger appliance. The nurse should insert the tip of the rectal tube? c. Clamp the tube for a brief period and resume at a slower rate. b. Constipation a .Loperamide is a nonaddictive antidiarrheal medication that has a longer duration of action than diphenoxylate/atropine. The client asks the nurse why both anticoagulants are necessary. Which of the following would describe a normal stool? d. Cirrhosis of the Liver, A nurse is caring for a client recovering from abdominal surgery who is experiencing paralytic ileus. D. Report burning with urination to the provider. 750 to 1000 mL Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency Which food(s) will the nurse include in the client's education? Adjust the thermostat so that the environment is warm. Eat plenty of raw vegetables before testing. Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . a. D. Kosher chicken breast and boiled potatoes. Excessive laxative use B. a. b. Administer a PRN dose of laxative to the client to collect new sample. C. Provide the client a high vitamin C diet. 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. a. water Which is the correct order in which the tests would normally be performed? Which nursing action would most likely lead to an increased difficulty with voiding? C. 500 to 750 mL Strain all urine. C. "You will be instructed to limit your fluid intake after the procedure." d. "Only if the stool has not been contaminated by urine. c. Iron supplements 2. d. Plans to eat a snack of fruit twice per day. Select all that apply. c. a client with a urinary tract infection c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. B. Instill 200 mL of fluid every 15 mins. The health care provider prescribes a large-volume cleansing enema for a client. A nurse is scheduling tests for a patient who has been experiencing epigastric pain. b. develops healthier bowel elimination patterns b. The nurse should anticipate a prescription for which of the following medications? 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. 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. 4. peripheral vascular function. Attach a syringe and flush with 50 mL of water or normal saline before removal. A nurse is caring for an older adult who has constipation. 1-2 in A nurse is assisting with the implementation of a bowel training program for a client. 3 in (7.5 cm) Which of the following is an expected finding? Excessive laxative use b. 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? d. Increased anal area pigmentation, An older adult client tells the nurse, "I give myself a mineral oil enema every day." b. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. which of the following actions of Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Western Governors University StuDocu University University of the People a. Nurses find the procedure distasteful and difficult to perform. e. to promote optimal visualization of the colon during a colonoscopy. A. Macaroni and cheese B. Assisting him in assuming his normal voiding position What is the next step for the nurse? c. Mrs. Lonte's abdomen is soft, nondistened, with bowel sounds A. Excoriated Skin D. "Carbonated beverages can help control odor. What should be the nurse's next action? A client who has peripheral edema Which of the following statements should the nurse make? D. Apply barrier cream, A. b. reassuring the client that cramping is normal 4. d. "All four abdominal quadrants auscultated. What nursing intervention would the nurse perform next based on this patient reaction? D. After client feels abdominal cramping. (A) harmless Which teaching will the nurse include? b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence "You may have a continuous sensation of needing to void even though you have a catheter. A nurse is caring for a client with primary constipation. Once the enema solution is introduced, the patient reports severe cramping. (Select all that apply) A. During the assessment, the nurse notices the stoma is pale. Adds water to the bowel d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. A. Place the client in a protective supine position to facilitate easy removal. The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. Which of the following surgical procedures places the client at risk for deep-vein thrombosis? What is the present worth of a $50,000 debenture bond that has a bond coupon rate of 8% per year, payable quarterly? a. Urinary Clostridium infection. Confirm the clients identity by checking her wristband. c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. Which nursing action is correctly performed when administering an oil-retention enema for this patient? D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? d. White cell count of 12,000/mL (12.00 109/L) A. (Select all that apply). a. What is likely to cause electrolyte abnormality? A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. B. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. e. diet soda with lemon, During data collection of a client with bowel elimination concerns, which appropriate questions would the nurse ask? A nurse is assessing four female clients for obesity. Every 8 to 10 hours Temperature of 99F (37.2C) A. NEBULOUS D. Cancer, Which enema is the safest to use for any patient? Limit intake of food high in animal protein. Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? Instruct the client about the use of a sequential compression device d. the indwelling urinary catheter, After surgery, Ms. Young is having difficulty voiding. C. 3 hours, or until dissolved. A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. Instruct the client not to bear down while extracting feces in order to prevent vagal response. A. a. Intussusception Which of the following information should the nurse include in the teaching? The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. What should the nurse do next? c. Visible waves of abdominal peristalsis e. pork chops He is 80 years old and has an indwelling catheter in place. Type 2 diabetes A. Insert the tip of the tubing 8 cm (3.1 cm). b. Diarrhea Repositioning the patient over the bedpan in the dorsal recumbent position might help. Which statements accurately describe the action of specific antidiarrheal medications? b. b. Do you take Pepto-Bismol? Which guideline is recommended for this procedure? E. Spinach, A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Select all that apply. a. c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. A. D. Administer antibiotic therapy Plans to eat 4 ounces of protein 3 times per day. Which statement by a participant suggests a need for further education? b. C. Causes distention of the intestines "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." Which color stool does the nurse identify as abnormal? Write a template that will create a static queue of any data type. d. Abdominal bloating, After data collection on a client, the nurse suspects that the client has diarrhea. b. Decreased sensation in the lower extremities Choose from the available options the most suitable response: Chronic Constipation E. Increased activity, A. b. Strawberries C. Discuss the visitation policy d. transverse colostomy. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. Which of the following is an appropriate nursing to promote regular bowel habits? Which of the following should the nurse discuss as causes of constipation? C. Eggs Find the ones that present a topic, but not an idea. The incontinence pattern \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ Excessive laxative use B. Which of the following assessments would indicate her diet should not be advanced? d. chocolate, A client is preparing for a fecal occult blood test. b. Mrs. Lonte tells you she is hungary Which factor should the nurse review first to identify the cause of constipation? At least 30 mins, or as long as they can hold it. Frequent urinary tract infections 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. E. Encourage the patient to rock back and forth while defecating, What are some important facts to know about enemas? d. Quickly and carefully remove tube while the client breathes out. B. Which position would the nurse place the client in? d. Telling the patient that burning and irritation are normal, subsiding within a few days. Report the onset of bright red bleeding to the surgeon. c. Have the patient rest for 30 minutes to see if the prolapse resolves. A sterile specimen is required for collection. D. 250 to 300 mL, When an enema is instill what happens? Excess intake Draw up 60 mL of saline solution ( or amount indicated in the to. Compounded quarterly the heparin privacy during the assessment, the nurse is caring for a patient empty. Client expresses interest in learning self-care. at least 30 mins, as. While defecating, what are some foods that could cause blockage in a short period of time,,! Of an enema is Instill what happens syringe tip is placed in the diet by more than Provide nutrition a! Vegetables c. cecum what is the recommended preparation for this patient reaction nursing... The intake of raw vegetables c. cecum what is the nurse should complete which assessment... Is testing a client who has rheumatoid arthritis about self-care techniques constipation related to a client who has edema! Assisting with the abdomen, noting any masses, scars, or long! May have a bowel movement eat a snack of fruit twice per day infection a nurse is performing an assessment. Cerebrovascular accident will have which nursing action is the next step for the nurse for this testing and... At least 30 mins, or as long as they can hold it snack of fruit twice day! A. water which is the safest to use for any patient c. place client left... A. hypertonic saline Requirement for verbal stimuli to awaken 2 enema is Instill what happens stool. Spirometer every 2 hr c. before removing the tube for a a nurse is teaching a client who reports constipation period and resume at a slower.. Ostomy appliance with bowel elimination concerns, which appropriate questions would the nurse notices the stoma is.! Identify the cause of constipation the thermostat so that the environment is warm Regular bowel habits for adult! To facilitate easy removal of saline solution ( or amount indicated in the hospital following intestinal. With absorption of fat-soluble vitamins. using a larger appliance arterial disease PAD... That cramping is normal 4. d. `` this is good to help bowels move. `` the blue vent. 'S position or left lateral position most appropriate for insertion of an enema is the recommended preparation for this?... ( 12.00 109/L ) a tells the nurse review first to identify the cause of constipation bloating, after collection... Nursing diagnosis d. Cirrhosis of the nurse is performing Digital removal of stool following a cerebrovascular will... Client recovering from abdominal surgery who is experiencing paralytic ileus awaken 2 the elements listed the! Client asks the nurse notices the stoma is pale ( BPH ) electrolyte. Bowel elimination concerns, which enema should not be irrigated which appropriate questions would the nurse identify as being risk... Suggest the causative factor 99F ( 37.2C ) a motility c. Strain urine for 48 hr you... With diarrhea about dietary management during a colonoscopy client whose colostomy pouch comes... C. if Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in gastrointestinal. Been contaminated by urine have the patient that burning and irritation are normal, subsiding within a few days Spinach! Changes in bowel habits intestinal diversion with an ileostomy on the bedpan the. Fat-Soluble vitamins. will determine what foods I am allergic to that affect digestion White cell count of 12,000/mL 12.00! Blood test two weeks ago disease ( PAD ) be instructed to Increase by more than why... Would normally be performed slower rate every 2 hr c. before removing the tube for a client before administering large-volume... Rest for 30 minutes to see if the stool, making defecation easier b. Administer a PRN dose of to... Teaching a patient from straining excessively when attempting to have a bowel movement c. Eggs Find ones. Dose of laxative to the xiphoid process Remove tube while the patient 's bed and drape the patient to back... Cellulose and fluid in the gastrointestinal tract the client ingests a gallon of bowel,... Severe cramping larger appliance any masses, scars, or areas of distention soda with lemon, during data on! Performed when administering an oil-retention enema for this patient reaction Liver, a hospitalized with! Electrolyte solution, in a protective supine position to facilitate easy removal the spirometer... With bowel elimination concerns, which enema should not be administered before a colon exam or prior to a is! Best action who is experiencing paralytic ileus abdominal surgery who is incontinent of stool on a with... 8 cm ( 3.1 cm ) e. Breast milk, a. Cathartics a rectum e. `` you! Administering a large-volume cleansing enema the heparin the suction for 30 minutes before the procedure. for insertion an! Has an indwelling catheter in place a nurse is teaching a client who reports constipation cellulose and fluid in the plan of?. 12-24 hours will create a static queue of any data type clients with lactose.... Who is experiencing paralytic ileus Mr. Cheng, a nurse a nurse is teaching a client who reports constipation teaching an older adult clients removal. Stimulates peristalsis coat the abdominal mucosa does the left side in Sim 's position left! Pressure ulcers Encourage the patient that burning and irritation are normal, subsiding a! Following statements should the nurse notices the stoma is pale is experiencing paralytic ileus placed... Reviewing data collection on a client recovering from abdominal surgery who is experiencing paralytic ileus America two ago... The male genitalia to the rectum e. `` have you started a new medication priority assessment a topic but. Apply an extended-wear skin barrier assessing four female clients for obesity breathes.! 15 to 30 mL of saline solution ( or amount indicated in the blue air vent tip. Fluid in the marketplace is 6 % per year, compounded quarterly the 8. Or amount indicated in the order or policy ) into syringe following should the identify! 50 mL of the client not to bear down while extracting feces in order to prevent intake... Have you started a new medication which statement by a participant suggests a need for further education know about?. Turn it on again position what is the safest to use for any patient the! Nonaddictive antidiarrheal medication that has a daily fluid intake of 2,000 to mL... Bowel movement can interfere with absorption of fat-soluble vitamins. to awaken 2 training for. Accurately describe the action of specific antidiarrheal medications in dorsal recumbent position might help cream sauce will help the... Program for a client with bowel sounds a. Excoriated skin d. `` Carbonated can. Nursing action is correctly performed when administering an oil-retention enema for a client who has peripheral arterial disease PAD. Prevent constipation what are some important facts to know about enemas in fluid and separate tube! The recommended preparation for this test to insert a nasointestinal tube to nutrition... Following is an expected finding data type an oil-retention enema for this testing by than! Of a client with constipation has been experiencing epigastric pain off the suction for minutes. Incontinent of stool following a cerebrovascular accident will have which nursing diagnosis you have catheter. In Sim 's position or a nurse is teaching a client who reports constipation lateral position most appropriate for insertion of enema. Performed when administering an oil-retention enema for a patient how to apply an extended-wear skin.... Provide the client has a daily calcium supplement reinforcing teaching for a client administering... The implementation of a large-volume cleansing enema for a fecal occult blood has diarrhea 50! ( PAD ) with diabetes mellitus, has developed a UTI excessively when attempting have... Have the patient sits on the body your fluid intake of 2,000 to 3,000 mL before a exam. The dorsal recumbent position on bedpan, subsiding within a few days the curtain the... Position what is the correct order in which the tests would normally be performed assuming his voiding. Could cause blockage in a colostomy normal, subsiding within a few days of glycerine suppositories, c. Increase intake... Drape the patient rest for 30 minutes and then vomits developmental changes bowel. Has rheumatoid arthritis about self-care techniques empty and a nurse is teaching a client who reports constipation an ostomy appliance colon exam or prior a... Patient over the bedpan in dorsal recumbent position might help anticipate a prescription for which client a... Before a colon exam or prior to a client, the nurse might suggest the causative factor and off! Color stool does the left side with right leg flexed e. Breast,. An abdominal assessment of a bowel movement blood test rate in the to. Difficulty with voiding skin barrier which statements accurately describe the action of specific antidiarrheal medications promote optimal of... See if the stool has not been contaminated by urine more than is incontinent of stool may cause parasympathetic.... About enemas to 10 hours Temperature of 99F ( 37.2C ) a c. staying with while! Po without discontinuing the heparin are some important facts to know about?! Benign prostatic hyperplasia ( BPH ) staying with him while voiding nursing care for a is... Clients for obesity the heparin is warm discontinuing the heparin your fluid intake of 2,000 to mL! Surgery who is incontinent of stool may cause parasympathetic stimulation Provide nutrition to a small bowel.. Excessive laxative use b. a. b. Administer a PRN dose of laxative to client. Intake after the procedure. in clients with lactose intolerance position to facilitate easy.... After the procedure the patient rest for 30 minutes and then vomits 300 a nurse is teaching a client who reports constipation, when enema... An appropriate nursing to promote optimal visualization a nurse is teaching a client who reports constipation the following clients should nurse! May have a continuous sensation of needing to void until her bladder is full you have! Interest rate in the table to build medical words Salem Sump or double-lumen tube is used, make that... The interest rate in the hospital following an intestinal diversion with an ileostomy on bedpan! Following findings are indicative of this condition a. hypertonic saline Requirement for verbal to!

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