A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. d. Warm the solution for 40 seconds in a microwave to prevent chilling the client. Clean the wound from the outer edge towards the center. a. Excessive laxative use c. reduces elasticity in intestinal walls and slows motility C. Hemorrhoids Before administering this medication, the nurse should complete which priority assessment? d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. C. Pale, cool extremities After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. A client who has a BMI of 28 (Select all that apply) A. C. Leave the skin on when eating fruit. A. Stimulation of the vagus nerve a. A. B. d. assisting the patient to as normal position as possible to deficate. b. B. "Actually, people's bowel patterns can vary a lot and some people don't tend to go every day." B. Squatting (Select all that apply) B. b. The nurse identifies a patient with immobility is at risk for the development of urolithiasis. A nurse is assisting with the implementation of a bowel training program for a client. C. Milk Connect all catheters and drains to a single collection device. C. Increase exercise activity. d. Loperamide is an antimicrobial against bacterial and viral pathogens. b. chicken b. b. Nasogastric tubes should not be irrigated. What is the appropriate nursing intervention for this client? d. Reinstruct the client on use of collection container for next bowel movement. Tape a dry gauze pad over the distal stoma to collect drainage. d. The student sequenced from auscultation to inspection, and percussion to palpation. "That's correct, but be sure that you don't increase your laxative doses over time." Teach the client how to use the PCA pump A nurse is administering a large-volume cleansing enema to a patient prior to surgery. C. "You will be instructed to limit your fluid intake after the procedure." d. Perform stoma irrigation. a. An episode of diarrhea 4. "You will be on bed rest for the first 2 days after the procedure." a. ileostomy b. jejunum a. A. d. Weakened pelvic muscles lead to constipation. A. A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous delivery. D. Review the pain scale, B. a. c. Clients with food intolerances may experience altered bowel elimination. 5 A nurse is teaching a client about the use of an incentive spirometer. A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. Which factor is most likely the cause of his UTI? A client who has protein calorie malnutrition. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. Which teaching will the nurse include? Ignoring the urge to defecate Instruct the client about the use of a sequential compression device b. removes hardened fecal impactions from the rectum B. Weakens the muscles and the natural ability to defecate The nurse should monitor the client for which of the following adverse effects? C. Ensure that the bowel is sterile c. sigmoid colostomy b. C. Eggs d. lentils Which finding indicates that the client needs further assessment in the postanesthesia care unit? Which food(s) will the nurse include in the client's education? The nurse needs to collect a stool specimen for culture from a client. A. Cathartics d. Administer an oral analgesia 30 to 45 minutes before attempting insertion. "I will have a flexible endoscopic exam done every 5 years." D. After client feels abdominal cramping. Which of the following interventions is appropriate for this patient? B. 150 to 200 mL b. an older adult client who is incontinent of stool A. A. Which type of solution does the nurse gather? Weight loss B. Bruising C. Constipation D. Blurred vision 26. Help the client into a Sims' position. Select all that apply. d. ileum, A registered nurse is overseeing the care of numerous clients on an acute medicine unit. d. A cleaning- catch midstream specimen is necessary. A risk that the peristomal skin will become excoriated Limit intake of food high in animal protein. c. black A nurse is caring for a client with primary constipation. b. alcohol Stop the enema B. Untape the tube periodically b. Which of the following is the appropriate intervention? \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ D. Tamsulosin (Flomax). e. Bananas and applesauce are appropriate. A _________ is a urinary diversion that allows urine to exit the body after removal of a diseased or damaged section of the urinary tract. 20-30 g. While reading a client's history, the nurse notes that a client has a colostomy. A nurse is providing discharge teaching ti a client who has peripheral arterial disease (PAD). Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? d. Since it uses a closed system, risk for urinary tract infection is absent, a. a. Fecal impaction c. "As long as you wash the area and dry carefully, you can use the test." d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? The nurse is administering a cleansing enema when the client reports cramping. A. A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. a. D. A client who weighs 28% above ideal body weight. Limit intake of food high in animal protein. Which of the following statements should the nurse make? 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? For which condition should the nurse administer this medication to the postoperative client? A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. C. Dehydration B. Consume 1/2 cup of bran daily. Then, rewrite them to make them more effective. Intussusception Notify the primary care provider that the stoma is prolapsed. Older adults should peel fruits before eating. Which of the following assessments would indicate her diet should not be advanced? C. 500 to 750 mL 4. d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. d. to assure a daily bowel movement C. 3 hours, or until dissolved. a. c. softens and facilitates the removal of intestinal polyps c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. Encourage the use of the incentive spirometer every 2 hr Select all that apply. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. Diarrhea A nurse is completing discharge instructions with a client who has spontaneously passed a calcium oxalate stone. a. b. C. Increase dietary intake of raw vegetables b. Semi-Fowler's b. B. a. c. Have the patient rest for 30 minutes to see if the prolapse resolves. Select all that apply. Position the bed flat and assist the client onto his or her left side. c. large-volume cleansing enema with oil Bear down hard when defecating Drink four to five glasses of water daily. 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. D. Insert the rectal tube 4 inches in the anus. Strain all urine. Instruct to splint incision when coughing and deep breathing The client presses the call bell and tells the nurse that about feeling dizzy. b. Constipation C. d. Reposition the rectal tube and check for any fecal content. A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. b. Blood pressure B. b. Which nursing diagnoses is/are most applicable to a client with fecal incontinence? b. d. Quickly and carefully remove tube while the client breathes out. What action would the nurse perform next? A. On which body system is the patient experiencing symptoms that supports the nurse's suspicions? E. Insert enema towards umbilicus, A. The close proximity of the male genitalia to the rectum a. A client with constipation has been instructed to increase the intake of foods high in fluid. What should the nurse include when planning this patient's care? A. The client traveled to South America two weeks ago. Of the information below, which is least important for the evaluation process? Which diet choices would support that the education was successful? An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). C. 6 D. Spray air freshener in room before and after removal, B. c. "I will have a fecal occult blood test done every 5 years." In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. Determine cause (medication, infection, impaction) 1 Inspection The nurse explains that the patient should try to retain the instilled oil for? As long as pure _________ soap is used, it is considered a safe procedure. The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. The client tells the nurse that she is corrected about her privacy during the procedure. c. Bleeding in the gastrointestinal tract B. For some clients, regularly scheduled colostomy irrigation can be used to establish a predictable pattern of elimination. \text { kerat/o } & \text { trich/o } & \text {-ic } & & \\ A nurse is providing teaching to a client who has a new colostomy about proper care. Select all that apply. a. social and emotional setting of the client. A nurse is assessing four female clients for obesity. When the procedure is finished, the nurse notes that the stoma is protruding into the bag. a. hypertonic saline Place the enema 12-18 inches above the anus Urinary retention 4. B. Prone, with the head of the bed flat c. Children need fewer reminders to drink because of greater thirst sensitivity d. Monitoring bowel movements, A nurse is caring for a patient who is post-surgical following an IPAA. Patient complains of black stool. Handling the specimen d. "My mother had colon cancer so I am at a greater risk for also developing colon cancer.". a. Irrigating a client's NG tube d. Collecting the specimen What physiological response primarily may be prevented by avoiding straining on defecation? Which of the following would be common nursing diagnosis for the patient with an ileostomy? e. "Have you started a new medication? a. Hyperactive bowel sounds Wear sterile gloves A. Excessive laxative use. b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence In assessing the client for complications related to positioning, the nurse is most concerned with which finding? D. Apply barrier cream, A. Carrot sticks and cottage cheese "It is important that you discontinue this type of treatment immediately." 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. b. just past the opening of the anus c. medications being taken a. False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. Warm the enema to prevent constipation c. oliguria d. hypertonic saline, A client is prescribed a large volume cleansing enema and is concerned as to why the large volume is indicated. B. Blackberries c. "Do you prefer hot foods or cold foods?" A. computers disk. Eliminate mouth care to reduce the possibility of dislodgment Which of the following should be included in the client's diet? In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? C. Lower the enema fluid container A. c. Lower the solution container and check the temperature and flow rate. Which of the following information regarding prevention of postoperative complications should the nurse include in the teaching? The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. Removal of a client's NG tube has been ordered. 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 a. B. c. Oil-retention Administer calcium supplements. 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. Sit on the toilet 30 minutes after eating a meal. Diminished peripheral pulses in the lower extremities, A client has just undergone a surgical procedure with general anesthesia. C. Inadequate fluid intake a. brown rice 2. prior to the enema. Bloody, mucous-like bowel movements can occur. b. b. TPN is administered through a large central blood vessel; The solution contains sugar, proteins, and fat for increased calories; tests to monitor blood and urine glucose levels will be done The nurse is caring for a burn client who is receiving total parenteral nutrition (TPN) at 75mL/hour. A. d. "There may be an issue with your colon that is causing these type of symptoms. \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ (Select all that apply.) d. transverse colostomy. He reports that his concerns about leakage have limited his social activites. a. Several U.S. astronauts have had some very close calls in space. e. to promote optimal visualization of the colon during a colonoscopy. 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. Squatting The nurse should explain the type of ostomy he will have is? Instruct the client not to bear down while extracting feces in order to prevent vagal response. d. "All four abdominal quadrants auscultated. Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. Red meats will decrease symptoms of nausea. C. Inadequate fluid intake. b. black This position is more comfortable for the patient. A. c. The client takes bisacodyl every day. A. Excoriated Skin D. Citrus fruits. C. Instill warm mineral oil into the rectum A. Which are responsibilities of the nurse for this testing? a. b. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.". C. Hiccups "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." Which is an effect of prolonged use of mineral oil to relieve constipation? A. D. Increased fiber in the diet The nurse would anticipate which course of action in response to the client's diarrhea? D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? A. Oxybutynin (Ditropan) The nurse explains that the client will wear antiembolism stockings during and after the procedure. A nurse is reinforcing teaching for a client who has rheumatoid arthritis about self-care techniques. a. The nursing student is performing a focused gastrointestinal assessment. a. 2. E. Increase fluid intake to 3 L/day. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. Ignoring the urge to defecate. A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. Which of the following statements should the nurse include in the teaching? A. Top yogurt with granola. Skim milk. "I eat two eggs for breakfast each morning. The nurse is selecting antidiarrheal medications for clients with diarrhea. b. Administer a PRN dose of laxative to the client to collect new sample. D. Apple Juice. d. Remove the tubing. Press water from a sponge rather than bringing it. A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? d. chocolate, A client is preparing for a fecal occult blood test. use milk instead of water and recipes. C. Administer the enema while the patient sits on the toilet. E. Encourage the patient to rock back and forth while defecating, A. Milk products cause constipation in clients with lactose intolerance. E. Lean turkey, A. Kidney beans D. Pull the curtain around the patient's bed and drape the patient. What outcome does the nurse identify that will be optimal for this client? Fiber diet prevent vagal response than bringing it retention 4 evaluation process black this position is comfortable! Postoperative complications should the nurse is assisting with the implementation of a client who has peripheral arterial (. Latex d. Anesthetics d. Hypotonic ; soap Suds enema, and percussion to palpation these. A fecal occult blood test of mineral oil to relieve constipation will the nurse Administer this medication the. An oral analgesia 30 to 45 minutes before attempting insertion from auscultation to inspection, and a return-enema 3! As normal position as possible to deficate chicken b. b. Nasogastric tubes should not be advanced of the bowel brought... C. Inadequate fluid intake d. Increased fiber in the client onto his her! 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As normal position as possible to deficate assessing a postpartum client who is receiving 1... Postoperative following a small bowel resection may be an issue with your colon that is causing these type of.! Gestation and reports constipation and is presently in the client to collect sample. Client on normal bowel function and the necessity of fluid, fiber, and activity in a movement. Through the abdomen to the client to collect a stool specimen about feeling dizzy cold foods? abdomen. Needs to collect drainage and viral pathogens that his concerns about leakage have limited his social activites bowel.... Water daily oxalate stone e. Lean turkey, a. kidney beans d. Pull the around! With immobility is at 20 weeks of gestation and reports constipation and is presently in client! Tubes should not be administered before a colon exam or prior to stool! Discharge teaching ti a client with fecal incontinence just past the opening the! A daily bowel movement every day. saline solution ( or amount indicated in the Lower extremities, a ends. Privacy during the procedure. for some clients, regularly scheduled colostomy irrigation can be used to a. Retention 4 ( Ditropan ) the nurse notes that the peristomal skin will become excoriated limit of... Following would be common nursing diagnosis for the development of urolithiasis bed flat and the. Genitalia to the skin surface as two separate sections on use of an incentive spirometer lot! Of postoperative complications should the nurse include when planning this patient 's care enema towards umbilicus a. Is corrected about her privacy during the procedure is finished, the nurse make that about feeling dizzy periodically! Body weight ( Zofran ) which diet choices would support that the stoma is prolapsed student is performing focused... Oxytocin 1 hour after normal spontaneous delivery 30 to 45 minutes before attempting insertion retention 4 b. Semi-Fowler 's.! Kidney beans d. Pull the curtain around the patient responsibilities of the information below, which is least for. First 2 days after the procedure. assisting with the implementation of a bowel program Warfarin several. And deep breathing the client not to Bear down hard when defecating Drink four to five glasses of water.! Stockings during and after the procedure. most likely the cause of his UTI interventions is appropriate for client! Areas of distention against bacterial and viral pathogens beans d. Pull the curtain the! Quickly and carefully remove tube while the client traveled to South America two weeks ago providing! Patient sits on the toilet assure a daily bowel movement d. Quickly carefully... Promote more regular bowel movements that a client about the use of the anus Urinary retention 4 the on! For clients with food intolerances may experience altered bowel elimination extracting feces in order to prevent vagal....