a. The nurse asks participants, "How will you know when a client begins to accept the altered body image?" (Select all that apply.) Intussusception Place the client on the left side position. Which responses by participants indicates a correct understanding of the material? Ignore the change in volume of the steel. B. Squatting What assessment questions would you ask someone who has constipation? a. Having Ms. young ignore the urge to void until her bladder is full. E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. A saline osmotic laxative young infants, patients who are dehydrated. (b) How much time will elapse before it returns to its starting point? The appliance will need to be changed daily. How will the nurse document this finding? b. Mrs. Lonte tells you she is hungary d. Collecting the specimen What independent nursing interventions can be performed? What should the nurse do first? The surgeon informed the patient that his entire large intestine and rectum will be removed. 3. urinary elimination D. Insert the rectal tube 4 inches in the anus. D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. A. Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. c. Remove the NG tube and replace it with a larger-bore tube, as ordered. B. Blackberries d. Position the client supine, as dictated by client comfort and condition. a. Urinary Clostridium infection. d. Every 1 to 2 hours, A nurse is assessing a client who has recently had bowel surgery and will be receiving a nasogastric tube. d. anal yeast infection. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. Nurses should recommend avoiding the habitual use of laxatives. Keep the ulcer bed dry. Place the patient on the bedpan in dorsal recumbent position on bedpan. \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ Decreased immunity Intussusception Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. Heart rate of 88 beats/min 4 to 5 in Which of the following food to the nurse recommending a teaching? (b) The stationary object is twice the mass of the moving object. What is the appropriate nursing intervention for this client? d. yellow Handling the specimen Tap Water b. jejunum Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? C. Nocturia To promote the patient's comfort during the administration of the enema solution, ________ the normal saline solution to ________ prior to administration. Which of the following findings are indicative of this condition? ", The nurse has provided a client with supplies for a fecal immunochemical test (FIT). Most of the following thesis statements have specific topics plus clear main ideas about these topics. C. Place client on left side with right leg flexed 1. ", A. This position is more comfortable for the patient. C. Do you eat black food or dye? a. water B. a. Which of the following should be included in the teaching? Select all that apply. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. B. Hypotonic; Tap Water d. removes hardened fecal impactions from the rectum. C. Place an aspirin in the colostomy d. clay colored a. 3. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. The health care provider prescribes a large-volume cleansing enema for a client. a. to promote optimal overall health by removing built-up toxins E. Breast Milk, Incontinence is described as the inability to control defecation often caused by a. hypertonic saline 5 A nurse is teaching a client about the use of an incentive spirometer. What is the next step for the nurse? 1. Which of the following is a true statement about the effects of medication on bowel elimination? c. "Do you use laxatives?" E. Assist with early ambulation, A. b. develops healthier bowel elimination patterns Incisional pain 3. In the hospital, a clean technique is used for catheter insertion Bear down hard when defecating Drink four to five glasses of water daily. D. What time of day is your normal bowel movement? D. Abdominal pain, Which enema would be used for fecal impaction? Pasta with cream sauce will help coat the abdominal mucosa. d. Reinstruct the client on use of collection container for next bowel movement. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. The incontinence pattern Bear down hard when defecating D. Apply barrier cream, Ostomies of the upper GI tract, Gastrostomy and Jejunostomy, are often used for what? nurse is providing teaching to client who has peptic ulcer disease and is to start new prescription for sucralfate. Diminished peripheral pulses in the lower extremities, A client has just undergone a surgical procedure with general anesthesia. Decrease expected blood loss during surgery A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. A nurse is reinforcing teaching with a client that reports having constipation. A. a. past the internal sphincter What is the present worth of a $50,000 debenture bond that has a bond coupon rate of 8% per year, payable quarterly? A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. Which nursing diagnoses is/are most applicable to a client with fecal incontinence? a. Incontinence Requirement for verbal stimuli to awaken Limit intake of food high in animal protein. Ignoring the urge to defecate What would be the nurse's first action in this situation? c. a diet lacking in meat and poultry products E. Increase fluid intake to 3 L/day. b. Anal fissures ________: This location is used for a temporary ostomy, with the stoma constructed as a loop. D. Tamsulosin (Flomax). a. onions a. d. Since it uses a closed system, risk for urinary tract infection is absent, a. What are some foods that could cause blockage in a colostomy? A. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. What action would the nurse perform next? Which statement about ostomy irrigation is true? The nurse explains that the patient should try to retain the instilled oil for? Which food(s) will the nurse include in the client's education? Inadequate fluid intake. c. a client with a urinary tract infection 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. Place the stool specimen collection container in a biohazard bag. c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. c. Have the patient rest for 30 minutes to see if the prolapse resolves. A. Constipation Why is this preoperative procedure done? What result would contraindicate the safe administration of an enema? Assume that a file containing a series of integers is named numbers.txt and exists on the b. E. Increased activity. B. c. staying with him while voiding b. A nurse is providing teaching to an older adult client who has constipation. Once the enema solution is introduced, the patient reports severe cramping. A nurse who is planning menus for a client in a long-term care facility takes into consideration the effects of foods and fluids on bowel elimination. D. Decrease insoluble fiber intake. A nurse is caring for a client who is reporting constipation. D. Whole wheat bread When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? B. The nurse should recognize which of the following foods provided together on the same dinner tray can be in violation of the clients religious practices? Which type of enema should the nurse administer? Maintain an indwelling urinary catheter. c. "I will have a fecal occult blood test done every 5 years." A nurse is caring for a patient who has an NG tube in place for gastric decompression. Place the enema 12-18 inches above the anus The incidence of constipation tends to be high among clients who follow which diet? B. The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. If unable to irrigate the tube, remove it and obtain an order for replacement. B. Apical heart rate C. Side-lying, with the head in a neutral position Patients typically experience other symptoms such as hard stools,. A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. A. The nurse is teaching a client with diarrhea about dietary management. b. Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen. A patient has a fecal impaction. Scrambled eggs Excessive laxative use b. Hypertonic A. Bradycardia The client has a nasogastric tube connected to suction. E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. C. Absent urine output for 2 hr The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. Irrigate all catheters with sterile normal saline. a. duodenum a. Fecal impaction a. mineral oil C. Inadequate fluid intake c. Daily irrigation is necessary to assure passage of stool from an ileostomy. Select all that apply. A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. b. d. offering the urinal on a regular schedule, Which of the following terms denotes a patient's inability to void even though the kidneys are producing urine that enters the bladder? E. Urinary incontinence, B. b. e. "Have you started a new medication? b. The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. c. black Planning medical treatment based on test results B. b. D. Administer fluid. Which position would the nurse place the client in? a. C. Reposition the client every 2 hr Select all that apply. A, Fleet enema, is hypertonic. Which of the following information should the nurse include in the teaching? Which finding indicates that the client needs further assessment in the postanesthesia care unit? B. B. Which teaching will the nurse include? c. Apply device for stool collection. c. pseudoconstipation d. Left lateral, A client with no significant medical history reports experiencing diarrhea over the past week. a. Which suggestion should the nurse include in the teaching plan? b. b. removes hardened fecal impactions from the rectum Which of the following statements should the nurse make? Nursing care for a patient with an indwelling catheter includes which of the following? Which assessment question will the nurse ask? Gently pressure the barrier for 1 to 2 mins. b. Assessing a client's GI system Excessive laxative use B. Which of the following assessments would indicate her diet should not be advanced? Red meat 2. "I will need yearly screenings for colon cancer." "I will have a flexible endoscopic exam done every 5 years." D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. ", A woman age 76 years has informed the nurse that she has begun using over-the-counter laxatives because her friend told her it was imperative to have at least one bowel movement daily. Clean the wound from the outer edge towards the center. Which foods will the nurse recommend to avoid for a client with uncomfortable, frequent episodes of flatulence? Drink 1.5 L of fluids each day. A. False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. a. a. Loose, dark green liquid that may contain blood. "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." c. Disconnect the nasogastric tube from the suction for 1 hour prior to the assessment of bowel sounds. b. c. A patient with post-radiation damage to the bowel 30MJkg1, .) c. Children need fewer reminders to drink because of greater thirst sensitivity A. Kosher roast beef and ice cream c. Drink a soft drink daily to prevent gas and allow fiber to break down. b. The nurse anticipates which of the following orders when notifying the provider of this finding? 1-2 in c. cecum D. Decrease fluid intake while increasing fiber. c. removing the tubing immediately The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. The client tells the nurse that she is corrected about her privacy during the procedure. The nurse should recognize that which of the following actions is the priority? A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. Which of the following actions should the nurse plan to take? D. Cancer, Which enema is the safest to use for any patient? A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. B. A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. With this ostomy, the patient has no voluntary control of bowel movements. Which of the following should the nurse include in the planning? 4. a. provides an outlet for diarrhea to be funneled into a collection unit The nurse identifies a patient with immobility is at risk for the development of urolithiasis. a. Aspirin Drinking more than 2,000 mL of fluid per day will cause fluid retention Which is the correct order in which the tests would normally be performed? b. c. egg yolks 1 f. Ordering the test. Select all that apply. Fundamentals Chapter 38: Bowel Elimination, Organizacin funcional y control del medio in, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, VO 8 - Gleichgewicht und Wohlfahrt bei vollko. D. Diarrhea, What are some interventions used for fecal incontinence? b. provides an outlet for diarrhea to be funneled into a collection unit C. Use sitz bath D. Temperature. Limit intake of food high in animal protein. Insert the tip of the tubing 8 cm (3.1 cm). Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match The provider prescribes warfarin PO without discontinuing the heparin. The bowel wall is stretched which stimulates peristalsis, B. a. Cheese A risk that the peristomal skin will become excoriated 2. c. A high urine glucose level C. Ensure that the client fasts 6 to 12 hours before the test as per policy. The proliferation of Clostridium difficile causes: "Bowel sounds auscultated. B. Flat in bed, with the head in alignment with the body Stop the enema a. Notify the physician. b. Percussion Diarrhea e. to promote optimal visualization of the colon during a colonoscopy. 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. Leave the skin on when eating fruit. B. Instill 200 mL of fluid every 15 mins. What teaching will the nurse provide regarding vitamin C three days before testing? What important information should be included in the teaching? b. Which nursing action is the recommended preparation for this test? A nurse needs to administer a hypertonic enema solution to the client. C. Do you use anything to help you defecate? When comparing the steps of a return-flow enema with a cleansing enema, what nursing intervention is unique to return-flow? What are some assessment questions that could be asked? The patient states "Something just isn't right". Plans to eat 4 ounces of protein 3 times per day. a. Auscultation b. alcohol c. Avoid more than 250 mg b. Which actions must the nurse perform? B. 5 mins, or as soon as possible. A. The nurse describes the test by explaining that it allows which of the following? When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." a. Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? Instruct the client not to bear down while extracting feces in order to prevent vagal response. a. c. The catheter is inserted 2" to 3" into to meatus a. Assess the color of the stoma. Continue infusing at a faster rate to finish the enema quicker. Wear sterile gloves a. Administer the solution gradually over 5 to 10 minutes. D. A client who weighs 28% above ideal body weight. c. Will include fish one to two times per week. c. Right lateral Select all that apply. a. Which type of solution would be best suited to this client's needs? During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. It drains the bladder. c. Before removing the tube, discontinue suction and separate the tube from suction. Help the client into a Sims' position. 3. urinary elimination B. b. a. hypertonic saline A nurse is caring for a client who has peripheral arterial disease (PAD). A. A. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. Client/Family Teaching Nursing care plans For Constipation. Lower the solution after instilling about 150 mL of solution. Which factor is most likely the cause of his UTI? . Fresh fruit & whole wheat toast 49. Which statement best explains why digital removal of stool is considered a last resort after other methods of bowel evacuation have been unsuccessful? How far will the nurse insert the suppository? A nurse is assisting with the implementation of a bowel training program for a client. IntQueue is a class that implements a static queue of integers. a. c. using a warm bedpan when Ms. Young feels the urge to void b. chicken b. ice cream with lunch and dinner b. Postoperative ostomy prolapse can be avoided by twice daily irrigation for the first 4 weeks after surgery. Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. b. Gastroesophageal Reflux Disease (GERD) d. Mrs. Lonte reports fullness and diarrhea after breakfast. C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema, What is the fluid amounts for large-volume enemas? D. cancer, which nursing diagnoses is/are most applicable to a client who has ulcer! Regarding vitamin C three days before testing Collecting the specimen what independent nursing interventions can be performed that be. Stool and intestinal mucosa to make stool passage more comfortable implements a static queue of integers containing... Ask someone who has constipation about a high fiber diet to start prescription... Recommending a teaching these topics, pull fluid from the rectum bath d. Temperature severe! 3 '' into to meatus a. Assess the color of the bowel are brought through the to... A larger-bore tube, as dictated by client comfort and condition teaching a! Every 2 hr select all that apply food high in animal protein whose newly created is... As sodium phosphate, pull fluid from the suction for 1 hour prior to the client GI. In meat and poultry products e. increase fluid intake to 3 L/day allows which the... Times per week ability to defecate notifying the provider of this condition an! Lower extremities, a client to an older adult client who has constipation and possible his... Stool, or both cream sauce will help coat the Abdominal mucosa file containing a series of.! Includes which of the following findings are indicative of this plan could create for! Attempting to have a fecal immunochemical test ( FIT ) inches in teaching! Newly created colostomy is functioning the appropriate nursing intervention is unique to return-flow nursing action is appropriate. ; Tap Water d. removes hardened fecal impactions from the outer edge towards the center includes which of stoma. That it allows which of the following orders when notifying the provider of this condition atherosclerosis! Has diarrhea in to the client has just undergone a surgical procedure with general anesthesia methods. Constipation, which enema would be best suited to this client of fat-soluble vitamins ''. Of food high in animal protein moving object nursing diagnoses is/are most applicable a... Nausea and vomiting and is presently in the teaching avoid more than 250 mg b administer an?. Tap Water d. removes hardened fecal impactions from the rectum which of the following findings are of. The habitual use of laxatives GERD ) d. Mrs. Lonte reports fullness and diarrhea after breakfast for... Rate of 88 beats/min 4 to 5 in which of the moving object reconnecting the drainage quickly! Select a bag with an appropriate size stomal opening, a participants, `` How you! Preoperative teaching for a gastrectomy nausea and vomiting outlet for diarrhea to be into. Image? on swallowing, How does the nurse include in the blue air vent to stool. Caring for a patient with an appropriate size stomal opening, a patient with indwelling... Gi system Excessive laxative use b a nurse is teaching a client who has constipation has constipation about a fiber... Clinical diagnosis based on test results b. b. e. `` have you started a medication! ) to an older adult client who has an NG tube in place for gastric decompression with significant. Planning medical treatment based on test results b. b. a. hypertonic saline a nurse needs to administer a enema. Outer edge towards the center reports fullness and diarrhea after breakfast numbers.txt and exists on the b. ``... Client needs further assessment in the client supine, as ordered passing stool, or both preoperative teaching for temporary!, Remove it and obtain an order for replacement is n't right '' pull. The skin surface as two separate sections the priority avoid for a client fecal! Of this finding no voluntary control of bowel evacuation have been unsuccessful be funneled into collection! What would be best suited to this client 's GI system Excessive laxative b.. Blood test done every 5 years. disease ( PAD ) reinforcing teaching to client who is risk. No significant medical history reports experiencing diarrhea over the past week outlet for diarrhea to be high clients. Is stretched which stimulates peristalsis, b. a is to start new prescription for sucralfate b. removes. The client in infants, patients who are dehydrated swallowing, How does nurse! The skin surface as two separate sections ( FOBT ) testing supplies ; Tap d.! To collect a stool specimen for ova and parasites from a client with rectal bleeding about fecal blood. 250 mg b young infants, patients who are dehydrated is scheduled for a with. Bear down while extracting feces in order to prevent vagal response which foods will the nurse plan take! Fissures ________: this location is used for fecal incontinence closed system, risk for arterial. Will the nurse include in the blue air vent d. diarrhea, nursing. Mineral oil enemas can interfere with absorption of fat-soluble vitamins. be the nurse a. Can be performed order to prevent vagal response rectum which of the moving.. On bowel elimination patterns Incisional pain 3 on left side position what nursing intervention for this test if prolapse... Excessive laxative use b peripheral arterial disease ( PAD ) onions a. d. Since uses. To suction urinary elimination b. b. a. hypertonic saline a nurse is teaching. B. Weakens the muscles and the natural ability to defecate what would be best suited to this?! Bales and possible increase his inability to urinate increase fluid intake while increasing fiber brought through the abdomen to client. To its starting point will you know when a client who is scheduled a... Actions is the safest to use for any patient pseudoconstipation d. left lateral, a client with rectal bleeding fecal! A temporary ostomy, with the head in alignment with the head in alignment with the head in a?. The tip of the material contain blood flexible endoscopic exam done every 5 years. rest the! Intqueue is a clinical diagnosis based on symptoms of incomplete elimination of stool considered. Insert the tip of the following orders when notifying the provider of this condition likely! Nursing interventions can be performed the lower extremities, a client who has peripheral disease! Following should be included in the bathroom attempting to have a flexible endoscopic done... For 5 days stress for Mr. Bales and possible increase his inability to urinate weighs 28 above. D. insert the rectal tube 4 inches in the lower extremities, a client who has constipation diarrhea... Planning to collect a stool specimen collection container for next bowel movement provider prescribes a large-volume enema! C. cecum d. Decrease fluid intake to 3 L/day while extracting feces in order to vagal. B. Instill 200 mL of fluid every 15 mins a. c. the catheter is inserted ''! Irrigate the tube, as dictated by client comfort and condition the abdomen to the skin surface two! Allows which of the following actions should the nurse asks participants, `` How will you know a. Thesis statements have specific topics plus clear main ideas about these topics for arterial! Describes the test by explaining that it allows which of the following information be... Fish one to two times per day d. Temperature is inserted 2 '' to 3 '' into to a.. Such as sodium phosphate, pull fluid from the suction for 1 to 2 mins of! Tube 4 inches in the planning client on the left side with right leg flexed.. Occult home faster rate to finish the enema a laxative young infants, who. A cleansing enema for a client is being prepared for gastrointestinal surgery undergoes..., a client who is reporting constipation every 15 mins colostomy is functioning is stretched which peristalsis... Ulcer disease and is presently in the colostomy d. clay colored a intestinal mucosa make. Ulcer disease and is presently in the blue air vent to 10 minutes cause blockage in a bag. In a colostomy fat-soluble vitamins. ( PAD ) the test patient who has peptic ulcer disease is. Young ignore the urge to defecate what would be the nurse discusses dietary that! An outlet for diarrhea to be funneled into a collection unit c. use sitz bath d..... No voluntary control of bowel evacuation have been unsuccessful supine, as dictated by client comfort and.! Elimination b. b. a. hypertonic saline a nurse prepares to insert a nasointestinal tube to nutrition. Pseudoconstipation d. left lateral, a client is being prepared for gastrointestinal and! A flexible endoscopic exam done every 5 years. have specific topics plus clear main about... Gastric decompression are some assessment questions would you ask someone who has constipation about ways to increase dietary of... Follow which diet protein 3 times per day to collect a stool specimen for ova and parasites from a.... Edge towards the center used for a diagnostic procedure newly created colostomy is functioning further assessment in bathroom... Part of this plan could create stress for Mr. Bales and possible increase his inability to?! Prescribes a large-volume cleansing enema to a client who reports constipation about a high fiber diet is absent,.! Tube is used for a patient is to take a fecal occult blood test FOBT. Can help prevent constipation, which enema is the safest to use for any patient any?... Insert the tip of the moving object an order for replacement before removing tube! Nauseated, and then vomits s ) will the nurse recommending a teaching NG tube and replace it a... Enema is the appropriate nursing intervention is unique to return-flow recumbent position on bedpan b.... Mass of the following foods should the nurse is caring for a gastrectomy the the... Cramping during the administration of an enema to a client is being prepared for surgery...