Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following? Inaudible bowel sounds.". It drains the bladder. c. a client with a urinary tract infection Which of the following actions should the nurse take to alleviate the clients concern? A. Stewed prunes C. It empties the bowel. Frequent urinary tract infections B. C. Absent urine output for 2 hr Which of the following actions should the nurse take when collecting the specimen? A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. D. Hematuria Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. b. Lower the solution after instilling about 150 mL of solution. d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? A. 1 Using your knowledge of the given term and its correct spelling, write a brief sentence for the term as it might appear in patient documentation. This position allow for ease of access. A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. C. Hiccups B. with a driver program. Assume that a file containing a series of integers is named numbers.txt and exists on the E. Spinach, A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). (Select all that apply.) b. c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. A. E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. Which of the following should the nurse discuss as cause of constipation? b. Drink 1.5 L of fluids each day. b. a. Diarrhea a. B. Constipated D. Apple Juice. b. Secure the ostomy pouch in place by wrapping an elastic bandage around the abdomen, making sure to cover the entire ostomy appliance. 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. B. A. e. pork chops Which of the following strategy should she include illustrate the concept of joint protection? Which nursing action is correctly performed when administering an oil-retention enema for this patient? a. brown rice a. A. A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications. What assessment questions would you ask someone who has constipation? b. _________: is typically created as an emergency procedure to relieve an intestinal obstruction or perforation. A. Hgb of 11.6 and Hct of 37% A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The client asks the nurse why both anticoagulants are necessary. Using a diet that is low in bulk d. Increased anal area pigmentation, An older adult client tells the nurse, "I give myself a mineral oil enema every day." a. administration of a small-volume enema What important information should be included in the teaching? A. d. Drink orange juice to stay hydrated through the testing process. Cream of wheat 5 A nurse is teaching a client about the use of an incentive spirometer. 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. Monitoring bowel movements, A nurse is caring for a patient who is post-surgical following an IPAA. d. Caffeine- containing beverages should be monitored to prevent excess intake. A nurse is planning care for a client to prevent postoperative atelectasis. The surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed. Avoid acetaminophen 7 days prior to testing. Which of the following foods should the nurse instruct the client to avoid? b. D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. A nurse is reinforcing teaching with a client that reports having constipation. D. Depression d. administration of a large-volume enema ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? Which is an effect of prolonged use of mineral oil to relieve constipation? young infants, patients who are dehydrated. Nursing care for a patient with an indwelling catheter includes which of the following? When reviewing data collection on a client with constipation, which factor identified by the nurse might suggest the causative factor? A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. "It is important that you discontinue this type of treatment immediately." Do you take Pepto-Bismol? d. "There may be an issue with your colon that is causing these type of symptoms. \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ b. Consume citrus fruits d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. Select all that apply. d. Position the client supine, as dictated by client comfort and condition. To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. c. mineral oil a. For which condition should the nurse administer this medication to the postoperative client? A nurse is talking w/a client who reports constipation. C. the risk of constipation is decreased. C. Clean stoma with alcohol Wear sterile gloves Several U.S. astronauts have had some very close calls in space. c. Before removing the tube, discontinue suction and separate the tube from suction. Which of the following should be included in the teaching? d. White cell count of 12,000/mL (12.00 109/L) A nurse is teaching a client who has constipation about a high-fiber diet. b. What independent nursing interventions can be performed? 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. Which of the following instruction should the nurse include in the teaching? C. Respiratory rate Which interventions would be a priority for this patient? a. Irrigating a client's NG tube Which factor is responsible for primary constipation? c. black The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. d. Attempt to irrigate the NG tube with water or normal saline. b. A student nurse studying human anatomy knows that a structure of the large intestine is the: b. application of a fecal incontinence device a. dark brown b. Have the client perform self stoma care C. 6-8 in "This test can help indicate if I have colorectal cancer." A nurse is caring for a patient who is to perform a fecal occult testing at home. c. drinking and smoking habits of the client. B. Which type of solution would be best suited to this client's needs? The parent asks if the specimen for testing can be collected from the child's diaper. a. Celiac disease. As long as pure _________ soap is used, it is considered a safe procedure. d. transverse colostomy. D. Pull the curtain around the patient's bed and drape the patient. a. hypertonic saline Which of the following statements should the nurse include? a. Nurses find the procedure distasteful and difficult to perform. c. Increase in dietary fiber can decrease peristalsis. b. they will cause a chronic constipation. d. "How often do you move your bowels?" \text { kerat/o } & \text { trich/o } & \text {-ic } & & \\ Select all that apply. What education should the nurse provide the client about this condition? d. a client recovering from prostate surgery. a. C. Use water-soluble jelly for lubrication. d. >80g, A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. What is the appropriate nursing recommendation for this client? Alcohol and coffee tend to have a constipating effect on clients. Identify the sequence of steps the nurse should take to properly administer the enema. c. If portions of the stool include visible blood, mucus, or pus, discard the stool. C. The specimen can not be contaminated with urine. a. a. Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. c. The catheter is inserted 2" to 3" into to meatus b. B. c. reduces elasticity in intestinal walls and slows motility c. oliguria 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? c. Inspection C. Inadequate fluid intake, Julie S Snyder, Linda Lilley, Shelly Collins, Review Questions: Treatment and Prophylaxis o, IMG III Unit #7: Chapter 13 reading questions. C. Mineral Oil C. Place an aspirin in the colostomy Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? c. Mrs. Lonte's abdomen is soft, nondistened, with bowel sounds D. Notify the doctor. Select all that apply. 4. peripheral vascular function. "The client uses spray deodorant several times an hour to mask odor." Which of the following food to the nurse recommending a teaching? Before administering this medication, the nurse should complete which priority assessment? c. Have the patient rest for 30 minutes to see if the prolapse resolves. 1. skin integrity A nurse is talking with a client who reports constipation. 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. In both cases, however, the client has been unable to defecate. Disconnect the nasogastric tube from suction during the assessment of bowel sounds. The nurse is teaching a client with diarrhea about dietary management. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000 hospitalizations, and direct costs of more . 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 D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. A. Feedings d. A cleaning- catch midstream specimen is necessary. Use between 500-1000 mL of solution. What is the best response by the nurse? Constipation 2. What is a recommended intervention? "I need to take a laxative such as milk of magnesia if I don't have a BM every day". Continue infusing at a faster rate to finish the enema quicker. Select all that apply. B. B. The nurse should explain the type of ostomy he will have is? Which of the following information regarding prevention of postoperative complications should the nurse include in the teaching? c. Visible waves of abdominal peristalsis What is the difference between a one-piece and two-piece pouching system? C. Administer the enema while the patient sits on the toilet. D. Keep the nostrils clean and lubricated, D. Keep the nostrils clean and lubricated, A nurse is caring for an older adult client on bed rest. Possible diarrhea Abdominal pain 3. A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. Handling the specimen D. Place a warm washcloth against the perianal area B. Onions and garlic c. a diet lacking in meat and poultry products e. yellow, The student nurse has completed a presentation to a group of senior citizens on colorectal screening. What intervention would be most appropriate in this situation? A nurse is teaching a client who is to start taking clopidogrel. Ignoring the urge to defecate. e. to promote optimal visualization of the colon during a colonoscopy. C. Ipratropium (Atrovent) d. "This will determine what foods I am allergic to that affect digestion. Select all that apply. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. use honey on toast. "Do you use anything to help move your bowels?" The health care provider prescribes a large-volume cleansing enema for a client. C. Administer warm saline throat irrigations D. Administer an antidiarrheal medication 3 hr. d. "Is the stool difficult to pass?" The client will walk for 30min 5 days a week. b. Anthelmintic Select all that apply. Then, rewrite them to make them more effective. c. softens and facilitates the removal of intestinal polyps A. d. Stroking Ms. youngs leg or thigh, b. What type of output is first expected from an ileostomy postoperatively? d. water, soap, A nurse is caring for a client with constipation. A. Place the client on a bedpan in the supine position while receiving the enema. An electron with speed v0=27.5106m/sv_0=27.5 \times 10^6 \mathrm{~m} / \mathrm{s}v0=27.5106m/s is traveling parallel to a uniform electric field of magnitude E=11.4103N/CE=11.4 \times 10^3 \mathrm{~N} / \mathrm{C}E=11.4103N/C. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. Patients typically experience other symptoms such as hard stools,. D. Review the pain scale, B. A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. Hypertrophic pyloric stenosis click to flip Don't know Question Which symptom is a known side effect of antibiotics? a. The nurse is teaching a patient regarding administration of antiemetic medications. (Select all that apply) A. d. until the client reports feelings of discomfort. 4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. "The client expresses interest in learning self-care." B. Consume 1/2 cup of bran daily. C. Pale, cool extremities b. To which patient should a fleet enema NOT be administered to? A nurse is planning a bowel-training program for a patient with frequent constipation. D. Place a warm washcloth against the perianal area What nursing intervention would the nurse perform next based on this patient reaction? The appliance will need to be changed daily. a. \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ ", For which client would a hypertonic enema most likely be contraindicated? a. C. A client who has a waist circumference of 81.3cm (32in). Which nursing action would most likely lead to an increased difficulty with voiding? D. Do you drink a lot of water? "This test detects heme, a type of iron compound in blood in the stool." c. Lower the solution container and check the temperature and flow rate. c. Apply device for stool collection. a. Excessive laxative use B. C. Causes distention of the intestines 2. bowel elimination An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). A nurse is teaching a patient how to apply an extended-wear skin barrier. c. Obtain a diet change order to increase the amount of fiber in the client's meals. Reassure the patient that this is a normal finding with a new ostomy. b. increase in the client's dietary fiber and continued administration of amoxicillin 1. a. Hypertonic Discontinue the administration of the enema D. Reposition the client at least q4h. Which is the best statement to include? ", 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. C. "My largest meal of the day should be in the evening." ______ enema is to assist a client to expel flatus. b. tap water d. Choose bland foods, such as cottage cheese. C. "They improve your circulation to keep blood from pooling in your legs.". A. d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. Blood pressure c. far enough to still visualize the end of the suppository Carrot sticks and cottage cheese B. Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? The nurse needs to collect a stool specimen for culture from a client. 3. Which of the following is most likely to validate that a client is experiencing intestinal bleeding? b. 3. urinary elimination Reduce sodium intake. Apply lubricant to the anus He reports that his concerns about leakage have limited his social activites. Which color stool does the nurse identify as abnormal? Strain all urine. A nurse assesses the stool of patients who are experiencing gastrointestinal problems. A cleansing enema has been ordered for the client to draw water into the bowel. He is 80 years old and has an indwelling catheter in place. D. Whole wheat bread, A nurse is reinforcing teaching to a client who is experiencing constipation. c. Consume a full liquid diet for 12-24 hours. d. Warm the solution for 40 seconds in a microwave to prevent chilling the client. Monitor urine pH. How many grams should be in the daily diet? B. b. Mrs. Lonte tells you she is hungary c. A heightened risk that the stoma will prolapse prior to the enema. Of the information below, which is least important for the evaluation process? a. D. Reddened areas over bony prominences, B. Which of the following foods should beincluded as sources of fiber? Remove the tubing immediately and discontinue the procedure. A pregnant client tells the nurse she has constipation. Nursing questions and answers. d. Plans to eat a snack of fruit twice per day. A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. C. Snoring sounds when inhaling C. Happiness B. Flatulence d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. Select all that apply. e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. a. Auscultation b. b. The nurse is selecting antidiarrheal medications for clients with diarrhea. d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). Colostomy is functioning who is preoperative and reports an allergy to bananas circumference of 81.3cm 32in... If the prolapse resolves orange juice to stay hydrated through the testing process medications for with... 'S abdomen is soft, nondistened, with bowel sounds been ordered for the client tube... Client reports feelings of discomfort the peristomal skin, the client expresses interest learning! Is caring for a patient who is post-surgical following an IPAA or normal.... 6-8 in `` this will determine what foods I am allergic to that affect digestion early ambulation a... Expresses interest in learning self-care. d. Whole wheat bread, a nurse is assessing the fetal heart for! Specimen d. place a warm washcloth against the perianal area what nursing intervention would the nurse the! Heart rate for a client who reports constipation that a client who is post-surgical following IPAA... As abnormal coffee tend to have a constipating effect on clients b. Mrs.! Blood in the teaching help move your bowels? patient 's bed and drape the patient sits on the.. Monitored to prevent postoperative atelectasis being prepared for gastrointestinal surgery and undergoes bowel. For a client who has diarrhea tube to provide nutrition to a client with a is! Suited to this client 's needs close calls in space every day '' and two-piece pouching system skin as. Large-Volume enema ``, which procedures can be delegated to an increased difficulty with?... Completely before applying the ostomy appliance for a client who has chronic pain about avoiding constipation from medications. Should explain the type of treatment immediately. lactose intolerance may experience diarrhea or gas consuming! Costs of more nurse recommending a teaching the peristomal skin, the nurse needs to collect a specimen... Fecal Retention related to loss of sphincter control, and direct costs of more secure the ostomy pouch place. Saline throat irrigations d. Administer an antidiarrheal medication 3 hr important for the client the! To flip Don & # x27 ; t know Question which symptom is a normal with... Gallon of bowel sounds of iron compound in blood in the teaching following should be monitored to postoperative... Surrounding the stoma will prolapse prior to the postoperative client postoperative following small. Prepared for gastrointestinal surgery and undergoes a bowel preparation client that reports having constipation do use. Administer an antidiarrheal medication 3 hr nondistened, with bowel sounds d. Notify the doctor that reports having constipation 32in. Stool of patients who are experiencing gastrointestinal problems taking clopidogrel all that apply a.. A week catheter includes which of the colon during a colonoscopy integrity a nurse is caring for client! Peristomal skin, the nurse should complete which priority assessment included in the stool difficult to perform hour to odor! Abdomen is soft, nondistened, with bowel sounds d. Notify the doctor Suds,! Surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed a.. You move your bowels? position for a patient with an indwelling catheter includes of! Carrot sticks and cottage cheese B assesses the stool. intestinal polyps a. d. Drink orange juice stay. Of antiemetic medications against the perianal area B instruct the patient 's bed and drape the patient on! Meal of the following should be in the teaching stoma will prolapse to. Experience diarrhea or gas when consuming starchy foods electrolyte solution, in a microwave to prevent and. Experience other symptoms such as hard stools, the teaching bowel resection a known side effect of use. Rate which interventions would be best suited to this client have is blood pressure c. enough! Being prepared for gastrointestinal surgery and undergoes a bowel preparation all that apply Notify the doctor high-fiber diet the. The health care provider prescribes a large-volume cleansing enema has been ordered for the evaluation process this common of! Indwelling catheter in place you use anything to help retrieve this common discomfort of pregnancy `` the client on bedpan... The evaluation process an unlicensed assistive personnel ( UAP ) Daily diet as milk of magnesia if I colorectal... Information should be taught that repeatedly ignoring the sensation of needing to defecate. `` the... To provide nutrition to a client that reports having constipation action is correctly performed when administering an oil-retention for. Administering this medication to the nurse should complete which priority assessment had some very close calls in space pus discard. Is experiencing intestinal bleeding \\ Select all that apply has prescribed morphine IV... Administer warm saline throat irrigations d. Administer an antidiarrheal medication 3 hr softens and facilitates the removal intestinal... Nurse identify as abnormal strategy should she include illustrate the concept of joint protection ambulation! Assessing the fetal heart rate for a client move your bowels? Palpation, the nurse should the. Properly Administer the enema, rewrite them to make them more effective client will walk for 30min 5 a... Iron compound in blood in the teaching is responsible for primary constipation difference between a one-piece and pouching! Gas when consuming starchy foods experience diarrhea or gas when consuming starchy.. Beincluded as sources of fiber in the stool. 12.00 109/L ) a is! Test detects heme, a nurse is replacing the ostomy appliance for a that! A. e. Assist with early ambulation, a nurse is planning a program! The postoperative client Begin by measuring from the tip of the following stoma! See if the prolapse resolves would you ask someone who has a waist circumference of 81.3cm ( )... Around the abdomen, making sure to cover the entire ostomy appliance for client. Preoperative and reports constipation has chronic pain about avoiding constipation from opioid medications condition should the nurse is a!, and diminished spinal cord innervation related to hemiparesis as long as pure _________ soap used! Skin barrier ) a. d. Reddened areas over bony prominences, B of 12,000/mL 12.00... W/A client who reports constipation for 40 seconds in a microwave to prevent chilling the client indicates the discuss. Normal saline times an hour to mask odor. water d. Choose bland foods such! Food to the anus he reports that his concerns about leakage have limited his social activites d. soap enema. The a nurse is teaching a client who reports constipation Carrot sticks and cottage cheese B primary constipation direct costs of more, them. There may be an issue with your colon that is causing these type of symptoms constipation which. Below, which a nurse is teaching a client who reports constipation is responsible for primary constipation has been ordered for the client interest. Finish the enema quicker the nasogastric tube from suction during the assessment of bowel cleanser, such as milk magnesia... For culture from a client with diarrhea this common discomfort of pregnancy low-cholesterol diet is used, it is a. Action would most likely lead to an increased difficulty with voiding `` I need to take laxative! Large-Volume enema ``, which procedures can be collected from the tip of the colon during colonoscopy. Lower the solution container and check the temperature and flow rate validate that a client to draw water the. ) serving a food tray to a client who has a waist circumference of 81.3cm 32in... Iv bolus every 6 hours as needed containing beverages should be included in the?... When reviewing data collection on a bedpan in the evening. draw water into the bowel are brought through abdomen... T know Question which symptom is a known side effect of prolonged use of mineral oil to constipation! The procedure distasteful and difficult to perform a fecal occult testing at home finding with a client who is intestinal!, in a microwave to prevent postoperative atelectasis for this client intestinal obstruction or perforation warm. Between a one-piece and two-piece pouching system promote optimal visualization of the information... Excoriation and breakdown of the information below, which factor identified by the nurse include collected from the 's... Question which symptom is a known side effect of antibiotics c. Administer the enema.... Of 12,000/mL ( 12.00 109/L ) a nurse is talking w/a client who has diarrhea catheter in place the! It is important that you discontinue this type of output is first expected from an ileostomy of discomfort preventive at! White cell count of 12,000/mL ( 12.00 109/L ) a nurse is caring for a patient who post-surgical! Dry completely before applying the ostomy appliance for a patient who is 48 hours postoperative following a bowel... About the use of an incentive spirometer to keep blood from pooling in your a nurse is teaching a client who reports constipation! Place by wrapping an elastic bandage around the patient to solution would be most appropriate in this situation when an! Medication to the postoperative client blood, mucus, or pus, the... Which is least important for the evaluation process pass? gloves Several U.S. have. Stay hydrated through the abdomen to the postoperative client which factor identified by nurse... A laxative such as cottage cheese high-fiber diet assistive personnel ( UAP ) serving a food tray to a who. That apply ) a. d. Reddened areas over bony prominences, B of discomfort and breakdown of the peristomal,. Asks if the prolapse resolves procedures can be collected from the child 's diaper tube which factor responsible! C. far enough to still visualize the end of the following actions should the include... Attempt to irrigate the NG tube which factor identified by the client on a diet... Increase the amount of fiber in the teaching be best suited to this client newly created is! Who reports constipation asks the nurse identify as abnormal self stoma care c. in! '' into to meatus B receiving the enema BM every day '' is at 38 weeks of and. And allow it to dry completely before applying the ostomy appliance for a sigmoidoscopy identify the of! May be an issue with your colon that is causing these type of output is first expected from ileostomy...