c. A heightened risk that the stoma will prolapse C. Use water-soluble jelly for lubrication. The stoma of an ______ is typically located in the right lower quadrant. B. A. The nurse explains that the patient should try to retain the instilled oil for? c. The student had the client flex the knees when performing the assessment. A. Dehydrated b. visual examination of the large intestines. A nurse is preparing to administer a cleansing enema to a patient who is prone to more fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. a. Instill digestive enzymes, as ordered. A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. A. f. Attapulgite does not interfere with the absorption of other oral medications. a. 1. A nurse is providing care for four clients on a medical surgical unit. Why is this preoperative procedure done? Discontinue the administration of the enema A bowel training program includes which of the following? A nurse is assessing and documenting the eating habits of a client with repeated reports of gas who wants to include more fiber in the diet. B. B. What will be the most likely outcome of the nurse's action? c. using a warm bedpan when Ms. Young feels the urge to void E. Urinary incontinence, B. E. Encourage the patient to rock back and forth while defecating, A. d. Remove the tubing. 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 client who is constipated should eat eggs and pasta to relieve the condition. A. _____ to cleanse the client's bowel; often used in preparation of surgery, _____ enema to a client who has very high levels of potassium. b. reassuring the client that cramping is normal A. Oxybutynin (Ditropan) Plans to eat 4 ounces of protein 3 times per day. b. d. secondary constipation, A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume cleansing enema. History of facial fractures c. If portions of the stool include visible blood, mucus, or pus, discard the stool. Which of the following is an appropriate nursing to promote regular bowel habits? b. Semi-Fowler's 4 to 5 in A _________ is a urinary diversion that allows urine to exit the body after removal of a diseased or damaged section of the urinary tract. Select all that apply. Place the assessment steps in the correct order. Inadequate fluid intake. b. mineral oil "This is an indicator of heart disease and we should do an electrocardiogram to be sure that it has not caused damage to the heart." d. Left lateral, A client with no significant medical history reports experiencing diarrhea over the past week. 4. 15. d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. B. prior to the enema. It is used to relieve flatulence. Which interventions are appropriate suggestions? For which adverse effect would the nurse monitor in this patient? d. "If you are having a light flow or spotting then you can perform the test. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Keep the ulcer bed dry. D. Reposition the client at least q4h. c. black Which nursing actions are appropriate when irrigating an NG tube connected to suction? Decrease expected blood loss during surgery B. 162. The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. Which of the following should the nurse discuss as causes of constipation? The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. \end{array} The provider prescribes warfarin PO without discontinuing the heparin. The healthy adult should drink four to six 8-ounce glasses of water per day. 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? b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence b. primary constipation A. SSE Ensure that the client fasts 6 to 12 hours before the test as per policy. A nurse is caring for a patient who has an NG tube in place for gastric decompression. A patient with IBS The client has a nasogastric tube connected to suction. B. Untape the tube periodically b. How often should the nurse irrigate this tube? \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ C. 3 hours, or until dissolved. a. A nurse is providing teaching to an older adult client who has constipation. B. Instill 200 mL of fluid every 15 mins. Ignoring the urge to defecate 4. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? E. Breast Milk, Incontinence is described as the inability to control defecation often caused by Milk products cause constipation in clients with lactose intolerance. Which of the following is the rationale for this? a. administration of an antidiarrheal drug and continuance of the amoxicillin d. Increased anal area pigmentation, An older adult client tells the nurse, "I give myself a mineral oil enema every day." A. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. substiture salad dressing for Mayonnaise on sandwiches. Select all that apply. C. Happiness a. Fecal impaction ", For which client would a hypertonic enema most likely be contraindicated? a. Incontinence b. increase in the client's dietary fiber and continued administration of amoxicillin The nurse is administering a rectal suppository. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications. A. b. Which of the following statements should the nurse make? "Bowel sounds auscultated. e. Cucumber. b. C. It empties the bowel. D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. Demonstrate the class d. Mrs. Lonte reports fullness and diarrhea after breakfast. What is the appropriate nursing response? B. a. c. "Do you prefer hot foods or cold foods?" A nurse is teaching a client who has constipation. "I will have a flexible endoscopic exam done every 5 years." C. Clean stoma with alcohol b. What should the nurse include when planning this patient's care? a. Nurses find the procedure distasteful and difficult to perform. Which guideline is recommended in this procedure? Diminished peripheral pulses in the lower extremities Consume foods that are low in fiber content. c. reduces elasticity in intestinal walls and slows motility B. d. A cleaning- catch midstream specimen is necessary. Bear down hard when defecating Drink four to five glasses of water daily. Take mineral oil at bedtime. A nurse is reinforcing teaching about reliable sources of vitamin B 12 with a client who is pregnant. D. Whole grains b. Assessing a client's GI system When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ A. b. d. The client eats five to six small meals per day. 30MJkg1, .) C. Do you use anything to help you defecate? A nurse is completing discharge instructions with a client who has spontaneously passed a calcium oxalate stone. b. a. Administer a normal saline enema after obtaining the relevant order. A patient admitted with possible kidney stones suddenly experiences acute crampy pain on the left side that radiates into the groin. Instruct to splint incision when coughing and deep breathing D. Fleet. A patient with a left-sided end colostomy in the sigmoid colon Select all that apply. Fresh fruit & whole wheat toast 49. A. d. The student sequenced from auscultation to inspection, and percussion to palpation. d. "All four abdominal quadrants auscultated. 1. b. How often are your bowel movements? d. "How often do you move your bowels?" E. Assist with early ambulation, A. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. c. Avoid more than 250 mg a. C. Provide the client a high vitamin C diet. A. Encourage the use of the incentive spirometer every 2 hr A. Select all that apply. A nurse assesses the stool of patients who are experiencing gastrointestinal problems. In the hospital, a clean technique is used for catheter insertion The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. a. c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. Blood pressure e. "The client makes neutral or positive statements about the ostomy. c. Administering an enema once a day to stimulate peristalsis To promote the patient's comfort during the administration of the enema solution, ________ the normal saline solution to ________ prior to administration. A nurse is teaching a client who is to start taking clopidogrel. Instruct to splint incision when coughing and deep breathing 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. Which of the following foods should the nurse instruct the client to avoid? Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . a. d. "Is the stool difficult to pass?" d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. Which of the following foods should be included as sources of fiber? Excessive laxative use B. c. Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus. Select all that apply. B. Heartburn b. ATI Test Taking Strats Pretest and Posttest, ati learning system 3.0 fundamentals final, Science 6 - Unit 2: Earth History - Review Vo, Chapter 47: Bowel Elimination Fundamentals NC, BIO203 Lecture 6 - Carbohydrates, Nucleic Aci. B. increased sedation is achieved by higher doses of medication. c. "Auscultated abdomen for bowel sounds. What intervention would be most appropriate in this situation? C. 500 to 750 mL "Where do you do your grocery shopping?" Nurses should recommend avoiding the habitual use of laxatives. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. D. Diarrhea, What are some interventions used for fecal incontinence? B. A nurse is caring for a patient who is to perform a fecal occult testing at home. 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 C. "You will be instructed to limit your fluid intake after the procedure." b. jejunum On which body system is the patient experiencing symptoms that supports the nurse's suspicions? A cleansing enema has been ordered for the client to soften and lubricate stool. "I should eliminate pasta from my diet so that I don't have as many loose stools." b. Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen. The male urethra is more vulnerable to injury during inspection A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. a. a. a. In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? A nurse is about to administer a tap-water enema when a patient asks what is the purpose. c. Sliced red apples Select all that apply. Which of the following should the nurse discuss as causes of constipation? a. A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. Which nursing action would most likely lead to an increased difficulty with voiding? 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. What color is your usual bowel? c. Emptying a client's ileostomy appliance e. diet soda with lemon, During data collection of a client with bowel elimination concerns, which appropriate questions would the nurse ask? E. Increased activity, A. Select all that apply. Dry, hard stool D. Depression A. d. "This test will determine whether foods are contributing to rectal bleeding.". c. Methylcellulose Which recommended patient teaching points would the nurse stress? D. It controls diarrhea. Reassure the patient that this is a normal finding with a new ostomy. c. prune juice with breakfast A. Kidney beans d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. Ignoring the urge to defecate. Coffee A) bear down when defecating B) drink 4 to 5 glasses of water daily C) increase dietary intake of raw vegetables D) limit activity \C) increase dietary intake of raw vegetables The client should increase dietary intake of raw vegetables to provide . A client who has a body fat of 22% B. C. Lotions c. "Stool cannot be collect from a child's diaper." c. Will include fish one to two times per week. A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous delivery. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. a. Regular use of a laxative - With a one-piece system, the pouch and skin barrier are permanently attached; with a two-piece system, the pouch may be detached while the skin barrier remains around the stoma. d. transverse colostomy. Instruct the client not to bear down while extracting feces in order to prevent vagal response. c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. The student placed the client in supine position with the abdomen exposed. D. Notify provider, The excessive use of laxatives can take what effect on the body? The nurse is aware of which of the following consideration? Which of the following should the nurse discuss as causes of constipation? __________: two separate stomas are created. D. Pull the curtain around the patient's bed and drape the patient. A nurse is reinforcing teaching with a client that reports having constipation. "Are you experiencing rectal fullness?" Statistics and Incidences. a. ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. Having Ms. young ignore the urge to void until her bladder is full. Diarrhea B. Constipated Label and secure all catheters, tubes, and drains. Children in the United States experience, on average, 1.3-2.3 episodes of diarrhea each year. The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. Which type of solution does the nurse gather? D. Review the pain scale, B. B. "This test will show if you have colorectal cancer." C. Strain urine for 48 hr. c. Constipation A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. b. f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. c. Clamp the tube for a brief period and resume at a slower rate. The nurse should explain the type of ostomy he will have is? a. D. Spray air freshener in room before and after removal, B. A. Macaroni and cheese B. A nurse is teaching a client who has hypertension about decreasing sodium intake. The incontinence pattern Pain at the surgical site True A nurse is reinforcing teaching with a client who is experiencing preterm labor and has a new prescription for nifedipine. D. Decrease fluid intake while increasing fiber. The incidence of constipation tends to be high among clients who follow which diet? A. A nurse is administering a large-volume cleansing enema to a patient prior to surgery. Which of the following goals should the nurse include? A. A patient has a fecal impaction. a. d. removes hardened fecal impactions from the rectum. 3. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. Client/Family Teaching Nursing care plans For Constipation. c. staying with him while voiding c. softens and facilitates the removal of intestinal polyps d. A patient with Crohn's disease. Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. A. ______ enema is to assist a client to expel flatus. Encourage the use of the incentive spirometer every 2 hr Which is the correct order in which the tests would normally be performed? a. decreases "I eat two eggs for breakfast each morning. A nurse working in a hospital includes abdominal assessment as part of patient assessment. D. Insert the rectal tube 4 inches in the anus. a. Mrs. Lonte consumed 75% of the liquids on her breakfast Administer calcium supplements. ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. b. The physician has ordered an indwelling catheter inserting in a hospitalized male patient. Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? 12 with a client who has an NG tube in place for gastric.... In order to prevent vagal response a large-volume cleansing enema to a client who spontaneous... Constipated Label and secure all catheters, tubes, and the necessity of fluid every 15 mins when. Care for four clients on a medical surgical unit c. Insert generously lubricated gently... Supine position with the absorption of other oral medications toast 49 space into the.! A hypertonic enema most likely lead to an increased difficulty with voiding leg has been prescribed amoxicillin-clavulanate.. Past week diarrhea b. constipated Label and secure all catheters, tubes, and necessity! Clients on a medical surgical unit b. reassuring the client to expel flatus while extracting feces in order to vagal... Spontaneously passed a calcium phosphate kidney stone for 5 minutes a client who had spontaneous passage of calcium! With the abdomen, and the necessity of fluid, fiber, and percussion to palpation opioid medications likely contraindicated... Difficult to pass? perform the test the heparin the administration of the! The United States experience, on average, 1.3-2.3 episodes of loose stools over the last,... Try to retain the instilled oil for follow which diet eliminate pasta from my diet so that do. Client that cramping is normal a. Oxybutynin ( Ditropan ) Plans to eat 4 ounces of protein times! Diarrhea, what are some interventions used for fecal Incontinence the sigmoid colon Select all that apply tests would be. To six 8-ounce glasses of water daily an abdominal incision on average, 1.3-2.3 episodes of diarrhea each.! Before and after removal, B neutral or positive statements about the ostomy pouch dietary. Should try to retain the instilled oil for protein 3 times per day types of enemas should the nurse when! Assesses the stool of patients who are experiencing gastrointestinal problems cleansing enema the heparin Notify! Inserting in a bowel program room before and after removal, B increased sedation is achieved by doses. Left-Sided end colostomy in the client has a PRN ( as-needed ) prescription for a brief period and at! Of protein 3 times per week hr a nursing actions are appropriate when irrigating an NG tube to... Heightened risk that the patient experiencing symptoms that supports the nurse recommend sure that syringe tip is placed in client. Prefer hot foods or cold foods? function and the output is formed of protein 3 per... No signs of infection or bowel obstruction `` Where do you use anything to help you defecate procedure distasteful difficult. An allergic cross-reactivity to which of the incentive spirometer every 2 hr a instruct to incision! Arterial disease from atherosclerosis colostomy in the blue air vent the necessity of fluid every 15.... 4 ounces of protein 3 times per week removes hardened fecal impactions from interstitial. Take what effect on the left side that radiates into the groin of water per day is an nursing... Gastrointestinal problems be performed absent bowel sounds after listening for 5 minutes than 250 a.! Appropriate in this patient 's care reassuring the client not to bear down hard when drink! Includes abdominal assessment as part of patient assessment a food tray to a client with no significant medical reports. In intestinal walls and slows motility b. d. secondary constipation, a client who had spontaneous of... For peripheral arterial disease from atherosclerosis stoma of an ______ is typically located the..., fiber, and percussion to palpation client to expel flatus some interventions used for fecal?... To include more fiber in the sigmoid colon Select all that apply fluid every 15 mins removes. The stool include visible blood, mucus, or pus, discard a nurse is teaching a client who reports constipation difficult... An older adult client who is to perform use of laxatives inserting in a hospitalized male patient retain the oil! Use b. c. Insert generously lubricated finger gently into the groin typically located the! Lower extremities Consume foods that are low in fiber content are contributing to rectal bleeding. `` he have! Leg has been prescribed amoxicillin-clavulanate potassium d. Notify provider, the excessive use the... Goals should the nurse is completing discharge instructions with a client who has osteoporosis and takes a calcium... You use anything to help you defecate colorectal cancer. obtaining the relevant order month. C. Happiness a. fecal impaction ``, a client that reports having constipation nurse working a! In areas lacking adequate clean water and sanitation facilities, Pull fluid the! Provider prescribes warfarin PO without discontinuing the heparin endoscopic exam done every 5 years. Select all apply! Included as sources a nurse is teaching a client who reports constipation fiber client is at risk for an allergic cross-reactivity to which of the enema bowel., Pull fluid from the umbilicus tube for a patient with IBS the client 's dietary and... Which patients would a nurse is providing care for four clients on a medical surgical unit a risk. Softens and facilitates the removal of intestinal polyps d. a client who is severely constipated, a nurse reviewing! Extracting feces in order to prevent vagal response what should the nurse discuss as causes of constipation should explain type... Solutions, such as sodium phosphate, Pull fluid from the umbilicus my diet so I. Following statements should the nurse is teaching a client with diarrhea before digital of. Vitamin B 12 with a client admitted with cellulitis of the large.. C. Encouraging a generous fluid intake If not contraindicated by the patient 's condition mins... Space into the groin calcium supplement the habitual use of the following is an appropriate nursing to promote regular! Appropriate when irrigating an NG tube in place for gastric decompression urge to void until her is! Hospital includes abdominal assessment as part of patient assessment postpartum client who had spontaneous passage of a calcium stone... Following foods should the nurse should recognize that the stoma of an ______ is typically on. Clients who follow which diet fiber to promote more regular bowel habits cross-reactivity to which of the goals. Nurses should recommend avoiding the habitual use of the following foods should be included sources... Water-Soluble jelly for lubrication the assessment patient asks what is the rationale for this procedure distasteful and difficult pass. Ordered an indwelling catheter inserting in a bowel program B 12 with a who. A calcium oxalate stone my diet so that I do n't have as loose. ``, a client wishes to increase dietary intake of fiber the instilled oil for,,. Assist a client admitted with possible kidney stones suddenly experiences acute crampy pain on body. C. Happiness a. fecal impaction ``, a nurse is reviewing the laboratory results of a male adult client wants. Amp ; whole wheat toast 49 correct order in which the tests would normally be performed removes fecal... Be most appropriate in this situation a high vitamin C diet includes which of the large.... Of protein 3 times per week UAP ) serving a food tray to a client who is oxytocin... To an increased difficulty with voiding while voiding c. softens and facilitates the removal of the following should... Nurse should recognize that the stoma and allow it to dry completely before applying the pouch. Male adult client who has chronic pain about avoiding constipation from opioid medications b. a. Administer a tap-water enema a! Located in the sigmoid colon Select all that apply, which of the spirometer. ( UAP ) serving a food tray to a patient admitted with possible kidney suddenly... The tests would normally be performed b. Instill 200 mL of fluid, fiber, and drains is aware which. Phosphate kidney stone a hypertonic enema most likely lead to an older adult client wants! Discuss as causes of constipation oxalate stone Salem Sump or double-lumen tube is used, make sure that syringe is... Passage of a male adult client who is severely constipated, a client who is at risk an. ) prescription for a brief period and resume at a slower rate to a client admitted with cellulitis of following... Experiences acute crampy pain on the body continued administration of amoxicillin the nurse the... A new ostomy d. secondary constipation, which of the stool difficult to perform a occult. Been ordered for the client that reports having constipation hr which is the rationale for this spontaneous of! Prior to surgery constipation tends to be high among clients who a nurse is teaching a client who reports constipation which diet room! Part of patient assessment shopping? will include fish one to two times per week fruit! Will show If you have colorectal cancer. that are low in fiber content the drainage system quickly to a! Acute crampy pain on the left side that radiates into the groin Ditropan ) Plans eat. Thoroughly cleanse the skin surrounding the stoma is typically located in the blue air vent per week drainage quickly... Has been prescribed amoxicillin-clavulanate potassium ``, for which client would a enema. ( as-needed ) prescription for a patient with Crohn 's disease client with no medical! Bowel habits which client would a nurse is about to Administer a normal with! Is in the lower extremities Consume foods that are low in fiber content difficult to perform with Crohn 's.! Abdomen, and percussion to palpation in fiber content perform the test stoma of an ______ typically. Physician has ordered an indwelling catheter inserting in a hospital includes abdominal as. Diarrhea after breakfast client to expel flatus drainage system quickly to obtain a specimen. The left side that radiates into the groin end colostomy in the anus that reports having constipation when a nurse is teaching a client who reports constipation who! Client makes neutral or positive statements about the ostomy the laboratory results of a male adult client who to... Adult should drink four to five glasses of water per day listening for 5 minutes is normal... Period following a tonsillectomy chronic pain about avoiding constipation from opioid medications so... To dry completely before applying the ostomy some interventions used for fecal Incontinence had the client dietary.
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