a. A nurse is teaching an older adult client who reports constipation. Which of the following statements indicates the client understands the dietary teaching? b. Abdominal distention A client who has a BMI of 28 You may use the elements more than once. b. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. With this ostomy, the patient has no voluntary control of bowel movements. Place the enema 12-18 inches above the anus A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. c. eggs c. The client consumes large qualities of fresh vegetables. C. Immediately before meals. ", 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. The container and gas are in equilibrium at 12.0C12.0^{\circ} \mathrm{C}12.0C. 4. Select all that apply. The nurse describes the test by explaining that it allows which of the following? When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? A. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. B. c. The external meatus requirements cleaning with antiseptic soap and water before voiding Obtain a bladder scan to assess for residual urine. How should the nurse best respond to this client's statement? C. Lubricate 5 inches of the rectal tube. C. The specimen can not be contaminated with urine. Which of the following assessments would indicate her diet should not be advanced? A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. Tap water Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. c. Administering an enema once a day to stimulate peristalsis Excessive laxative use B. d. clay colored A. Every 8 to 10 hours He reports that his concerns about leakage have limited his social activites. Which of the following is a true statement about the effects of medication on bowel elimination? A nurse prepares to assist a patient with a newly created ileostomy. Black tea B. Consume 1/2 cup of bran daily. Collect stool and send to laboratory for culture per regular protocol. a. Mrs. Lonte consumed 75% of the liquids on her breakfast This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. C. Fleet's Raise the solution 12 inches above the anus. Strain all urine. b. small-volume cleansing enema with hypotonic solution Which recommended patient teaching points would the nurse stress? d. chocolate, A client is preparing for a fecal occult blood test. Client/Family Teaching Nursing care plans For Constipation. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. Select all that apply. 1. skin integrity D. Whole wheat bread Which of the following action should the nurse take? D. Insert the rectal tube 4 inches in the anus. A. Hgb of 11.6 and Hct of 37% E. Hold the enema solution 12 inches above the anus. A client who is postoperative Day 1 has rung the call light twice during the nurse's shift in order to request assistance transferring to a bedside commode. A nurse is planning a bowel-training program for a patient with frequent constipation. The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. D. Abdominal pain, Which enema would be used for fecal impaction? The nurse anticipates which of the following orders when notifying the provider of this finding? Facilitate a more private setting, such as assisting the client to a bathroom. The nursing student is performing a focused gastrointestinal assessment. A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. a. Label and secure all catheters, tubes, and drains. Which of the following strategies should the nurse instruct the patient to use for maximal adherence? A. Which factor is responsible for primary constipation? Which color stool does the nurse identify as abnormal? Which of the following info should the nurse include? Which of the following actions should the nurse take to alleviate the clients concern? When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? What action would the nurse take to prepare the client for this procedure? Before administering this medication, the nurse should complete which priority assessment? d. secondary constipation, A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume cleansing enema. a. e. Diphenoxylate/atropine have a longer duration of action than loperamide. c. Peptic Ulcer D. Administer an antidiarrheal medication 3 hr. c. A heightened risk that the stoma will prolapse \text { lip/o } & \text { xer/o } & \text {-logist } & & \\ Having Ms. young ignore the urge to void until her bladder is full D. Do you drink a lot of water? d. normal saline. b. A nurse is reinforcing teaching with a client that reports having constipation. A nurse is reinforcing teaching with a client that reports having constipation. C. Refined cereals Soapsuds enemas act by stimulating peristalsis through intestinal irritation. b. Constipation A. "Menstruation will not alter the test results. E. Breast Milk, A. Cathartics a. light brown c. Avoid more than 250 mg (B) hazy B. Diarrhea C. Frequent swallowing and clearing of the throat Inaudible bowel sounds.". a. c. "Perhaps you should do this twice daily." c. Before removing the tube, discontinue suction and separate the tube from suction. Hypertrophic pyloric stenosis b. A nurse is caring for a client who is reporting constipation. f. Ordering the test. a. Choose from the available options the most suitable response: C. Reposition the client every 2 hr b. increases When was your last bowel movement? "It depends on which testing developer is used." d. "If you are having a light flow or spotting then you can perform the test. Select all that apply. Handling the specimen c. oliguria It drains the bladder. b. If the 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? B. Assist the client to a 30- to 45-degree position, unless this is contraindicated. ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. b. c. "As long as you wash the area and dry carefully, you can use the test." b. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. Typically, the distal colon is not removed but bypassed. C. Leave the skin on when eating fruit. b. an older adult client who is incontinent of stool A patient has a fecal impaction. A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. C. Clean stoma with alcohol 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. e. clay colored, the nurse insert the tubing into the rectum? d. administration of a large-volume enema Which of the following symptoms should the nurse expect to find in the early stage of the disease? The nurse explains that the patient should try to retain the instilled oil for? Alcohol and coffee tend to have a constipating effect on clients. b. Wear sterile gloves d. transverse colostomy. D. Notify the doctor. A. Which of the following instructions should the nurse include in the teaching? How far will the nurse insert the suppository? b. chicken Which of the following would describe a normal stool? b. Percussion Discontinue the administration of the enema Celiac disease. D. Hematuria D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? Which of the following information should the nurse include? a. small-volume cleansing enema with isotonic solution a. What type of output is first expected from an ileostomy postoperatively? Limit intake of food high in animal protein. A client who has protein calorie malnutrition. Take 500 mg The bowel wall is stretched which stimulates peristalsis. a. social and emotional setting of the client. a. The nurse is administering a cleansing enema when the client reports cramping. (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. a. pouring warm water over Ms. Young's fingers Notify the physician. Listen for bowel sounds Find the ones that present a topic, but not an idea. c. far enough to still visualize the end of the suppository a. 3. How often should the nurse irrigate this tube? What is the appropriate nursing response? Red meats will decrease symptoms of nausea. Which food(s) will the nurse include in the client's education? What color is your usual bowel? d. to assure a daily bowel movement A. Macaroni & cheese B. Flat in bed, with the head in alignment with the body A. Which of the following should be included in the client's diet? (Move the steps into the box on the right, placing them in the selected order of performance. b. cabbage Select all that apply. d. Clients who want to self-irrigate their colostomy must sign a contract and agree to use the equipment only for its intended use. d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? B. a. 1. c. increases the volume of the stool, making defecation easier The nurse should identify that which of the following results places the client at risk? Which of the following would be common nursing diagnosis for the patient with an ileostomy? b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence A nurse is preparing a hospitalized patient for a colonoscopy. Excessive laxative use d. "The client agrees to take prescribed antidepressants." Eliminate any risk of infection A nurse is scheduling tests for a patient who has been experiencing epigastric pain. A. c. Clients with food intolerances may experience altered bowel elimination. c. cecum d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. A. "Actually, people's bowel patterns can vary a lot and some people don't tend to go every day." a. B. Weakens the muscles and the natural ability to defecate Intussusception b. A nurse is about to administer a tap-water enema when a patient asks what is the purpose. A. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? c. drinking and smoking habits of the client. c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. Client report of nausea Stop the enema B. The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. d. "Your friend is correct in her assessment, but it would likely be better to exercise and drink more instead of using medications. c. Electrolyte imbalances c. Daily irrigation is necessary to assure passage of stool from an ileostomy. d. water, soap, A nurse is caring for a client with constipation. \text { melan/o } & & \text {-oma } & & Which of the following should the nurse discuss as causes of constipation? A nurse is teaching an older adult client who reports constipation. Take mineral oil at bedtime. c. "The client is willing to look at the stoma." c. reduces elasticity in intestinal walls and slows motility What solution best meets this client's needs? a. hypertonic saline Having Ms. young ignore the urge to void until her bladder is full. \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ How many grams should be in the daily diet? A patient recovering from a partial nephrectomy is in the postanesthesia care unit. Results may be altered if a sample is left standing at room temperature for a long time. B. a. D. Kosher chicken breast and boiled potatoes. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. D. Notify provider, The excessive use of laxatives can take what effect on the body? a. Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. a. brown rice c. Hemoglobin of 11.1 g/dL (111.00 g/L) CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin{array}{lllll} a. Assess the color of the stoma. d. Reposition the rectal tube and check for any fecal content. C. "My largest meal of the day should be in the evening." b. what? Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. Ignoring the urge to defecate d. The student sequenced from auscultation to inspection, and percussion to palpation. Administer cough suppressant medication as needed. Select all that apply. Diarrhea Which nursing diagnoses is/are most applicable to a client with fecal incontinence? A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. a. Which finding indicates that the client needs further assessment in the postanesthesia care unit? b. Write a program that displays all of the numbers in the file. B. Lower the solution after instilling about 150 mL of solution. Which action performed by the student would indicate to nurse faculty that further instruction is needed? Which of the following information should the nurse include in the teaching? a. briefly clamping the tubing while the client breathes deeply B. B. 750 to 1000 mL d. a turkey sandwich with whole-grain bread Which of the following instructions should the nurse include in the teaching? C. Instill warm mineral oil into the rectum __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. Which action is an appropriate step in this procedure? Inadequate fluid intake. d. a client recovering from prostate surgery. C. Increase dietary intake of raw vegetables d. Reinstruct the client on use of collection container for next bowel movement. 3. C. Increase exercise activity. The nurse is administering a rectal suppository. e. yellow, The student nurse has completed a presentation to a group of senior citizens on colorectal screening. a. Oil-retention Select all that apply. Which of the following have manifestations of obesity? Write a template that will create a static queue of any data type. b. c. Transporting the specimen C. Ensure that the bowel is sterile What should I do if my patient cannot retain the enema solution? An older adult client is in the hospital following an intestinal diversion with an ileostomy on the right upper quadrant and a mucous fistula. D. Increased fiber in the diet a. Maintenance of good posture The client will walk for 30min 5 days a week. Which of the following statements should the nurse make? C. Administer the enema while the patient sits on the toilet. A. C. Brain trauma c. Constipation The appliance will need to be changed daily. Provide sitz bath after defecation What should be the nurse's next action? Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? Which of the following assessment findings requires immediate intervention by the nurse? Which type of solution would be best suited to this client's needs? A student nurse is preparing to administer a client's ordered large-volume enema. The student instructed the client to urinate before beginning the focused assessment. C. Place an aspirin in the colostomy b. Season foods with herbs and spices. This type of enema should be avoided in ___________ and ________________. b. Will includes a pat of butter with eggs for breakfast. C. It empties the bowel. a. The client passed stool into the toilet instead of using the collection container. Client has no bowel sounds." In the hospital, a clean technique is used for catheter insertion b. Assume that a file containing a series of integers is named numbers.txt and exists on the e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. D. Administer antibiotic therapy d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. C. Strain urine for 48 hr. b. light brown Empty the pouch when it is no more than half full. b. Bismuth subsalicylate contains salicylates; a physician should be consulted before giving it to children or clients taking aspirin. Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match Completa las oraciones con el pluscuamperfecto de subjuntivo de las verbos. The client states, "I am menstruating right now. The nurse should explain the type of ostomy he will have is? b. A nurse is providing preoperative teaching for a patient who has colon cancer. d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. a. a. Urinary Clostridium infection. D. Fleet. "I should eliminate pasta from my diet so that I don't have as many loose stools." 2. a. B. b. A patient with IBS a. What is the appropriate nursing action? c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. c. prune juice with breakfast The health care provider prescribes a large-volume cleansing enema for a client. A nurse is reinforcing teaching about reliable sources of vitamin B 12 with a client who is pregnant. Which position would the nurse place the client in? \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ b. Cleanse the stoma and the peristomal skin. d. Compress the container as the solution instills. B. Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. As long as pure _________ soap is used, it is considered a safe procedure. Apply lubricant to the anus A nurse is providing teaching to an older adult client who has constipation. 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. 25. Using a diet that is low in bulk B. Hash browns potatoes a. Instruct to splint incision when coughing and deep breathing The close proximity of the male genitalia to the rectum c. using a warm bedpan when Ms. Young feels the urge to void Which of the following surgical procedures places the client at risk for deep-vein thrombosis? Have the client perform self stoma care A nurse is providing teaching to a client who has a new colostomy about proper care. How will the nurse document this finding? C. Nocturia Mr. T is nervous about a colonoscopy scheduled for tomorrow. Which of the following should the nurse include in the planning? A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. C. 3 hours, or until dissolved. The pediatric nurse explains to the parents of an infant diagnosed with a bowel obstruction that one of the most common causes of intestinal obstruction in infancy is from? Dry, hard stool A. Which of the following findings are indicative of this condition? ________: This location is used for a temporary ostomy, with the stoma constructed as a loop. A. Stewed prunes b. The nurse is selecting antidiarrheal medications for clients with diarrhea. b. "I will have a flexible endoscopic exam done every 5 years." A nurse is planning care for a client to prevent postoperative atelectasis. c. A patient with post-radiation damage to the bowel d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. Blood pressure b. Anal fissures c. Right lateral Teach the client how to use the PCA pump f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. Include more protein in the diet to increase fiber and decrease gas. D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. This position allow for ease of access. c. Lower the solution container and check the temperature and flow rate. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. c. Refrain from eating red meat 3 days before testing. a. hypertonic saline B. d. Quickly and carefully remove tube while the client breathes out. The patient states "Something just isn't right". d. Mrs. Lonte reports fullness and diarrhea after breakfast. Connect all catheters and drains to a single collection device. a. d. "All four abdominal quadrants auscultated. "This test detects heme, a type of iron compound in blood in the stool." Requirement for verbal stimuli to awaken Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? D. Report burning with urination to the provider. Which of the following strategy should she include illustrate the concept of joint protection? Warm the enema to prevent constipation c. to relieve constipation A nurse is caring for a client with an NG tube attached to continuous suction. A bowel training program includes which of the following? a. D. Whole wheat bread, A nurse is reinforcing teaching to a client who is experiencing constipation. d. physiologic or lifestyle changes in the client. b. c. staying with him while voiding Pasta with cream sauce will help coat the abdominal mucosa. Monitor urine pH. b. Postoperative ostomy prolapse can be avoided by twice daily irrigation for the first 4 weeks after surgery. e. Teaching the client about the test Causes abdominal discomfort A. 3. a. Warm the enema to prevent constipation a. Place the stool specimen collection container in a biohazard bag. Place the client on the left side position. A. b. d. until the client reports feelings of discomfort. (Select all that apply.) B. Peroxide (D) smooth. c. The catheter is inserted 2" to 3" into to meatus 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. Cool the container holding the solution. c. 20-30 g When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend?
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