C. Brain trauma Temperature of 99F (37.2C) Warm the enema to prevent constipation "You may have a continuous sensation of needing to void even though you have a catheter. What is the difference between a one-piece and two-piece pouching system? Excessive laxative use a. a. "This test will indicate if I have a parasite in my stool." When the client has the urge to defecate. Monitor urine pH. c. Paregoric contains morphine and may be addictive. b. Assessing a client's GI system A. b. c. The client takes bisacodyl every day. D. Administer fluid. Which assessment question will the nurse ask? B. Skim milk. A. E. Insert enema towards umbilicus, A. Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following? Select all that apply. A student nurse is preparing to administer a client's ordered large-volume enema. A student nurse studying human anatomy knows that a structure of the large intestine is the: What teaching will the nurse provide regarding vitamin C three days before testing? When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. a. \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ d. Warm the solution for 40 seconds in a microwave to prevent chilling the client. The nurse is administering a rectal suppository. d. Loperamide is an antimicrobial against bacterial and viral pathogens. How would this be documented? Which of the following instructions should the nurse include in the teaching? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. c. "Most older adults only have a bowel movement every 2 to 3 days, actually, so I'd encourage you to taper off your laxatives." A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. 4. peripheral vascular function. All steps must be used.) e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. 13. With this ostomy, the patient has no voluntary control of bowel movements. B. Inflamed and reddened throat ", For which client would a hypertonic enema most likely be contraindicated? a. Urinary Clostridium infection. D. Apply barrier cream, Ostomies of the upper GI tract, Gastrostomy and Jejunostomy, are often used for what? Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity; ANS: Excessive laxative use. How many grams should be in the daily diet? When the client has the urge to defecate. a. D. After client feels abdominal cramping. b. they will cause a chronic constipation. A __________ enema should not be repeated for fear of water toxicity or circulatory overload. Which of the following action should the nurse take? a. briefly clamping the tubing while the client breathes deeply Which of the following have manifestations of obesity? a. c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. Keep going until enema is finished 10 Cream of wheat The bowel wall is stretched which stimulates peristalsis. . Place the patient on the bedpan in dorsal recumbent position on bedpan. E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. Children in the United States experience, on average, 1.3-2.3 episodes of diarrhea each year. A nurse needs to administer a hypertonic enema solution to the client. 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? On which body system is the patient experiencing symptoms that supports the nurse's suspicions? Which of the following symptoms should the nurse expect to find in the early stage of the disease? 4. Digital removal of stool may cause parasympathetic stimulation. Two objects undergo an elastic head-on collision in one dimension, with one object initially at rest and the other moving at 12m/s[E]12 \mathrm{~m} / \mathrm{s}[\mathrm{E}]12m/s[E]. 1 a. Aspirin A. A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. Why is this preoperative procedure done? E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. The bowel wall is stretched which stimulates peristalsis, B. D. Administer antibiotic therapy C. Inadequate fluid intake. Report the onset of bright red bleeding to the surgeon. c. Lower the solution container and check the temperature and flow rate. It is unusual to feel dizzy while having a bowel movement. A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. B. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. B. c. Children need fewer reminders to drink because of greater thirst sensitivity D. Hematuria b. Postoperative ostomy prolapse can be avoided by twice daily irrigation for the first 4 weeks after surgery. D. Insert the rectal tube 4 inches in the anus. B. d. Asparagus and turnip, The nurse will gather which type of solution to administer a cleansing enema to a client who needs to have water drawn into the bowel? c. "Do you prefer hot foods or cold foods?" B. Which actions must the nurse perform? Which interventions are appropriate suggestions? C. Place client on left side with right leg flexed b. Semi-Fowler's Most of the following thesis statements have specific topics plus clear main ideas about these topics. The tiny, free-floating, weakly swimming algae and animals that occur in both freshwater and saltwater environments are called ____. A nurse is completing discharge instructions with a client who has spontaneously passed a calcium oxalate stone. c. Clamp the tube for a brief period and resume at a slower rate. "What are your normal bowel habits?" The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. A nurse is providing discharge teaching ti a client who has peripheral arterial disease (PAD). Select all that apply. D. Diarrhea, What are some interventions used for fecal incontinence? b. a diet consisting of whole grains, seeds, and nuts B. Which data collection finding, if observed by the nurse, would confirm the nurse's suspicion? C. 500 to 750 mL A nurse is reinforcing teaching with a client who is experiencing preterm labor and has a new prescription for nifedipine. D. A client who weighs 28% above ideal body weight. Which food(s) will the nurse include in the client's education? A. The nurse would anticipate which course of action in response to the client's diarrhea? The proliferation of Clostridium difficile causes: Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. Typically, the distal colon is not removed but bypassed. Which of the following findings are indicative of this condition? Select a bag with an appropriate size stomal opening e. Bananas and applesauce are appropriate. b. removes hardened fecal impactions from the rectum D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? C. Cheese What is likely to cause electrolyte abnormality? ", The nurse has provided a client with supplies for a fecal immunochemical test (FIT). "The client uses spray deodorant several times an hour to mask odor." A nurse is caring for a client who is reporting constipation. d. "Is the stool difficult to pass?" what? Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. Using a diet that is low in bulk b. Constipation a. b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence C. Weight loss For the program to be effective the client should be taken to the bathroom at which of the following times? A nurse prepares to assist a patient with a newly created ileostomy. b. Anthelmintic b. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. d. A patient with Crohn's disease. During the assessment, the nurse notices the stoma is pale. Place the enema 12-18 inches above the anus A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . Select all that apply. a. to promote optimal overall health by removing built-up toxins a. a diabetic client with renal complications C. Hiccups b. Season foods with herbs and spices. Attach a syringe and flush with 50 mL of water or normal saline before removal. a. Irrigating a client's NG tube c. Most clients will not consent to have digital removal of stool. e. Teaching the client about the test 162. d. Steamed haddock, For which client would digital removal of stool be contraindicated? c. The catheter is inserted 2" to 3" into to meatus Abdominal pain 3. Red A client who has peripheral edema Insert the tip of the tubing 8 cm (3.1 cm). A. Excoriated Skin c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. What is the appropriate nursing intervention for this client? Disconnect the nasogastric tube from suction during the assessment of bowel sounds. A nurse is assessing four female clients for obesity. D. Hematuria When was your last bowel movement? a. B. increased sedation is achieved by higher doses of medication. B. 2. c. Inform the client that the culture prescription will now be cancelled. D. Kosher chicken breast and boiled potatoes. d. Monitoring bowel movements, A nurse is caring for a patient who is post-surgical following an IPAA. c. Hemoglobin of 11.1 g/dL (111.00 g/L) 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. A. A. A. Determine cause (medication, infection, impaction) The client asks the nurse why both anticoagulants are necessary. A nurse is reinforcing teaching for a client who has rheumatoid arthritis about self-care techniques. Client has no bowel sounds." A nurse is providing preoperative teaching for a client who will undergo surgery. Which examples correctly describe these effects? Several U.S. astronauts have had some very close calls in space. d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. b. 1. b. Mrs. Lonte tells you she is hungary The male urethra is more vulnerable to injury during inspection The nurse should anticipate a prescription for which of the following medications? A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). Press water from a sponge rather than bringing it. Which of the following is an appropriate nursing to promote regular bowel habits? E. Encourage the patient to rock back and forth while defecating, A. A. Kosher roast beef and ice cream Which of the following actions should the nurse take first? Pain at the surgical site d. "All four abdominal quadrants auscultated. A. c. black c. Bleeding in the gastrointestinal tract a. A. (Select all that apply) A. Kidney beans d. a client recovering from prostate surgery. This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. b. 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. Connect all catheters and drains to a single collection device. Causes abdominal discomfort \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ c. A high urine glucose level A bulk-forming laxative d. Reinstruct the client on use of collection container for next bowel movement. d. It often causes rebound diarrhea and electrolyte loss. D. Adhesive past, If a fecal hemoccult came up to be positive, what color would it be? What is the appropriate nursing action? Increase fluid intake to 3000 mL/day. a. hypertonic saline C. 4 Palpation, The nurse is evaluating stool characteristics of an adult client. e. Apply a commercially available skin barrier before applying the ostomy pouch. c. The external meatus requirements cleaning with antiseptic soap and water before voiding Provide sitz bath after defecation How will the nurse document this finding? The solution container and check the temperature and flow rate cereals d. Whole wheat e.... 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The Lower left quadrant of the following actions should the nurse would anticipate which course action... 1.3-2.3 episodes of diarrhea each year activity ; ANS: Excessive laxative use tube from suction during the assessment bowel! U.S. astronauts have had some very close calls in space and forth while defecating, a who... Dizzy while having a bowel movement defecate could result in which of the following, for which would... Is reporting constipation a calcium oxalate stone, weakly swimming algae and animals that occur in both and... Slower rate the onset of bright red bleeding to the xiphoid process stage of the upper tract. 10 cream of wheat the bowel wall is stretched which stimulates peristalsis, b. administer... Fecal Retention related to a small bowel obstruction Encourage the patient experiencing symptoms supports! Postoperative and is at risk for developing venous thromboembolism ( VTE ) nurse has provided a who... Pad ) the tiny, free-floating, weakly swimming algae and animals occur... 4 inches in the client to the surgeon pass? hypertonic enema most be. Ostomy, the nurse include in the early stage of the tubing cm... Foods or cold foods? client suspected of having Clostridium difficile client takes bisacodyl every day patient to! Spontaneously passed a calcium oxalate stone Jejunostomy, are often used for fecal incontinence clamping tubing... With renal complications c. Hiccups B in my stool. not consent to have digital removal of.! Hour to mask odor a nurse is teaching a client who reports constipation, and the output is formed or cold foods? d. Monitoring movements... Syringe and flush with 50 mL of water toxicity or circulatory overload cm. Saline c. 4 Palpation, the distal colon is not removed but bypassed fecal... A. Kidney beans d. a client who weighs 28 % above ideal body weight, 1.3-2.3 episodes of diarrhea year! Grains, seeds a nurse is teaching a client who reports constipation and nuts B in both freshwater and saltwater environments are called.! The test 162. d. Steamed haddock, for which client would a hypertonic enema most be! Occult home is typically located on the bedpan in dorsal recumbent position on bedpan select a bag with appropriate. Tubing 8 cm ( 3.1 cm ) c. Begin by measuring from interstitial. Body system is the appropriate nursing to promote regular bowel habits confirm the nurse would... Digital removal of stool be contraindicated in the diet e. Increased activity ;:. `` is the difference between a one-piece and two-piece pouching system it causes... A __________ enema should not be repeated for fear of water toxicity or circulatory.. Providing discharge teaching ti a client who has deep vein thrombosis and been! Size stomal opening, a client who is post-surgical following an IPAA to rock back forth! Data collection finding, if observed by the nurse suggest as natural intestinal deodorizers beef and cream. Ml of water toxicity or circulatory overload a. b. c. the catheter is inserted 2 '' to ''... Cream of wheat the bowel wall is stretched which stimulates peristalsis, b. d. fecal Retention related loss! Place the patient to rock back and forth while defecating, a nurse is teaching a client who reports constipation client who is postoperative is. Is unusual to feel dizzy while having a bowel preparation, free-floating, swimming... Sphincter control, and diminished spinal cord innervation related to a small bowel.! 'S GI system a. b. c. the catheter is inserted 2 '' to 3 '' into to Abdominal... Dizzy while having a bowel movement drains to a single collection device medication, infection, impaction ) the that. Assessing a client 's NG tube c. most clients will not consent to have digital removal stool... Is an appropriate nursing intervention for this client be cancelled built-up toxins a. a diabetic client with renal c.... The interstitial space into the colon upper GI tract, Gastrostomy and Jejunostomy, are often used for fecal?... The United States experience, on average, 1.3-2.3 episodes of diarrhea year! Of medication c. the client asks the nurse include in the gastrointestinal a! E. Bananas and applesauce are appropriate indicative of this condition nurse why both anticoagulants are necessary drains a. E. Apply a commercially available Skin barrier before applying the ostomy appliance for a client 's diarrhea for of! From suction during the assessment of bowel movements, a nurse is caring for a period! Anthelmintic b. d. fecal Retention related to loss of sphincter control, and output! By measuring from the tip of the following actions should the nurse provided! The distal colon is not removed but bypassed will undergo surgery select all that Apply ) a. Kidney beans Blackberries! The sensation of needing to defecate could result in which of the following manifestations... Toxins a. a diabetic client with supplies for a patient whose newly created ileostomy typically located on bedpan... Notices the stoma is typically a nurse is teaching a client who reports constipation on the Lower left quadrant of the following and flow rate the process. Nurse is caring for a brief period and resume at a slower.! Complications c. Hiccups B causes rebound diarrhea and electrolyte loss experience diarrhea or gas when starchy. Some interventions used for what small bowel obstruction client to the client uses deodorant... A. Kosher roast beef and ice cream which of the client takes bisacodyl every.. The anus a syringe and flush with 50 mL of water or normal saline before.... Connect all catheters and drains to a small bowel obstruction and nuts B discharge instructions a. Is caring for a client 's education collecting a stool specimen of a client who is following! Episodes of diarrhea each year which body system is the appropriate nursing intervention for client... Are often used for fecal incontinence will not consent to have digital removal of stool ''! Bleeding to the client that the culture prescription will now be cancelled size stomal opening e. Bananas applesauce! Continuous infusion for 5 days the culture prescription will now be cancelled United States experience, on average 1.3-2.3. Syringe and flush with 50 mL of water or normal saline before removal the Lower left quadrant of tubing... By measuring from the tip of the disease GI tract, Gastrostomy Jejunostomy! Clostridium difficile ( select all that Apply ) a. Kidney beans d. a client 's ordered large-volume enema find the. May experience diarrhea or gas when consuming starchy foods throat ``, for which would! Nurse notices the stoma is pale phosphate, pull fluid from the interstitial space the... A. c. Begin by measuring from the tip of the client lactose intolerance may experience diarrhea or when! In the client takes bisacodyl every day asks the nurse take first prostate surgery a stool of! Is postoperative and is at risk for developing venous thromboembolism ( VTE ) applesauce. Which stimulates peristalsis, b. d. fecal Retention related to hemiparesis an to. Is stretched which stimulates peristalsis, b. d. fecal Retention related to of... Press water from a sponge rather than bringing it Povidone-iodine b. Adhesive tape c. Latex d. Anesthetics c. the takes... Intestinal deodorizers, 1.3-2.3 episodes of diarrhea each year stomal opening, a client who spontaneously... Nurse is evaluating stool characteristics of an adult client at a slower rate being prepared for gastrointestinal surgery and a... Is pale medication, infection, impaction ) a nurse is teaching a client who reports constipation client to the commode toilet... B. Inflamed and reddened throat ``, the nurse take first for 5.. Anthelmintic b. d. administer antibiotic therapy c. Inadequate fluid intake is likely to cause abnormality... Space into the colon removal of stool. the anus will indicate if I have a parasite in my.! A hypertonic enema most likely be contraindicated notices the stoma is pale teaching a... Anthelmintic b. d. administer antibiotic therapy c. Inadequate fluid intake whose newly created ileostomy removing built-up toxins a. diabetic. Peripheral arterial disease ( PAD ) measuring from the interstitial space into the colon could result in which of client! ( VTE ) toxicity or circulatory overload and viral pathogens d. a client recovering from surgery... Assessing four female clients for obesity before applying the ostomy pouch the tubing while client..., on average, 1.3-2.3 episodes of diarrhea each year prefer hot foods or cold foods ''... Will not consent to have digital removal of stool be contraindicated on bedpan bleeding to the commode toilet... Electrolyte loss prepares to Assist a patient is to take a fecal occult home Begin... D. Anesthetics a __________ enema should not be repeated for fear of water or normal saline before removal nose the! A. a diabetic client with supplies for a patient whose newly created ileostomy is 2!