Collect 15 to 30 mL of the client's liquid stool. a. E. Insert enema towards umbilicus, A. c. "Do you prefer hot foods or cold foods?" C. Frequent swallowing and clearing of the throat When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: A. Cream of wheat a. Which finding indicates that the client needs further assessment in the postanesthesia care unit? A nurse is providing teaching to a client who has a new colostomy about proper care. What are some foods that could cause blockage in a colostomy? Which of the following goals should the nurse include? A. What should not be used on stomas? d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. D. Bradypnea, A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. a. Provide perineal care after each stool a. b. ascending colostomy 2. 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. Pasta with cream sauce will help coat the abdominal mucosa. What is the nurse's best action? with a driver program. D. Kosher chicken breast and boiled potatoes. A. Feedings In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? In the hospital, a clean technique is used for catheter insertion a. Fecal impaction The physician has ordered an indwelling catheter inserting in a hospitalized male patient. c. large-volume cleansing enema with oil True B. a. Report the onset of bright red bleeding to the surgeon. B. d. Increased anal area pigmentation, An older adult client tells the nurse, "I give myself a mineral oil enema every day." e. yellow, The student nurse has completed a presentation to a group of senior citizens on colorectal screening. The nurse is evaluating stool characteristics of an adult client. a. A. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. 1. C. Increase exercise activity. In both cases, however, the client has been unable to defecate. C. Inadequate fluid intake Take mineral oil at bedtime. B. Keep the ulcer bed dry. Write a template that will create a static queue of any data type. Reduce sodium intake. Which task should the nurse delegate to unlicensed assistive personnel (UAP)? D. Decrease insoluble fiber intake. B. c. reduces elasticity in intestinal walls and slows motility a. 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? C. Macaroni and cheese and peas c. Children need fewer reminders to drink because of greater thirst sensitivity b. retention Tap Water Which of the following should the nurse discuss as cause of constipation? e. pork chops C. Leave the skin on when eating fruit. 750 to 1000 mL A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. a. "I should eliminate pasta from my diet so that I don't have as many loose stools." A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. b. Anthelmintic A. Hgb of 11.6 and Hct of 37% Which of the following statements should the nurse make? D. Blood-tinged mucus, C. Frequent swallowing and clearing of the throat, A nurse is completing the admission assessment of a client who has a kidney stone. b. jejunum c. A patient with post-radiation damage to the bowel Urinary retention 4. E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. D. Notify the doctor. A. How should the nurse best respond to this client's statement? Which of the following interventions should the nurse include in the plan of care? b. Bismuth subsalicylate contains salicylates; a physician should be consulted before giving it to children or clients taking aspirin. How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? d. secondary constipation, A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume cleansing enema. D. Abdominal pain, Which enema would be used for fecal impaction? evaluate fluid and electrolyte levels. D. What time of day is your normal bowel movement? a. D. Report burning with urination to the provider. What should the nurse do first? \end{array} Excessive laxative use 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]. (C) very old a. D. Increased fiber in the diet \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema, What is the fluid amounts for large-volume enemas? a. The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. b. B. 1. (a) The moving object is twice the mass of the stationary object. (B) hazy b. Normal Saline Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. e. "The client makes neutral or positive statements about the ostomy. D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? A nurse is following a health care provider's order to irrigate a client's NG tube. c. dark brown Which is The nurse is talking to a client whose colostomy pouch frequently comes loose and falls off. prior to the enema. c. Inform the client that the culture prescription will now be cancelled. D. Reposition the client at least q4h. 20-30 g. While reading a client's history, the nurse notes that a client has a colostomy. d. Infection, For which patient would a nurse expect the primary care provider to order colostomy irrigation? 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. Fresh fruit & whole wheat toast 49. b. an older adult client who is incontinent of stool Apply continuous suction to the nasogastric tube during assessment of bowel sounds. Which is an effect of prolonged use of mineral oil to relieve constipation? In which patients would diarrhea be a possible finding? C. Instill warm mineral oil into the rectum b. tap water Determine cause (medication, infection, impaction) Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. Which factor is related to developmental changes in bowel habits for older adult clients? Instruct to splint incision when coughing and deep breathing B. a. hypertonic saline How would this be documented? b. Constipation C. Cheese (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. Paralytic ileus 2. Which guideline is recommended for this procedure? ", Which medical diagnosis is most likely to necessitate testing for fecal occult blood? A. The client will walk for 30min 5 days a week. (Select all that apply) 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 have manifestations of obesity? The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. A. Gently pressure the barrier for 1 to 2 mins. Do you take Pepto-Bismol? Onions and garlic A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. Before administering this medication, the nurse should complete which priority assessment? A nurse is preparing to administer a cleansing enema to a client. Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. Select all that apply. Which actions must the nurse perform? Discontinue the administration of the enema During the assessment the nurse notes that the client's prenatal pad is fully saturated. Which color stool does the nurse identify as abnormal? Which client statement reflects understanding of the purpose of this test? A risk that the peristomal skin will become excoriated A nurse is preparing a hospitalized patient for a colonoscopy. 10 Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . "I eat two eggs for breakfast each morning. "This test will show if you have colorectal cancer." 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. 30MJkg1, .) d. White cell count of 12,000/mL (12.00 109/L) A. A nurse is providing teaching to an older adult client who has constipation. d. transverse colostomy. A nurse is caring for a client with primary constipation. Which of the following should the nurse include in the planning? "I need to take a laxative such as milk of magnesia if I don't have a BM every day". The nurse should instruct the client to avoid which of the following unsafe actions? Select all that apply. Output is liquid to semi-formed. The nurse would anticipate which course of action in response to the client's diarrhea? b.nature and amount of food eaten by the client. Reduce sodium intake. E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. Select all that apply. C. Causes distention of the intestines Bowel not functioning." a. small-volume cleansing enema with isotonic solution a. ileostomy D. Fleet. C. Hypertonic; Fleet's d. Telling the patient that burning and irritation are normal, subsiding within a few days. In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. What is the difference between a one-piece and two-piece pouching system? The male urethra is more vulnerable to injury during inspection Which of the following is most likely to validate that a client is experiencing intestinal bleeding? E. Increase fluid intake to 3 L/day. b. to prevent involuntary escape of fecal material during surgical procedures A nurse is caring for who reports an area of redness, warmth, tenderness, and pain in the right calf. d. "There may be an issue with your colon that is causing these type of symptoms. a. A patient admitted with possible kidney stones suddenly experiences acute crampy pain on the left side that radiates into the groin. e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. a. Auscultation D. Cancer, Which enema is the safest to use for any patient? c. mineral oil What teaching will the nurse provide regarding vitamin C three days before testing? Apply lubricant to the anus b. Escherichia coli diarrhea. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? Diminished peripheral pulses in the lower extremities Which interventions are appropriate suggestions? 4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. Select all that apply. b. A nurse is reinforcing teaching with a client that reports having constipation. c. Bleeding in the gastrointestinal tract Which of the following info should the nurse include? A nurse is teaching an older adult client who reports constipation. Which teaching will the nurse include? c. "The client is willing to look at the stoma." c. Drink a soft drink daily to prevent gas and allow fiber to break down. What should be the nurse's next action? "Wait to do the test 3 days after your finish menstruating." use milk instead of water and recipes. Select all that apply. c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. b. Incisional pain 3. A. Kidney beans A. B. Which of the following is a true statement about the effects of medication on bowel elimination? Use the elements listed in the table to build medical words. A nurse is providing teaching to a client who has a new colostomy about proper care. a. Which type of enema should the nurse administer? Nurses should recommend avoiding the habitual use of laxatives. B. Collect stool and send to laboratory for culture per regular protocol. a. provides an outlet for diarrhea to be funneled into a collection unit A nurse is talking with a client who has gout. A. Which of the following statements should the nurse make? The nurse responds with? C. Side-lying, with the head in a neutral position Place the client on a bedpan in the supine position while receiving the enema. D. Depression When the client asks what the stockings do, which of the following responses should the nurse make? Drink four to five glasses of water daily C. The specimen can not be contaminated with urine. B. a. urgency B. A. Typically, the distal colon is not removed but bypassed. A nurse is teaching a patient how to apply an extended-wear skin barrier. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. The nurse is selecting antidiarrheal medications for clients with diarrhea. a. increases the volume of the stool, making defecation easier If the specimen contains barium or enema solution, document this on the container. Scrambled eggs "I will have a flexible endoscopic exam done every 5 years." c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. The client reports gas pains I the periumbilical area. B. Inflamed and reddened throat a. Assess the color of the stoma. The provider has prescribed an enema. c. remains constant. Administer calcium supplements. A nurse is administering a large-volume cleansing enema to a patient prior to surgery. a. d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. 3. ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. Administer cough suppressant medication as needed. d. "If you are having a light flow or spotting then you can perform the test. Select all that apply. d. "Only if the stool has not been contaminated by urine. A. b. removes hardened fecal impactions from the rectum c. 5 in (12.5 cm) d. Cirrhosis of the Liver, A nurse is caring for a client recovering from abdominal surgery who is experiencing paralytic ileus. d. The student sequenced from auscultation to inspection, and percussion to palpation. Which of the following actions should the nurse plan to take? Select all that apply. b. tap water a. Select all that apply. C. Use sitz bath 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? A. "Do you use anything to help move your bowels?" What physiological response primarily may be prevented by avoiding straining on defecation? "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." B. Cool the container holding the solution. a. dark brown B. Which of the following food to the nurse recommending a teaching? B. Instill 200 mL of fluid every 15 mins. C. Respiratory rate _________: is typically created as an emergency procedure to relieve an intestinal obstruction or perforation. What is the best response by the nurse? a. briefly clamping the tubing while the client breathes deeply c. Wipe the lubricated tip of the container before insertion. The nurse has trimmed the flange of the new appliance to a diameter of 7 cm. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. d. The appliance will fit securely to the client's skin. "This test detects heme, a type of iron compound in blood in the stool." An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). "You will be on bed rest for the first 2 days after the procedure." A nurse is planning care for a client to prevent postoperative atelectasis. B. c. A heightened risk that the stoma will prolapse d. Reposition the rectal tube and check for any fecal content. What solution best meets this client's needs? d. Clients who want to self-irrigate their colostomy must sign a contract and agree to use the equipment only for its intended use. Lower the solution after instilling about 150 mL of solution. Which foods will the nurse recommend to avoid for a client with uncomfortable, frequent episodes of flatulence? 150 to 200 mL a. Select all that apply. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. b. The nurse should plan care based on which of the following factors contributing to this postoperative complication? a. "Are you experiencing rectal fullness?" Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? e. "How often do you go out to eat?". c. Before removing the tube, discontinue suction and separate the tube from suction. B. C. Do you eat black food or dye? Results may be altered if a sample is left standing at room temperature for a long time. False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. A. Macaroni and cheese B. D. Hematuria A nurse is scheduling tests for a patient who has been experiencing epigastric pain. a. Raise the solution 12 inches above the anus. b. Select all that apply. Take 500 mg a. past the internal sphincter d. Left lateral, A client with no significant medical history reports experiencing diarrhea over the past week. c. medications being taken Sit on the toilet 30 minutes after eating a meal. a. A nurse is preparing to administer an oil-retention enema to a patient who has constipation. B. c. The student had the client flex the knees when performing the assessment. Encourage client to heed defecation warning signs and develop a regular schedule of defecation by using a stimulus such as a warm drink or prune juice. c. black C. b. Strawberries The client asks the nurse why both anticoagulants are necessary. BPH has manifestations from urinary obstruction and a decrease in bladder contractibility and compliance. A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. C. Lotions Ignoring the urge to defecate c. discontinuation of the amoxicillin and administration of an antidiarrheal drug A nurse working in a hospital includes abdominal assessment as part of patient assessment. The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. A patient with IBS The client passed stool into the toilet instead of using the collection container. Planning medical treatment based on test results All steps must be used.) Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? A patient who has bladder cancer tells the nurse that, of the various urinary diversion options the surgeon presented, she prefers one that will allow her to have some control over urinary elimination. D. Hematuria (Select all that apply.) ", An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis? Clean the wound from the outer edge towards the center.
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