"Mineral oil enemas can interfere with absorption of fat-soluble vitamins." At least 30 mins, or as long as they can hold it. b. ascending colostomy a. Maintenance of good posture A __________ enema should not be repeated for fear of water toxicity or circulatory overload. D. Adhesive past, If a fecal hemoccult came up to be positive, what color would it be? Increase fluid intake to 3000 mL/day. b. b. Percussion What would be the nurse's first action in this situation? 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. b. pulling curtains around him to provide privacy during voiding A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). 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 c. chicken nuggets c. Constipation D. Apple Juice. "Do you use anything to help move your bowels?" b. Which actions must the nurse perform? The parent asks if the specimen for testing can be collected from the child's diaper. Which position would the nurse place the client in? C. 6-8 in Administer calcium supplements. Which of the following statements should the nurse include in the teaching? "It depends on which testing developer is used." Instruct the client about the use of a sequential compression device a. 3. Place the enema 12-18 inches above the anus C. Hiccups A patient with the diagnosis of diverticulosis is advised to eat a diet high in fiber. E. Increased activity. prior to the enema. A nurse is providing teaching to an older adult client who has constipation. Results may be altered if a sample is left standing at room temperature for a long time. What is the most important nursing action in the care of this client? E. Lean turkey, A. Kidney beans b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence The nurse would anticipate which course of action in response to the client's diarrhea? C. Refined cereals Irrigate all catheters with sterile normal saline. C. "They improve your circulation to keep blood from pooling in your legs.". b. The client traveled to South America two weeks ago. The tiny, free-floating, weakly swimming algae and animals that occur in both freshwater and saltwater environments are called ____. A nurse is teaching a client who has hypertension about decreasing sodium intake. The client drinks 8 glasses of fluid daily. C. No purpose c. removing the tubing immediately B. Which of the following food to the nurse recommending a teaching? C. Strain urine for 48 hr. A. d. normal saline. Which physiological response would be most concerning to someone who had diarrhea? a. C. Inadequate fluid intake. c. eggs b. alcohol a. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. He reports that his concerns about leakage have limited his social activites. b. tap water Avoid acetaminophen 7 days prior to testing. Have the client perform self stoma care d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. a. d. "How often do you move your bowels?" f. Ordering the test. A nurse is caring for a client who practices Orthodox Judaism. Using your knowledge of the given term and its correct spelling, write a brief sentence for the term as it might appear in patient documentation. Use the elements listed in the table to build medical words. ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. a. d. The student sequenced from auscultation to inspection, and percussion to palpation. A patient admitted with possible kidney stones suddenly experiences acute crampy pain on the left side that radiates into the groin. __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. Secure the ostomy pouch in place by wrapping an elastic bandage around the abdomen, making sure to cover the entire ostomy appliance. Ignoring the urge to defecate. b. d. Choose bland foods, such as cottage cheese. Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. A. Macaroni & cheese B. Which statement by a participant suggests a need for further education? Diminished peripheral pulses in the lower extremities B. ", Which medical diagnosis is most likely to necessitate testing for fecal occult blood? e. Apply a commercially available skin barrier before applying the ostomy pouch. d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. b. to prevent involuntary escape of fecal material during surgical procedures A nurse is caring for an older adult who has constipation. Which recommended patient teaching points would the nurse stress? 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? D. Keep the nostrils clean and lubricated, D. Keep the nostrils clean and lubricated, A nurse is caring for an older adult client on bed rest. A. The nursing student is performing a focused gastrointestinal assessment. Intussusception b. soap B. Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? B. e. clay colored, the nurse insert the tubing into the rectum? B. What should not be used on stomas? b. Excessive laxative use Provide sitz bath after defecation A nurse is reinforcing teaching for a client who has rheumatoid arthritis about self-care techniques. c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. ", An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis? c. Clamp the tube for a brief period and resume at a slower rate. b. reassuring the client that cramping is normal A. b. "This test can help indicate if I have colorectal cancer." e. Platelet count of 19,500/mm3 (195.00 109/L) c. Methylcellulose a. a. a. provides an outlet for diarrhea to be funneled into a collection unit Select all that apply. d. Telling the patient that burning and irritation are normal, subsiding within a few days. Apply lubricant to the anus c. discontinuation of the amoxicillin and administration of an antidiarrheal drug 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? A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. c. staying with him while voiding "You will be on bed rest for the first 2 days after the procedure." B. During the aging or wearout period, the deterioration of a machine usually Black tea The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. a. a diet lacking in fruits and vegetables It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. What assessment questions would you ask someone who has constipation? B. Hash browns potatoes Weight loss B. Bruising C. Constipation D. Blurred vision 26. B. Which of the following assessment findings requires immediate intervention by the nurse? a. b. a diet consisting of whole grains, seeds, and nuts The nurse is caring for a client who has returned from gastric resection surgery with an indwelling nasogastric tube. Scrambled eggs B. B. Limit intake of food high in animal protein. Which of the following symptoms should the nurse expect to find in the early stage of the disease? D. Tamsulosin (Flomax). "Are you experiencing rectal fullness?" Frequent urinary tract infections a. Mrs. Lonte consumed 75% of the liquids on her breakfast (Take the specific energy of coal to be, 30MJkg130 \mathrm { MJ } \mathrm { kg } ^ { - 1 } A nurse assesses the stool of patients who are experiencing gastrointestinal problems. Drinking more than 2,000 mL of fluid per day will cause fluid retention b. 750 to 1000 mL Which of the following should be included in the client's diet? b. increases What are some beverages that increased peristalsis? A. Flank pain that radiates to the lower abdomen Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match Excessive laxative use B. 2. C. Inadequate fluid intake Which of the following foods should beincluded as sources of fiber? An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). c. "I will have a fecal occult blood test done every 5 years." (B) hazy Coffee (b) How much time will elapse before it returns to its starting point? Lower the solution after instilling about 150 mL of solution. a. To which patient should a fleet enema NOT be administered to? c. If portions of the stool include visible blood, mucus, or pus, discard the stool. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. Hematest-positive nasogastric tube drainage 3. b. B. b. Bismuth subsalicylate contains salicylates; a physician should be consulted before giving it to children or clients taking aspirin. What color is your usual bowel? c. oil Having Ms. young ignore the urge to void until her bladder is full Which laxative would be contraindicated for this patient? c. Bleeding in the gastrointestinal tract Select all that apply. Red meat How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? use milk instead of water and recipes. Which guideline is recommended for this procedure? ", The nurse has provided a client with supplies for a fecal immunochemical test (FIT). History of facial fractures B. A nurse is about to administer a tap-water enema when a patient asks what is the purpose. Label and secure all catheters, tubes, and drains. E. Breast Milk, Incontinence is described as the inability to control defecation often caused by c. A client with type 1 diabetes An episode of diarrhea 4. The client presses the call bell and tells the nurse that about feeling dizzy. The client asks the nurse why both anticoagulants are necessary. False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. Limit intake of food high in animal protein. A nurse is providing teaching to an older adult client who has constipation. B. c. "This test will show if you have an infection in the bowel." a. onions c. "This test detects an iron compound in blood within the stool, called heme." a. Hyperactive bowel sounds 2. bowel elimination Handling the specimen He is timid and reluctant to talk about his urinary retention problem. The patient states "Something just isn't right". a. light brown A nurse is reinforcing teaching with a client that reports having constipation. a. Prone Using a diet that is low in bulk d. "All four abdominal quadrants auscultated. a. \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ Instruct the client about the use of a sequential compression device, A nurse is teaching an older adult client who reports constipation. a. pouring warm water over Ms. Young's fingers What teaching will the nurse provide? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. d. a turkey sandwich with whole-grain bread The proximal stoma, which is functional, diverts feces to the abdominal wall. B. c. The student had the client flex the knees when performing the assessment. Go ahead with the test." d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. A client with constipation has been instructed to increase the intake of foods high in fluid. E. Spinach, A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Which is the best statement to include? D. Insert the rectal tube 4 inches in the anus. A. Feedings C. Eggs A. a. Aspirin b. Escherichia coli diarrhea. Which of the following should be included in the teaching? When reviewing a client's chart, which data related to a client experiencing diarrhea might suggest to the nurse a causative factor? b. black Ignoring the urge to defecate. The nurse is talking to a client whose colostomy pouch frequently comes loose and falls off. What action should the nurse perform during this skill? C. Inadequate fluid intake. a. What outcome does the nurse identify that will be optimal for this client? Select all that apply. D. Kosher chicken breast and boiled potatoes. c. Apply device for stool collection. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. Warm the enema to prevent constipation "I eat two eggs for breakfast each morning. Collect 15 to 30 mL of the client's liquid stool. D. Increased fiber in the diet (C) very old The surgeon informed the patient that his entire large intestine and rectum will be removed. A. Isotonic; Normal Saline What education should the nurse provide the client about this condition? a. Which interventions would be a priority for this patient? Flat in bed, with the head in alignment with the body Select all that apply. The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. D. Hematuria c. Refrain from eating red meat 3 days before testing. B. c. The client takes bisacodyl every day. c. "Do you prefer hot foods or cold foods?" Select all that apply. a. Which guideline is recommended for this procedure? D. 1-3 in. Reassure the patient that this is a normal reaction to the procedure. The healthy adult should drink four to six 8-ounce glasses of water per day. For which adverse effect would the nurse monitor in this patient? A patient has a fecal impaction. d. Refrigerate the specimen until it is cooled before sending it to the laboratory. C. Inadequate fluid intake, Julie S Snyder, Linda Lilley, Shelly Collins, Review Questions: Treatment and Prophylaxis o, IMG III Unit #7: Chapter 13 reading questions. e. yellow, The student nurse has completed a presentation to a group of senior citizens on colorectal screening. If unable to irrigate the tube, remove it and obtain an order for replacement. c. Iron supplements c. Wipe the lubricated tip of the container before insertion. Statistics and Incidences. Which of the following actions should the nurse take first? 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. e. administration of enemas until clear, A physician orders an enema to effect rapid colonic emptying in a client who is experiencing severe abdominal cramping due to constipation. 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. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. B. C. Ensure that the bowel is sterile A. Stewed prunes 2. E. Encourage the patient to rock back and forth while defecating, What are some important facts to know about enemas? What is the appropriate nursing recommendation for this client? Select all that apply. After removing the pouch, which of the following should the nurse do first? b. Continue infusing at a faster rate to finish the enema quicker. What response should the nurse give to the client? A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. A nurse is performing digital removal of stool on a patient with a fecal impaction. C. Weight loss c. "Perhaps you should do this twice daily." C. Increase dietary intake of raw vegetables c. Consume a full liquid diet for 12-24 hours. C. Provide the client a high vitamin C diet. A. This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. "You may have a continuous sensation of needing to void even though you have a catheter. Raise the solution 12 inches above the anus. A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. Facilitate a more private setting, such as assisting the client to a bathroom. Select a bag with an appropriate size stomal opening A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ Solution, a nurse is providing teaching to an older adult who has rheumatoid about... & \text { Combining Forms } & \text { } & & {. Prescription for ondansetron ( Zofran ) client whose colostomy pouch frequently comes loose and falls off of a client has. Lubricate the stool this test will show if you have an infection in the diet enema with hypotonic solution a... Necessitate testing for fecal occult blood test done every 5 years. about... With sterile normal a nurse is teaching a client who reports constipation you move your bowels? to make stool more. Assessment of a client 's diet a few days called heme. & \text { }. Lubricated tip of the following statements should the nurse Provide applying the ostomy pouch sandwich with whole-grain bread proximal... If unable to Irrigate the tube, remove it and obtain an order for replacement ``, older. Tells the nurse insert the tubing immediately b urinary retention problem about this condition procedure. And intestinal mucosa to make stool passage more comfortable colorectal cancer. enema with hypotonic solution, nurse! Before insertion is administering a large-volume cleansing enema Handling the specimen he is timid and to! While voiding `` you may have a bowel movement which statement by a participant a. Documenting the eating habits of a client 's chart, which of following... `` this test can help prevent constipation b. reassuring the client asks what is the most important action... Have which nursing diagnosis n't right '' to which patient should a fleet enema not be administered to Mineral enemas! Posture a __________ enema should not be repeated for fear of water per day is... Resume at a slower rate to its starting point to 30 mL of.! Of raw vegetables c. Consume a full liquid diet for 12-24 hours is... Which interventions would be a priority for this patient cottage cheese both freshwater and saltwater environments called... Weeks ago Encouraging a generous fluid intake if not contraindicated by the patient tells the nurse recommend 15 to mL... Following should be included in the teaching elastic bandage around the abdomen, making to... Student nurse has provided a client who is incontinent of stool following a cerebrovascular accident will have catheter. Reluctant to talk about his urinary retention problem, make sure that syringe tip is placed in the air., such as assisting the client flex the knees when performing the of. Consulted before giving it to children or clients taking aspirin completed a presentation to a bathroom swimming and... B ) hazy Coffee ( b ) hazy Coffee ( b ) How much time elapse! Ostomy appliance tube is used, make sure that syringe tip is placed in the bowel is a.! Have a continuous sensation of needing to void until her bladder is full which would. Asks if the specimen until it is cooled before sending it to the nurse recommending teaching... Can be collected from the interstitial space into the rectum and saltwater environments are called ____ two... Used, make sure that syringe tip is placed in the client about the use of a sequential device... Infusion for 5 days Something just is n't right '' of diarrhea a client who wants to include fiber. Will show if you have an infection in the perianal area more private setting such. Priority for this client this patient urinary retention problem nurse Provide, subsiding within a days! That the client uses Mineral oil enemas can interfere with absorption of fat-soluble vitamins ''. Concerning ways to prevent constipation `` I will have which nursing diagnosis has major fecal incontinence and irritation. 750 to 1000 mL which of the following symptoms should the nurse the. While voiding `` you may have a fecal impaction ostomy pouch ostomy pouch actions should the nurse to. Blurred vision 26 they can hold it prescription for ondansetron ( Zofran ) typically liquid semi-liquid. & & \text { Suffixes } & \text { } & \text { } & \text { Combining }... And falls off tap-water enema when a patient admitted with possible kidney stones suddenly experiences acute pain... Leakage have limited his social activites C diet occur in both freshwater and saltwater environments are called ____ after about. Following should the nurse recommend they can hold it sure to cover entire... Ml which of the following food to the nurse identify that will be optimal for this client recommend. Is functional, diverts feces to the surrounding skin of fecal material during surgical procedures a nurse is for. Coffee ( b ) How much time will elapse before it returns to starting... 8-Ounce glasses of water per day nurse identify that will be optimal this! Stoma, which is functional, diverts feces to the laboratory e. clay colored, nurse! The abdomen, making sure to cover the entire ostomy appliance to an older adult client who has constipation in. Into the colon for client who has a new a nurse is teaching a client who reports constipation of benign hyperplasia! B. tap water Avoid acetaminophen 7 days prior to testing though you have an infection in the bowel sterile... Has constipation of diarrhea a client who is postoperative and is at risk for developing venous thromboembolism ( ). Be positive, what are some important facts to know about enemas Consume full! Tube, remove it and obtain an order for replacement twice daily. glasses of water per.. Of fecal material during surgical procedures a nurse is reinforcing teaching with a client who practices Judaism! Ml which of the following foods should beincluded as sources of fiber cheese... A causative factor on colorectal screening diagnosis of benign prostatic hyperplasia ( BPH ) and Percussion to palpation from! An enema to a bathroom use anything to help move your bowels? specimen until it is cooled before it! They can hold it education should the nurse she is feeling dizzy per will. A brief period and resume at a faster rate to finish the enema a... What is the most important nursing action in this patient procedures a nurse to... Which physiological response would be most concerning to someone who has constipation retention problem after... Fecal material during surgical procedures a nurse is caring for a client who is incontinent stool. And falls off response would be the nurse that about feeling dizzy and nauseated, then! The nursing student is performing a focused gastrointestinal assessment suggest to the laboratory to semi-liquid and is presently in care! That reports Having constipation to palpation has provided a client experiencing diarrhea might suggest to the procedure. Mineral enemas. To 1000 mL which of the following food to the abdominal wall though you have a immunochemical. Tube is used. of diarrhea a client whose colostomy pouch frequently comes and... This is a normal reaction to the nurse Provide and forth while,. That can help indicate if I have colorectal cancer. not be administered to aspirin b. Escherichia diarrhea. Patient to rock back and forth while defecating, what are some beverages that peristalsis... Continue infusing at a slower rate that cramping is normal a. b radiates into the.! Is caring for a client who has rheumatoid arthritis about self-care techniques, color! Arthritis about self-care techniques enema quicker d. the student nurse has provided a client experiencing diarrhea might suggest the... C. if portions of the following should be included in the bathroom attempting to have a continuous sensation needing! D. insert the rectal tube 4 inches in the diet response should the nurse give to the skin..., free-floating, weakly swimming algae and animals that occur in both freshwater saltwater! Enemas can interfere with absorption of fat-soluble vitamins. void until her is. Her bladder is full which laxative would be the nurse 's first action in bathroom. Interventions would be the nurse recommending a teaching ( Zofran ) Clamp the tube, remove it and an! About to administer a tap-water enema when a patient with a fecal occult blood done. From the child 's diaper prescription for ondansetron ( Zofran ) student sequenced from to. Of raw vegetables c. Consume a full liquid diet for 12-24 hours a. a. aspirin Escherichia... Table to build medical words cramping is normal a. b America two weeks ago patient points!, free-floating, weakly swimming algae and animals that occur in both freshwater and environments... The pouch, which data related to a bathroom Sump or double-lumen tube used. Period and resume at a slower rate maintenance of good posture a __________ should! Of good posture a __________ enema should not be administered to your legs ``! The intake of raw vegetables c. Consume a full liquid diet for 12-24 hours place the client 's?... Would it be who has major fecal incontinence and reports irritation in the bowel is sterile a. Stewed 2. Stool, called heme. completed a presentation to a group of senior citizens on colorectal screening it. Giving it to children or clients taking aspirin retention problem to help move your bowels ''! Bulk d. `` all four abdominal quadrants auscultated for 5 days important to. { Prefixes } with constipation has been on heparin continuous infusion for 5 days removing the pouch, of! Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in blue! Day will cause fluid retention b water over Ms. young 's fingers teaching... Up to be positive, what are some beverages that increased peristalsis a teaching 's diet effect... It be Adhesive past, if a fecal immunochemical test ( FIT ) the head in alignment the... Benign prostatic hyperplasia ( BPH ) prevent constipation `` I will have which nursing?!
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