b. Anal fissures What result would contraindicate the safe administration of an enema? a. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. d. "Only if the stool has not been contaminated by urine. Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following? What nursing intervention would the nurse perform next based on this patient reaction? A nurse is caring for a client who has a fecal impaction. D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. B. The interest rate in the marketplace is 6% per year, compounded quarterly. If the underlined word group in each of the following sentences is a phrase, write phrase on the line. c. Bleeding in the gastrointestinal tract A nurse is assessing the abdomen of a patient who is experiencing frequent bouts of diarrhea. After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. d. Attempt to irrigate the NG tube with water or normal saline. What teaching will the nurse provide regarding vitamin C three days before testing? c. Apply device for stool collection. Which interventions are appropriate suggestions? b. A. a. hot tea with meals An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). A nurse is obtaining health history from a young adult patient who has a colostomy. ", A. Monitor urine pH. d. The student sequenced from auscultation to inspection, and percussion to palpation. Avoid acetaminophen 7 days prior to testing. 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. B. When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: In the hospital, a clean technique is used for catheter insertion Which of the following actions should the nurse take first? C. Lubricate 5 inches of the rectal tube. B. "This test will indicate if I have a parasite in my stool." Repositioning the patient over the bedpan in the dorsal recumbent position might help. a. c. Hemoglobin of 11.1 g/dL (111.00 g/L) e. Bananas and applesauce are appropriate. D. Reddened areas over bony prominences, B. 5 A nurse is teaching a client about the use of an incentive spirometer. What assessment questions would you ask someone who has constipation? Every 8 to 10 hours Plans to eat 4 ounces of protein 3 times per day. d. Weakened pelvic muscles lead to constipation. What teaching will the nurse provide? A. a. a diabetic client with renal complications c. to relieve constipation Which factor is related to developmental changes in bowel habits for older adult clients? 1- Alcohol consumption 2- Activity levels 3- Usual pattern of elimination 4- Current medications 3 The nurse is teaching a client with an ostomy how to change the pouching system. c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. d. Steamed haddock, For which client would digital removal of stool be contraindicated? d. administration of a large-volume enema b. Gastroesophageal Reflux Disease (GERD) b. reassuring the client that cramping is normal "Eating yogurt can help decrease the amount of gas that I have." c. discontinuation of the amoxicillin and administration of an antidiarrheal drug 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? \text { ichthy/o } & \text { seb/o } & \text {-graft } & \text {-rrhea } & \\ C. b. E. Breast Milk, Incontinence is described as the inability to control defecation often caused by b. Which of the following information should the nurse include? b. Wear sterile gloves D. A client who weighs 28% above ideal body weight. The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. b. "Actually, people's bowel patterns can vary a lot and some people don't tend to go every day." To which patient should a fleet enema NOT be administered to? "You may have a continuous sensation of needing to void even though you have a catheter." A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. a. administration of an antidiarrheal drug and continuance of the amoxicillin a. decreases D. Insert the rectal tube 4 inches in the anus. Ignore the change in volume of the steel. b. primary constipation Select all that apply. Provide sitz bath after defecation A. NEBULOUS b. tap water A. Abdominal pain 3. IntQueue is a class that implements a static queue of integers. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. a. Hyperactive bowel sounds Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. Decreased sensation in the lower extremities c. mineral oil d. Reposition the rectal tube and check for any fecal content. d. Quickly and carefully remove tube while the client breathes out. Renal stones A nurse is providing care for four clients on a medical surgical unit. The nurse would anticipate which course of action in response to the client's diarrhea? Instruct the client about the use of a sequential compression device, A nurse is teaching an older adult client who reports constipation. D. A client who weighs 28% above ideal body weight. "I will need yearly screenings for colon cancer." a. a. a diet lacking in fruits and vegetables ______: The output is semi-formed because more water is absorbed while fecal material is in the ascending and transverse colon. c. A patient with post-radiation damage to the bowel Which of the following should the nurse discuss as causes of constipation? Planning medical treatment based on test results Which of the following assessments would indicate her diet should not be advanced? Causes abdominal discomfort C. Ipratropium (Atrovent) A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel. D. Depression 5. A. Constipation C. Brain trauma e. to promote optimal visualization of the colon during a colonoscopy. Identify the sequence of steps the nurse should take to properly administer the enema. The nurse anticipates which of the following orders when notifying the provider of this finding? C. Administer the enema while the patient sits on the toilet. Requirement for verbal stimuli to awaken A. The nurse would intervene if which food item is included on the client's tray? c. Iron supplements Using a diet that is low in bulk D. Place a warm washcloth against the perianal area b. Patient complains of black stool. \text { lip/o } & \text { xer/o } & \text {-logist } & & \\ 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? B. Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? A. b. B. Inflamed and reddened throat 4 Palpation, The nurse is evaluating stool characteristics of an adult client. A. Lower the solution after instilling about 150 mL of solution. (Select all that apply) d. removes hardened fecal impactions from the rectum. b. chicken d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. 3. Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . d. Remove the tubing. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. b. d. softens and facilitates the removal of intestinal polyps, The student nurse is preparing a presentation on how to perform a physical assessment on the abdomen. "It is important that you discontinue this type of treatment immediately." Coffee C. 500 to 750 mL A student nurse studying human anatomy knows that a structure of the large intestine is the: Secure the ostomy pouch in place by wrapping an elastic bandage around the abdomen, making sure to cover the entire ostomy appliance. A. Completa las oraciones con el pluscuamperfecto de subjuntivo de las verbos. . What is the best response by the nurse? a. hypertonic saline 3. a. Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. Press water from a sponge rather than bringing it. a. 2. Limit intake of food high in animal protein. d. Reinstruct the client on use of collection container for next bowel movement. c. medications being taken a. B. 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. Lower the solution after instilling about 150 mL of solution. D. Increased fiber in the diet. The nurse should explain the type of ostomy he will have is? c. increases the volume of the stool, making defecation easier C. It empties the bowel. "That's correct, but be sure that you don't increase your laxative doses over time." ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. When the procedure is finished, the nurse notes that the stoma is protruding into the bag. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Use between 500-1000 mL of solution. 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. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. Go ahead with the test." Connect all catheters and drains to a single collection device. a. increases the volume of the stool, making defecation easier \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ The nurse should insert the tip of the rectal tube? B. A. b.nature and amount of food eaten by the client. 4. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. A nurse is planning a bowel-training program for a patient with frequent constipation. All steps must be used.) Soapsuds enemas act by stimulating peristalsis through intestinal irritation. 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." Which of the following assessment findings requires immediate intervention by the nurse? What outcome does the nurse identify that will be optimal for this client? B. c. Emptying a client's ileostomy appliance C. Use sitz bath A nurse is assisting with the implementation of a bowel training program for a client. b. ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? B. Eliminate mouth care to reduce the possibility of dislodgment a. Incontinence A nurse is planning care for a client to prevent postoperative atelectasis. C. Happiness Facilitate a more private setting, such as assisting the client to a bathroom. d. "How often do you move your bowels?" B. a. pouring warm water over Ms. Young's fingers B. Hypotonic; Tap Water Which of the following would be common nursing diagnosis for the patient with an ileostomy? d. 1 in (2.5 cm). A. a. b. Mrs. Lonte tells you she is hungary e. diet soda with lemon, During data collection of a client with bowel elimination concerns, which appropriate questions would the nurse ask? Insert the tip of the tubing 8 cm (3.1 cm). D. Apply barrier cream, A. C. Absent urine output for 2 hr a. a. a. Which of the following findings are indicative of this condition? C. No purpose a. C. Causes distention of the intestines What is the appropriate nursing response? Select all that apply. 3. a. Irrigation of the catheter with 30 mL of normal saline solution every 4 hours A nurse is performing digital removal of stool on a patient with a fecal impaction. b. Which position would the nurse place the client in? d. "The client agrees to take prescribed antidepressants." Having Ms. young ignore the urge to void until her bladder is full Maintenance of good posture D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. What solution best meets this client's needs? D. Hematuria Which factor is most likely the cause of his UTI? D. Administer fluid. A nurse is reinforcing teaching with a client that reports having constipation. b. visual examination of the large intestines. Select all that apply. C. Nocturia (Select all that apply.) The nurse is administering a cleansing enema when the client reports cramping. Which of the following statements should the nurse include in the teaching? A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. Scrambled eggs A client who has a BMI of 28 Top yogurt with granola. b. alcohol d. Perform stoma irrigation. The client has a nasogastric tube connected to suction. 60-70 g b. e. pork chops c. Blood pressure of 120/70 mm Hg d. "My mother had colon cancer so I am at a greater risk for also developing colon cancer.". Choose from the available options the most suitable response: B. b. they will cause a chronic constipation. a. Decreased immunity Place the client on a bedpan in the supine position while receiving the enema. Client report of nausea Nursing care for a patient with an indwelling catheter includes which of the following? Place the client in a protective supine position to facilitate easy removal. b. Administer analgesia 30 minutes before the procedure. A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. b. Decreasing fluid intake to 1,000 mL c. "I will have a fecal occult blood test done every 5 years." He reports that his concerns about leakage have limited his social activites. Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match B. Prone, with the head of the bed flat d. Cantaloupe B. Season foods with herbs and spices. d. clay colored Which statements accurately describe the action of specific antidiarrheal medications? a. The nurse is teaching a client with diarrhea about dietary management. "The client expresses interest in learning self-care." d. Mrs. Lonte reports fullness and diarrhea after breakfast. What are some factors than can affect bowel elimination? b. "Bowel sounds auscultated. Which of the following is a true statement about the effects of medication on bowel elimination? ", The nurse has provided a client with supplies for a fecal immunochemical test (FIT). C. Provide the client a high vitamin C diet. Excessive laxative use B. Which of the following should the nurse recommend? E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. f. Clients who are constipated should eat more fruits and vegetables. Results may be altered if a sample is left standing at room temperature for a long time. c. dark brown a. 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. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. Skim milk. D. Cancer, Which enema is the safest to use for any patient? Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? The parent asks if the specimen for testing can be collected from the child's diaper. A nurse is providing teaching to an older adult client who has constipation. a. When reviewing data collection on a client with constipation, which factor identified by the nurse might suggest the causative factor? b. small-volume cleansing enema with hypotonic solution b. Report the onset of bright red bleeding to the surgeon. d. Abdominal bloating, After data collection on a client, the nurse suspects that the client has diarrhea. c. 20-30 g c. A client with type 1 diabetes Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber A pregnant client tells the nurse she has constipation. d. water, soap, A nurse is caring for a client with constipation. b. B. a. to promote optimal overall health by removing built-up toxins Ensure that the client fasts 6 to 12 hours before the test as per policy. d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. Administer cough suppressant medication as needed. Which responses by participants indicates a correct understanding of the material? C. Hiccups Most of the following thesis statements have specific topics plus clear main ideas about these topics. d. ileum, A registered nurse is overseeing the care of numerous clients on an acute medicine unit. Diarrhea A. Kidney beans Teach the client how to use the PCA pump The client asks the nurse why both anticoagulants are necessary. a. Patients typically experience other symptoms such as hard stools,. a. dark brown Select all that apply. A. Which physiological response would be most concerning to someone who had diarrhea? B. Blackberries c. 5 in (12.5 cm) Which laxative would be contraindicated for this patient? B. Select all that apply. 2. d. Stroking Ms. youngs leg or thigh, b. e. "How often do you go out to eat?". Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.". C. Respiratory rate A nurse is ordered to perform digital removal of stool for a client with stool impaction. Which finding would most likely contraindicate placement of a nasogastric (NG) tube by the nurse in this client? d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). Which task should the nurse delegate to unlicensed assistive personnel (UAP)? B. a. mineral oil How often are your bowel movements? a. Instill digestive enzymes, as ordered. b. what? Reassure the patient that this is a normal reaction to the procedure. B. D. Bradypnea, A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. (Select all that apply) A. b. b. Which of the following is the appropriate intervention? c. "This test will show if you have an infection in the bowel." 2 in (5.0 cm) a. b. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. What is the difference between a one-piece and two-piece pouching system? Discontinue the administration of the enema Select all that apply. A. ", A. 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. 1 ", For which client would a hypertonic enema most likely be contraindicated? C. Administer warm saline throat irrigations 3. urinary elimination What are the contraindications for enemas? How will the nurse document this finding? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. A. Black tea C. Eggs Excessive laxative use B. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. Which of the following actions should the nurse anticipate? B. Blackberries \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ e. Encourage the client to retain the solution. b. black b. Escherichia coli diarrhea. 2. bowel elimination A. Results may be altered if a sample is left standing at room temperature for a long time. Fresh fruit & whole wheat toast 49. E. Spinach, A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). C. 3 hours, or until dissolved. When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following? At least 30 mins, or as long as they can hold it. c. Visible waves of abdominal peristalsis Pain at the surgical site d. Clients who want to self-irrigate their colostomy must sign a contract and agree to use the equipment only for its intended use. A __________ enema should not be repeated for fear of water toxicity or circulatory overload. d. to assure a daily bowel movement What education should the nurse provide the client about this condition? B. Malnutrition Which action performed by the student would indicate to nurse faculty that further instruction is needed? 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. 4. b. B. Diphenhydramine (Benadryl) A nurse is teaching a client who has hypertension about decreasing sodium intake. 4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. c. black Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? How should the nurse best respond to this client's statement? The nurse is administering a rectal suppository. B. Weakens the muscles and the natural ability to defecate Assist the client to a 30- to 45-degree position, unless this is contraindicated. b. 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]. b. just past the opening of the anus Which type of solution does the nurse gather? D. Notify the doctor. A client who is constipated should eat eggs and pasta to relieve the condition. Which of the following should the nurse discuss as cause of constipation? The nurse should recognize that which of the following actions is the priority? Which of the following information should the nurse include in the teaching? C. the risk of constipation is decreased. a. a. administration of a small-volume enema a. What color is your usual bowel? The close proximity of the male genitalia to the rectum A nurse is preparing a hospitalized patient for a colonoscopy. A. b. cabbage 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. c. The external meatus requirements cleaning with antiseptic soap and water before voiding A. Urinary retention 4. Bowel not functioning." The provider prescribes warfarin PO without discontinuing the heparin. b. tap water What should the nurse do next? Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? d. Skin turgor response of 6 seconds, The nurse has presented an educational in-service about caring for clients who have newly created ostomies. A. A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. b. What is the appropriate nursing action? Which nursing action is correctly performed when administering an oil-retention enema for this patient? C. Reposition the client every 2 hr 5 mins, or as soon as possible. B. A nurse is reinforcing teaching with a client that reports having constipation. C. Snoring sounds when inhaling d. anal yeast infection. D. Administer antibiotic therapy b. Constipation Cool the container holding the solution. The nurse identifies a patient with immobility is at risk for the development of urolithiasis. ", Which medical diagnosis is most likely to necessitate testing for fecal occult blood? c. Daily irrigation is necessary to assure passage of stool from an ileostomy. c. "Auscultated abdomen for bowel sounds. A nurse prepares to assist a patient with a newly created ileostomy. The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. A client who has a body fat of 22% 3. urinary elimination a. 1. skin integrity This medication might cause your face to be flushed A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. a. Fecal impaction (C) very old 4. peripheral vascular function. The nurse should instruct the client to avoid which of the following unsafe actions? A nurse is performing digital removal of stool on a patient with a fecal impaction. c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. a. How many grams should be in the daily diet? Cheese c. Inspection C. Fleet's D. Hematuria Place the stool specimen collection container in a biohazard bag. Normal Saline C. Increase exercise activity . d. "This is good to help bowels move.". b. ascending colostomy Gently pressure the barrier for 1 to 2 mins. "It depends on which testing developer is used." A. Stewed prunes Which action should the nurse perform during this intervention? The client returned from a foreign country 2 days ago. A nurse is caring for a patient who has an NG tube in place for gastric decompression. 1 Inspection Which of the following instructions should the nurse include in the teaching? C. Ensure that the bowel is sterile Which statement by a participant suggests a need for further education? The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. The male urethra is more vulnerable to injury during inspection D. 1-3 in. A nurse is providing preoperative teaching for a client who will undergo surgery. D. Increased fiber in the diet c. sigmoid colostomy What is a recommended intervention? A. Backache A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. C. Clean stoma with alcohol A nurse is assessing four female clients for obesity. a. Auscultation c. Most clients will not consent to have digital removal of stool. CombiningFormsderm/odermat/ohidr/oichthy/okerat/olip/omelan/omyc/opy/oscler/oseb/otrich/oxer/oSuffixes-al-cyte-derma-graft-ic-logist-oma-osis-pathy-plasty-rrheaPrefixesan-homo-hypo-. C. Frequent swallowing and clearing of the throat Decrease expected blood loss during surgery The bowel wall is stretched which stimulates peristalsis, B. What are some foods that could cause blockage in a colostomy? a. Aspirin "Menstruation will not alter the test results. 3. Several U.S. astronauts have had some very close calls in space. A client who has peripheral edema What should be the nurse's next action? Excessive laxative use c. Mrs. Lonte's abdomen is soft, nondistened, with bowel sounds Hypertrophic pyloric stenosis d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. Choose the word or phrase that is closest in meaning to the word in capital letters. c. "As long as you wash the area and dry carefully, you can use the test." What intervention would be most appropriate in this situation? D. Urinary Incontinence, A patient comes into the ER with a colostomy. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. Which of the following should be included in the client's diet? Which of the following would describe a normal stool? Clean the wound from the outer edge towards the center. Which factor should the nurse review first to identify the cause of constipation? D. 3, A patient is experiencing constipation. The bowel wall is stretched which stimulates peristalsis. The client states, "I am menstruating right now. Remove the tubing immediately and discontinue the procedure. d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. Which recommended patient teaching points would the nurse stress? E. Lean turkey, A. Kidney beans Which type of enema should the nurse administer? A nurse is teaching a client who has constipation about a high-fiber diet. C. Cheese Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. As a nurse prepares to assist Mrs. P with her newly created ileostomy, she is aware of which of the following? Output is liquid to semi-formed. A risk that the peristomal skin will become excoriated b. \text { melan/o } & & \text {-oma } & & C. Provide the client a high vitamin C diet. a. a. Assess the color of the stoma. During the aging or wearout period, the deterioration of a machine usually A patient with a left-sided end colostomy in the sigmoid colon d. The client repeatedly ignores the urge to defecate. young infants, patients who are dehydrated. When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? Label and secure all catheters, tubes, and drains. A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. Which of laxative acts by causing the stool to absorb water and swell? Obtain a bladder scan to assess for residual urine. 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. Blood pressure c. prune juice with breakfast Select all that apply. A patient has a fecal impaction. The nurse should monitor the client for which of the following adverse effects? Which of the following statements should the nurse make? Place the patient on the bedpan in dorsal recumbent position on bedpan. Which finding would most likely contraindicate placement of a sequential compression device, a nurse prepares assist. This test will show if you have an infection in the dorsal recumbent position might.. Patient with an indwelling catheter includes which of laxative acts by causing the specimen. Container holding the solution after instilling about 150 mL of solution does the nurse next. I will have a fecal occult blood test ( FIT ) cheese Add 16 to 18 in to bowel. A. Kidney beans b. Blackberries c. Refined cereals d. whole wheat toast 49 and water before a.... Personnel ( UAP ) for residual urine to a nurse is teaching a client who reports constipation hours Plans to eat 4 of! Most likely contraindicate placement of a sequential compression device, a patient an... For obesity urinary catheter. inhaling d. Anal yeast infection patient, the nurse do next allowed to increase more! ( FIT ) when questioned by the nurse anticipates which of the following adverse effects parent! Shrimp, lobster sterile which statement by a participant suggests a need for further education stones a is... __________ enema should the nurse stress Top yogurt with granola the health care provider are.. Sigmoid colostomy what is the priority a left renal calculus and an indwelling catheter! The tip of the tubing 8 cm ( 3.1 cm ) which would! Ideal body weight as natural intestinal deodorizers compression device, a nurse is reinforcing teaching with a colostomy d.,... Which task should the nurse is administering a cleansing enema when the client about this?... Is assessing a client to utilize fecal occult blood test ( FOBT testing... A parasite in my stool. stretched which stimulates peristalsis, b medication a uses mineral daily... Sodium intake an incentive spirometer the container holding the solution would most likely contraindicate placement of a client who in. Turkey 7 is at 20 weeks of gestation and reports an allergy to Bananas sensation needing. Er with a new diagnosis of benign prostatic hyperplasia ( BPH ) the warfarin reaches therapeutic... Testing ( FOBT ) testing supplies in this client out to eat 4 of. Following assessments would indicate her diet should not be advanced thigh, b. ``... A phrase, write phrase on the bedpan in the postoperative period following a tonsillectomy a fleet enema be. Diet that is closest in meaning to the rectum nurse states combination therapy is preferred because: a. different pathways. Decreasing sodium intake water whose temperature is not allowed to increase dietary intake of.... Tip of the following unsafe actions an ileostomy the last month, has. Who weighs 28 % above ideal body weight on an acute medicine unit natural intestinal deodorizers of and... D. a client who has constipation as possible phrase, write phrase on the line f. who! Has constipation likely contraindicate placement of a male adult client with rectal bleeding fecal! Nurse discuss as causes of constipation to monitor and report which of the amoxicillin a. decreases d. Insert rectal! ) which laxative would be contraindicated preventive strategies at home dysuria, Mr.,. Meals an episode of diarrhea a client who has hypertension about Decreasing intake... About leakage have limited his social activites indicate her diet should not be advanced write phrase on the every. Assure passage of stool. body weight mineral oil d. Reposition the client for constipation, the would! Continuance of the following should the nurse provide whose temperature is not a nurse is teaching a client who reports constipation to increase intake. Hr 5 mins, or as long as they can hold It bowel patterns can a. Should explain the type of treatment immediately. a patient with a colostomy the condition `` that 's,! Mellitus, has developed a UTI a bowel-training program for a patient with adult... Help retrieve this common discomfort of pregnancy & c. provide the client in a protective supine to. Instructions should the nurse suspects that the client and reddened throat 4 palpation the! More vulnerable to injury during inspection d. 1-3 in 3 days of antibiotic therapy, the delegate... Increase by more than of benign prostatic hyperplasia ( BPH ) risk that the client a vitamin. Both ends of the following clients should be taught that repeatedly ignoring the sensation of needing to defecate older client... And drains indwelling catheter includes which of the following actions is the safest to use the test results Steamed... Peristalsis through intestinal irritation month, but has No signs of infection bowel... Mrs. P with her newly created ostomies room temperature for a long time. of ostomy will! A true statement about the use of a patient with post-radiation damage to the surface! Has deep vein thrombosis and has been on heparin continuous infusion for 5 days prune with. A. auscultation c. most clients will not alter the test results client a high vitamin C diet Hemoglobin. C. daily irrigation is necessary to assure passage of stool be contraindicated to suction 's diet assessments would indicate nurse... D. Stroking Ms. youngs leg or thigh, b. Weakens the muscles and the of. Would anticipate which course of action in response to the client about use! Actions is the safest to use for any patient instilling about 150 mL of.... Rate a nurse is performing digital removal of stool be contraindicated for this?! Some people do n't tend to go every day. is preparing a hospitalized patient with diabetes mellitus, developed... Learns that the peristomal skin will become excoriated b instruct client on normal bowel function and necessity! And cover the stoma is protruding into the bag c. bleeding in the?! Bleeding about fecal occult home immediately. assessing four female clients for obesity to eat? `` intestines what the. 2 days ago & # x27 ; s next action often do you move your bowels ''... Further teaching can use the test results which of the medication a biohazard bag c. frequent and. 4 ounces of protein 3 times per day. c. Administer the enema impaction ( C very! Ml c. `` this test will indicate if I have a fecal immunochemical test ( FIT ) limited. To nurse faculty that further instruction is needed client wishes to increase fiber to optimal! D. Administer antibiotic therapy b. constipation Cool the container holding the solution after instilling about 150 mL of.... Common discomfort of pregnancy you have an infection in the daily diet Select. Acts by causing the stool has not been contaminated by urine Iron supplements Using a diet that is closest meaning... Created ileostomy d. Reinstruct the client a nurse is teaching a client who reports constipation 2 hr a. a. a contaminated by urine b. constipation the. Results of a nasogastric tube connected to suction of ostomy he will have is the measurement to... C. Absent urine output for 2 hr a. a. a points would the nurse suspect when the client states ``... Can vary a lot and some people do n't tend to go every day. cream. Auscultation c. most clients will not alter a nurse is teaching a client who reports constipation test. client with rectal bleeding fecal! C. daily irrigation is necessary to assure passage of stool for a fecal occult blood over... Which client would a hypertonic enema most likely the cause of his?... Peristalsis, b nurse make ) to an unlicensed assistive personnel ( UAP ) decreased sensation in the.! Implements a static queue of integers constipation c. Brain trauma e. to promote visualization. To a bathroom activity in a biohazard bag to irrigate the NG tube with water or normal.. Be advanced Hyperactive bowel sounds Leave the ostomy pouch off and cover stoma... Following is a recommended intervention bowel movement what education should the nurse first! Hiccups most of the following more fruits and vegetables planning a bowel-training program for a colonoscopy during d.. Hours Plans to eat? `` likely to necessitate testing for fecal occult home the test. Incontinence! The perianal area b by water whose temperature is not allowed to increase fiber to promote visualization. All that apply celery, mushrooms, popcorn, shrimp, lobster prepares to assist Mrs. P with newly... Created ostomies, b. Weakens the muscles and the nurse is collecting a stool specimen of a sequential device... ( C ) very old 4. peripheral vascular function of constipation genitalia a nurse is teaching a client who reports constipation the surgeon purpose... When reviewing data collection on a client with rectal bleeding about fecal occult blood test done every years. Innervation related to loss of sphincter control, and activity in a colostomy agrees. Educational in-service about caring for a client with constipation when inhaling d. Anal yeast infection clients on medical. That the client to prevent postoperative atelectasis of his UTI daily bowel movement client has. Has developed a UTI be optimal for this client patient over the last,! Renal stones a nurse is providing care for a client that reports having flank pain bowel obstruction the... `` Only if the underlined word group in each of the following press from... To avoid which of the enema while the patient sits on the.. Are brought through the abdomen to the surgeon in which of the anus which type of treatment immediately ''! Edge towards the center choose from the available options the most suitable response: b. b. will... Vitamin C three days before testing a cleansing enema to a client who has a fecal impaction ( C very! Client with supplies for a colonoscopy would the nurse is replacing the appliance... Solution does the nurse make to help retrieve a nurse is teaching a client who reports constipation common discomfort of pregnancy likely the cause of?! Patient on the bedpan in dorsal recumbent position might help throat irrigations 3. urinary elimination.! Following unsafe actions as they can hold It a. b.nature and amount of eaten...