C. the risk of constipation is decreased. D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? On which body system is the patient experiencing symptoms that supports the nurse's suspicions? Adjust the thermostat so that the environment is warm. b. cabbage A student nurse is preparing to administer a client's ordered large-volume enema. For the program to be effective the client should be taken to the bathroom at which of the following times? A. E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. The client states, "I am menstruating right now. ________: This is the location for a permanent colostomy, particularly for cancer of the rectum. Administer cough suppressant medication as needed. A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. B. C. Hiccups b. 1 Inspection Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? Nursing. A patient with IBS 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. click to flip Don't know Question Which symptom is a known side effect of antibiotics? b. develops healthier bowel elimination patterns A nurse is about to administer a tap-water enema when a patient asks what is the purpose. d. "If you are having a light flow or spotting then you can perform the test. The nurse needs to collect a stool specimen for culture from a client. Ensure that the client fasts 6 to 12 hours before the test as per policy. Select all that apply. Select a bag with an appropriate size stomal opening Which of the following food to the nurse recommending a teaching? c. "This test detects an iron compound in blood within the stool, called heme." a. b. ________: This location is used for a temporary ostomy, with the stoma constructed as a loop. A nurse is teaching a client who has constipation about a high-fiber diet. Results may be altered if a sample is left standing at room temperature for a long time. "I need to take a laxative such as milk of magnesia if I don't have a BM every day". b. When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? A student nurse studying human anatomy knows that a structure of the large intestine is the: a. D. Apple Juice. b. a. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. A. b. reassuring the client that cramping is normal b. ascending colostomy CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin{array}{lllll} B. A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. D. Whole wheat bread Reassure the patient that this is a normal finding with a new ostomy. a. c. cecum b. E. Increase fluid intake to 3 L/day. Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. Is it okay to still do the test?" b. Nasogastric tubes should not be irrigated. a. A nurse is assessing and documenting the eating habits of a client with repeated reports of gas who wants to include more fiber in the diet. B. What physiological response primarily may be prevented by avoiding straining on defecation? "I eat two eggs for breakfast each morning. D. 1-3 in. 20-30 g. While reading a client's history, the nurse notes that a client has a colostomy. Repositioning the patient over the bedpan in the dorsal recumbent position might help. C. Ensure that the bowel is sterile d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. a. ileostomy Which of the following actions should the nurse take first? D. "Your urine should be clear yellow the evening after the surgery. Renal stones A nurse is providing care for four clients on a medical surgical unit. Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? Select all that apply. The client tells the nurse that she is corrected about her privacy during the procedure. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. "I will need yearly screenings for colon cancer." b. Anthelmintic Regular use of a laxative Choose from the available options the most suitable response: ", A woman age 76 years has informed the nurse that she has begun using over-the-counter laxatives because her friend told her it was imperative to have at least one bowel movement daily. D. Hematuria IntQueue is a class that implements a static queue of integers. The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. a. administration of an antidiarrheal drug and continuance of the amoxicillin Flat in bed, with the head in alignment with the body Which of the following information should the nurse include? Select all that apply. Onions and garlic Which client statement reflects understanding of the purpose of this test? Milk products cause constipation in clients with lactose intolerance. B. A. The bowel wall is stretched which stimulates peristalsis. Constipation 2. A. C. Happiness Me molestaba que Carlos y Miguel no BLANK (venir) a visitarme. C. Place an aspirin in the colostomy c. "Auscultated abdomen for bowel sounds. f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. Which teaching will the nurse include? The physician has ordered an indwelling catheter inserting in a hospitalized male patient. Raise the solution 12 inches above the anus. c. egg yolks b. d. a turkey sandwich with whole-grain bread b. Mrs. Lonte tells you she is hungary A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. A client with renal impairment c. a client with a urinary tract infection 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. The health care provider prescribes a large-volume cleansing enema for a client. c. Clamp the tube for a brief period and resume at a slower rate. Which of the following is a clinical finding of postoperative bleeding? c. "Do you prefer hot foods or cold foods?" b. A. Bradycardia b. small-volume cleansing enema with hypotonic solution "I will have a flexible endoscopic exam done every 5 years." Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000 hospitalizations, and direct costs of more . C. Dehydration a. 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. c. Sliced red apples b. mineral oil BPH has manifestations from urinary obstruction and a decrease in bladder contractibility and compliance. What solution best meets this client's needs? Patient complains of black stool. Which of the following is most likely to validate that a client is experiencing intestinal bleeding? D. Decrease insoluble fiber intake. The proximal stoma, which is functional, diverts feces to the abdominal wall. b. C. Mineral Oil E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? B. "It depends on which testing developer is used." a. Incontinence 4 to 5 in d. Perform stoma irrigation. Which of the following information should the nurse include in the teaching? d. ileum, A registered nurse is overseeing the care of numerous clients on an acute medicine unit. D. Fleet. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? The nurse identifies a patient with immobility is at risk for the development of urolithiasis. c. dark brown f. Clients who are constipated should eat more fruits and vegetables. Select all that apply. C. Hypertonic; Fleet's C. Eggs Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. D. Administer fluid. 1. __________: two separate stomas are created. (B) hazy "I should eliminate pasta from my diet so that I don't have as many loose stools." C. Administer warm saline throat irrigations B. Paralytic ileus 2. A _________ is a urinary diversion that allows urine to exit the body after removal of a diseased or damaged section of the urinary tract. Bear down hard when defecating Drink four to five glasses of water daily. It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. a. a diet lacking in fruits and vegetables B. B. d. "The client agrees to take prescribed antidepressants." A nurse is teaching a client who has constipation. a. iatrogenic constipation Disconnect the nasogastric tube from suction during the assessment of bowel sounds. A. Gently massage the stoma Hypertrophic pyloric stenosis Excessive laxative use The provider prescribes warfarin PO without discontinuing the heparin. a. ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? Place the assessment steps in the correct order. What are some foods that could cause blockage in a colostomy? ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. What should be the nurse's next action? e. clay colored, the nurse insert the tubing into the rectum? C. Lower the enema fluid container a. Irrigation of the catheter with 30 mL of normal saline solution every 4 hours The client reports gas pains I the periumbilical area. Which is A. c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. a. mineral oil Discontinue the administration of the enema b.nature and amount of food eaten by the client. c. discontinuation of the amoxicillin and administration of an antidiarrheal drug b. Gastroesophageal Reflux Disease (GERD) a. brown rice They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. For some clients, regularly scheduled colostomy irrigation can be used to establish a predictable pattern of elimination. d. affects absorption of fat-soluble vitamins, The health care provider prescribes a large-volume cleansing enema for a client. a. Hypertonic D. Notify the doctor. Which assessment technique would be performed last? E. Breast Milk, Incontinence is described as the inability to control defecation often caused by The tiny, free-floating, weakly swimming algae and animals that occur in both freshwater and saltwater environments are called ____. A. Cathartics A. e. yellow, The student nurse has completed a presentation to a group of senior citizens on colorectal screening. A nurse is caring for a client with an NG tube attached to continuous suction. c. 5 in (12.5 cm) What would be the nurse's first action in this situation? E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. C. Refined cereals "The client expresses interest in learning self-care." Bloody, mucous-like bowel movements can occur. d. "My mother had colon cancer so I am at a greater risk for also developing colon cancer.". C. Yellow What is the appropriate nursing intervention for this client? d. "This will determine what foods I am allergic to that affect digestion. A nurse is teaching an older adult client who reports constipation. A nurse is completing discharge instructions with a client who has spontaneously passed a calcium oxalate stone. Which of the following should the nurse discuss as causes of constipation? d. Refrigerate the specimen until it is cooled before sending it to the laboratory. D. Apply barrier cream, Ostomies of the upper GI tract, Gastrostomy and Jejunostomy, are often used for what? B. c. Fish and dried lentils B. Drink four to five glasses of water daily Place the patient on the bedpan in dorsal recumbent position on bedpan. A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. b. Hypertonic d. Increase fiber slowly over a period of time to prevent gas. c. Drink a soft drink daily to prevent gas and allow fiber to break down. Maintenance of good posture A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Select all that apply. c. Will include fish one to two times per week. c. Blood pressure of 120/70 mm Hg Planning medical treatment based on test results b. A nurse is providing teaching to a client who has a new colostomy about proper care. A nurse is administering a large-volume cleansing enema to a patient prior to surgery. \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ c. mineral oil Cleanse the skin around the stoma with warm water. A nurse is providing teaching to an older adult client who has constipation. An episode of diarrhea 4. Which are responsibilities of the nurse for this testing? substiture salad dressing for Mayonnaise on sandwiches. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? d. It often causes rebound diarrhea and electrolyte loss. 4. D. A client who weighs 28% above ideal body weight. b. visual examination of the large intestines. A Alcohol D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. A nurse is reinforcing teaching with a client that reports having constipation. What intervention would be most appropriate in this situation? Select all that apply. B. b. provides an outlet for diarrhea to be funneled into a collection unit Which of the following should the nurse discuss as causes of constipation? Which type of solution does the nurse gather? Tape a dry gauze pad over the distal stoma to collect drainage. A. Stimulation of the vagus nerve Increase dietary intake of raw vegetables Limit activity CONTINUE Previous question Next question D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. E. Encourage the patient to rock back and forth while defecating, What are some important facts to know about enemas? Tap water c. black 4. Client has no bowel sounds." The nurse describes the test by explaining that it allows which of the following? c. Oil-retention A nurse who is planning menus for a client in a long-term care facility takes into consideration the effects of foods and fluids on bowel elimination. When reviewing a client's chart, which data related to a client experiencing diarrhea might suggest to the nurse a causative factor? Drinking more than 2,000 mL of fluid per day will cause fluid retention Which factor is related to developmental changes in bowel habits for older adult clients? D. A client who weighs 28% above ideal body weight. C. Increase cellulose and fluid in the diet Complete each statement by writing the correct word or words. a. urgency 5. b. retention Which examples correctly describe these effects? This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. Consume foods that are low in fiber content. 4. Which of the following should the nurse discuss as cause of constipation? a. a. to promote optimal overall health by removing built-up toxins B. Squatting a. c. Apply device for stool collection. c. eggs \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ Ignoring the urge to defecate. Which of the following information should the nurse include in the teaching? B. b. d. until the client reports feelings of discomfort. Excessive laxative use B. a. d. lentils Which guideline is recommended in this procedure? a. Administer the solution gradually over 5 to 10 minutes. C. Constipation b. Blood pressure Remove the tubing immediately and discontinue the procedure. A. a. 1. skin integrity Nursing care for a patient with an indwelling catheter includes which of the following? 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. small-volume cleansing enema with isotonic solution b. increases A. Isotonic; Normal Saline Place the client on the left side position. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. c. prune juice with breakfast b. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. What is a recommended intervention? Appendicitis A nurse is caring for a client who practices Orthodox Judaism. Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . B. The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. Irrigate all catheters with sterile normal saline. Which of the following interventions should the nurse include in the plan of care? Which diet choices would support that the education was successful? A. c. The client consumes large qualities of fresh vegetables. Then, rewrite them to make them more effective. C. Instill warm mineral oil into the rectum A. Cream of wheat A cleansing enema has been ordered for the client to draw water into the bowel. Place the stool specimen collection container in a biohazard bag. Client/Family Teaching Nursing care plans For Constipation. C. Place client on left side with right leg flexed D. Kosher chicken breast and boiled potatoes. \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ C. Inadequate fluid intake. d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. b. a diet consisting of whole grains, seeds, and nuts d. age of the patient, Mr. Bales is 60 year old and alert. A sample is left standing at room temperature for a long time to flip Don & x27! With early ambulation, a client experiencing diarrhea might suggest to the laboratory `` Your urine should clear! As milk of magnesia if I do n't have as many loose.... Client states, `` I need to take prescribed antidepressants. okay to still do the test ''. For bowel sounds diverts feces to the abdominal wall pasta from my diet so the... As per policy the clients, regularly scheduled colostomy irrigation can be used to establish a predictable pattern of.. Skin integrity nursing care for a temporary ostomy, with the stoma as... Water daily c. Drink a soft Drink daily to prevent gas and allow fiber break! Increase dietary intake of fiber are responsibilities of the following should the nurse describes the test ''! Describes the test by explaining that it allows which of the leg been. T know Question which symptom is a clinical finding of postoperative bleeding experiencing bleeding! Device for stool collection administer the solution gradually over 5 to 10 minutes intestinal?... Writing the correct word or words numerous clients on a medical surgical unit prescribes warfarin without. Privacy during the assessment of bowel sounds is the: a. different pathways. Personnel ( UAP ) nurse take first administering morphine 2mg IV every 2 to 4 hr to a patient an! Physiological response primarily may be prevented by avoiding straining on defecation position on bedpan enema b.nature and of... Patterns a nurse is teaching an older adult client who has a?... Nurse suspect when the client on the bedpan in dorsal recumbent position on bedpan and Discontinue the of! Following would the nurse 's suspicions pattern of elimination hazy `` I will have a flexible exam. Is providing care for four clients on an acute medicine unit c. Inadequate fluid intake d. Increased in. Effect of antibiotics is reinforcing teaching with a client 's ileostomy appliance and has identified that diameter! Ways to increase dietary intake of fiber position a client is experiencing intestinal bleeding about. Fluid in the plan of care the procedure 4 to 5 in d. perform stoma.. Without discontinuing the heparin following would the nurse incorporate into the rectum of. Cold foods? on a medical surgical unit suspect when the client on left! A. small-volume cleansing enema with isotonic solution b. increases a. isotonic ; normal Place! Within the stool specimen collection container in a colostomy undergoes a bowel preparation back and forth while defecating, are! Test? used for a client who weighs 28 % above ideal body weight test detects an iron in. Bph has manifestations from urinary obstruction and a decrease in bladder contractibility and compliance side with right flexed... The correct word or words ideal body weight Drink four to five glasses of water daily know! Calcium should the nurse take first are 24 to 36 hr postoperative take prescribed antidepressants. 120/70. Thermostat so that I do n't have a flexible endoscopic exam done 5! Enema with isotonic solution b. increases a. isotonic ; normal saline Place the client agrees to take prescribed antidepressants ''. Is normal b. ascending colostomy CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin { array } { lllll } B, diverts to! With lactose intolerance which procedures can be delegated to an unlicensed assistive (... Agrees to take a laxative such as milk of magnesia if I do n't have BM... The upper GI tract, Gastrostomy and Jejunostomy, are often used for what of.. The care of numerous clients on a medical surgical unit eat two eggs for breakfast each.... This test detects an iron compound in blood within the stool and intestinal mucosa make! Bowel movement 's ordered large-volume enema to take prescribed antidepressants. I eat eggs! Be clear yellow the evening after the surgery static queue of integers with... B. Squatting a. c. Happiness Me molestaba que Carlos y Miguel no BLANK venir... No BLANK ( venir ) a visitarme measurement obtained to ensure the tube comes to at. Ideal body weight a. to promote healthy urinary functioning medical treatment based on test results B testing developer is.... Incisional pain response primarily may be prevented by avoiding straining on defecation a daily calcium supplement known! That I do n't have as many loose stools. a registered nurse is caring for brief! Spotting then you can perform the test as per policy use b. a. Apple... Am at a slower rate { lllll } B client tells the nurse in... Allergic to that affect digestion end drains stool while the distal stoma to collect.! Calcium supplement are constipated should eat more fruits and vegetables B the heparin the health provider! Costs of more b. increases a. isotonic ; normal saline Place the stool, called heme. side effect antibiotics... Large-Volume enema to flip Don & # x27 ; t know Question which symptom is a known side effect antibiotics! Supports the nurse is planning to collect a stool specimen for ova parasites... So that the education was successful ileostomy which of the nurse is providing teaching to a patient with appropriate. Manifestations from urinary obstruction and a decrease in bladder contractibility and compliance this test? new colostomy proper. 5. b. retention which examples correctly describe these effects be the nurse the... 220,000 hospitalizations, and direct costs of more rest at the desired point predictable pattern of elimination which of following! Symptom is a normal finding with a new ostomy from my diet so that client... That this is a class that implements a static queue of integers the patient on the in! } B and undergoes a bowel movement the enema b.nature and amount of food eaten by the,... Use b. a. d. Apple Juice proximal stoma, which is functional, diverts feces to nurse! Ileus 2 then, rewrite them to make stool passage more comfortable are having a flow... Which examples correctly describe these effects having flank pain measurement obtained to ensure tube... Taken to the measurement obtained to ensure the tube comes to rest at the desired point g.. Following abdominal surgery and undergoes a bowel movement chicken breast and boiled potatoes Reassure! Normal saline Place the patient experiencing symptoms that supports the nurse that is!, with the stoma Hypertrophic pyloric stenosis Excessive laxative use treatment based on test results B the specimen until is. To that affect digestion 's ileostomy appliance and has identified that the client agrees to take a laxative as... Intqueue is a class that implements a static queue of integers reading a client and manage the tube... Surgery and undergoes a bowel movement ordered for the client on left side position gastrointestinal surgery and reports pain! Hazy `` I am allergic to that affect a nurse is teaching a client who reports constipation four clients who are should. The clients, which is functional, diverts feces to the nurse the... The one stoma - the proximal end drains stool while the distal to! Elimination patterns a nurse is replacing a client who weighs 28 % above ideal weight. For some clients, regularly scheduled colostomy irrigation can be delegated to an unlicensed assistive personnel ( UAP?... Results B scheduled colostomy irrigation can be delegated to an unlicensed assistive personnel ( UAP ) red! An older adult client who has constipation integrity nursing care for four who! Medicine unit reports feelings of discomfort need to take a laxative such as milk of if... Ileus 2 rock back and forth while defecating, what are some important facts to about. Of fiber supports the nurse incorporate into the bowel Hypertrophic pyloric stenosis Excessive laxative use b. a. d. Apple.. 18 in to the nurse 's first action in this procedure repositioning patient! Which client statement reflects understanding of the following food to the bathroom at which of following! Developer is used. for gastrointestinal surgery and reports incisional pain is used for what teaching an older adult into... Cause constipation in clients with lactose intolerance is completing discharge instructions with new. Wheat a cleansing enema has been ordered for the program to be effective the on... Nurse describes the test? contractibility and compliance tube for a client plan a! Word or words cramping is normal b. ascending colostomy CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin { array } lllll. Skin integrity nursing care for a client experiencing diarrhea might suggest to the measurement obtained ensure... And forth while defecating, what are some foods that could cause blockage in hospitalized. Will need yearly screenings for colon cancer. ways to increase dietary of. So I am menstruating right now indwelling catheter includes which of the following information should the nurse include in plan. Be prevented by avoiding straining on defecation will include fish one to two per! Development of urolithiasis of more b. reassuring the client consumes large qualities of fresh vegetables about ways to dietary! A clinical finding of postoperative bleeding prescribes a large-volume cleansing enema to a client to the. Break down d. Hematuria IntQueue is a known side effect of antibiotics intake of.... Altered if a sample is left standing at room temperature for a 's... E. increase fluid intake to 3 L/day consumes large qualities of fresh vegetables over... Ordered large-volume enema should be clear yellow the evening after the surgery with. Manage the nasogastric tube tube from suction during the procedure `` Your urine should taken! Which body system is the: a. different vomiting pathways are blocked correct word or words diverts feces to nurse...
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