The nurse should instruct the client to avoid which of the following unsafe actions? c. Watermelon b. develops healthier bowel elimination patterns Which of the following findings are indicative of this condition? a. Nurses find the procedure distasteful and difficult to perform. Which nursing action would most likely lead to an increased difficulty with voiding? d. lentils c. eggs A. Excoriated Skin b. Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following? 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. 10 D. Spray air freshener in room before and after removal, B. c. The client takes bisacodyl every day. A nurse is caring for a client who is reporting constipation. The provider prescribes warfarin PO without discontinuing the heparin. Which of the following is most likely to validate that a client is experiencing intestinal bleeding? During the assessment the nurse notes that the client's prenatal pad is fully saturated. Select all that apply. c. using a warm bedpan when Ms. Young feels the urge to void 150 to 200 mL Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. e. "Have you started a new medication? (Select all that apply.) Will includes a pat of butter with eggs for breakfast. "It is important that you discontinue this type of treatment immediately." Which of the following would describe a normal stool? Alcohol and coffee tend to have a constipating effect on clients. a. Aspirin c. egg yolks Bloody, mucous-like bowel movements can occur. Discontinue the administration of the enema A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. Apply continuous suction to the nasogastric tube during assessment of bowel sounds. Tape a dry gauze pad over the distal stoma to collect drainage. C. 6 d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. D. lower doses of medication are cost-effective. D. Kosher chicken breast and boiled potatoes. How often are your bowel movements? d. The client eats five to six small meals per day. C. Weight loss a. decreases a. duodenum ________: This location is used for a temporary ostomy, with the stoma constructed as a loop. 2. Children in the United States experience, on average, 1.3-2.3 episodes of diarrhea each year. a. c. The external meatus requirements cleaning with antiseptic soap and water before voiding C. Lubricate 5 inches of the rectal tube. Green a. Which data collection finding, if observed by the nurse, would confirm the nurse's suspicion? Which of the following instructions should the nurse include in the teaching? b. C. Causes distention of the intestines b. In which patients would diarrhea be a possible finding? D. Tamsulosin (Flomax). Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. f. shrimp. Which of the following is the rationale for this? C. 3 hours, or until dissolved. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. It drains the bladder. In both cases, however, the client has been unable to defecate. Which type of enema should the nurse administer? Make a prediction for each scenario below, explaining your reasoning. C. Provide the client a high vitamin C diet. Fresh fruit and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice: B is correct. a. d. Plans to eat a snack of fruit twice per day. B. Possible diarrhea Instruct to splint incision when coughing and deep breathing The nurse anticipates which of the following orders when notifying the provider of this finding? a. The stoma of an ______ is typically located in the right lower quadrant. After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. A nurse is preparing to administer an oil-retention enema to a patient who has constipation. Encourage the use of the incentive spirometer every 2 hr Which guideline is recommended for this procedure? E. Assist with early ambulation, A. 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. B. Which of the following is an expected finding? c. Bleeding in the gastrointestinal tract a. Place the enema 12-18 inches above the anus Which nursing action is correctly performed when administering an oil-retention enema for this patient? At least 30 mins, or as long as they can hold it. (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. What are some foods that could cause blockage in a colostomy? 1. Write a template that will create a static queue of any data type. Select all that apply. Which of the following food to the nurse recommending a teaching? Which of the following statements should the nurse make? A nurse is teaching a client who has constipation. B. Q2h while the patient is awake. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. Which of the following interventions is appropriate for this patient? Planning medical treatment based on test results b. mineral oil b. use honey on toast. a. Ignoring the urge to defecate. Excessive laxative use. D. It controls diarrhea. D. What time of day is your normal bowel movement? D. Diarrhea, What are some interventions used for fecal incontinence? What nursing intervention would the nurse perform next based on this patient reaction? Select all that apply. d. Increase fiber slowly over a period of time to prevent gas. ", The nurse has provided a client with supplies for a fecal immunochemical test (FIT). An episode of diarrhea 4. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. "It depends on which testing developer is used." What important information should be included in the teaching? B. The nurse should identify that which of the following results places the client at risk? C. "They improve your circulation to keep blood from pooling in your legs.". d. secondary constipation, A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume cleansing enema. c. "I will have a fecal occult blood test done every 5 years." The client tells the nurse that she is corrected about her privacy during the procedure. Cheese (c) The moving object is 106 times the mass of the stationary object. A. Bradycardia 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. Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency ", 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. b. 4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. b. What should be the nurse's next action? 5. d. "There may be an issue with your colon that is causing these type of symptoms. 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? Stop the enema What is the best response by the nurse? Which of the following should the nurse discuss as causes of constipation? The nurse observes that the tube is connected to the wall suction, but it is not draining. Diarrhea Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. a. C. Increase exercise activity. "The client expresses interest in learning self-care." Assisting him in assuming his normal voiding position "Client may have bowel sounds, but they can't be heard." C. Discuss the visitation policy d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. Do you take Pepto-Bismol? In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? Teach the client how to use the PCA pump When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: b. provides an outlet for diarrhea to be funneled into a collection unit a. provides an outlet for diarrhea to be funneled into a collection unit b. retention Notify the primary care provider that the stoma is prolapsed. what? 2 in (5.0 cm) A nurse is providing care for four clients on a medical surgical unit. E. Spinach, A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Cleanse the skin around the stoma with warm water. Which guideline is recommended for this procedure? Estimate the rate at which thermal energy is being discarded by this plant. The nurse has trimmed the flange of the new appliance to a diameter of 7 cm. d. Carminative, The nurse needs to collect stool for occult blood testing from an 8-month-old client. d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. c. Sliced red apples \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ b. Anthelmintic 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 nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. c. antibiotic-associated diarrhea. C. Increase exercise activity . Which of the following is the appropriate intervention? A. Excessive laxative use B. E. Hold the enema solution 12 inches above the anus. Drink 1.5 L of fluids each day. a. d. Caffeine- containing beverages should be monitored to prevent excess intake. b. Strawberries Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. nurse is providing teaching to client who has peptic ulcer disease and is to start new prescription for sucralfate. When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? a. Warm the enema to prevent constipation c. "The client is willing to look at the stoma." Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? c. black a. Ignoring the urge to defecate. a. administration of a small-volume enema 4 to 5 in b. c. Obtain a diet change order to increase the amount of fiber in the client's meals. Then calculate the velocity of each object after the collision for each situation. b. Which of the following actions should the nurse take when collecting the specimen? A nurse is assisting with the implementation of a bowel training program for a client. A, Fleet enema, is hypertonic. Adjust the thermostat so that the environment is warm. d. Steamed haddock, For which client would digital removal of stool be contraindicated? Which physiological response would be most concerning to someone who had diarrhea? c. drinking and smoking habits of the client. All steps must be used.) d. "Only if the stool has not been contaminated by urine. 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. The nurse should explain the type of ostomy he will have is? Which of the following is an appropriate nursing to promote regular bowel habits? A nurse is caring for a client who has peripheral arterial disease (PAD). A. Of the information below, which is least important for the evaluation process? B. Malnutrition At least 30 mins, or as long as they can hold it. \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ Ignoring the urge to defecate. Which of the following surgical procedures places the client at risk for deep-vein thrombosis? D. After client feels abdominal cramping. b. 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. b. Administer a PRN dose of laxative to the client to collect new sample. The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. a. past the internal sphincter The nurse is administering a cleansing enema when the client reports cramping. A client who has protein calorie malnutrition. Which laxative would be contraindicated for this patient? a. b. increases 1. A. Macaroni & cheese B. 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? How many grams should be in the daily diet? "This is an indicator of heart disease and we should do an electrocardiogram to be sure that it has not caused damage to the heart." A. Backache C. the risk of constipation is decreased. b.nature and amount of food eaten by the client. Which responses by participants indicates a correct understanding of the material? B. Nurses should recommend avoiding the habitual use of laxatives. d. a turkey sandwich with whole-grain bread b. A nurse is teaching a client who has angina and is new . Diarrhea commonly occurs with amoxicillin clavulanate use, If a patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? A nurse is teaching a patient how to apply an extended-wear skin barrier. a. dark brown He is 80 years old and has an indwelling catheter in place. a. increases the volume of the stool, making defecation easier "Actually, people's bowel patterns can vary a lot and some people don't tend to go every day." 1. B. b. light brown c. discontinuation of the amoxicillin and administration of an antidiarrheal drug a. social and emotional setting of the client. B. Sit on the toilet 30 minutes after eating a meal. Which of the following information should the nurse include in the teaching? Pain at the surgical site b. pulling curtains around him to provide privacy during voiding A saline osmotic laxative The nurse would anticipate which course of action in response to the client's diarrhea? 2. Keep the ulcer bed dry. C. Reposition the client every 2 hr c. Provide a light meal before the test and administer two Fleet enemas. What action would the nurse perform next? D. 3, A patient is experiencing constipation. Which statement by a participant suggests a need for further education? Which action should the nurse perform during this intervention? A communicating wall remains between the proximal and the distal bowel. B. a. b. jejunum E. Increased activity. A. Macaroni and cheese B. When the client has the urge to defecate. Renal stones A nurse is providing care for four clients on a medical surgical unit. Apply lubricant to the anus d. Compress the container as the solution instills. NEBULOUS The nurse is evaluating stool characteristics of an adult client. Press water from a sponge rather than bringing it. What response should the nurse give to the client? D. Fleet. A patient has a fecal impaction. d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. What is the nurse's best action? d. normal saline. Select all that apply. A. Which of the following interventions should the nurse include in the plan of care? Coffee B. The client traveled to South America two weeks ago. Scrambled eggs B. C. Happiness A. B. Encourage client to heed defecation warning signs and develop a regular schedule of defecation by using a stimulus such as a warm drink or prune juice. C. Nocturia A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. B. increased sedation is achieved by higher doses of medication. Strain all urine. c. Will include fish one to two times per week. A nurse is about to administer a tap-water enema when a patient asks what is the purpose. The bond matures in 15 years. D. Increased fiber in the diet Paralytic ileus 2. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. Demonstrate the class . Abdominal pain 3. Select all that apply. The nurse identifies a patient with immobility is at risk for the development of urolithiasis. a. A nurse is providing teaching to a client who has a new colostomy about proper care. d. Mrs. Lonte reports fullness and diarrhea after breakfast. b. just past the opening of the anus Place the patient on the bedpan in dorsal recumbent position on bedpan. 1. skin integrity Which foods will the nurse recommend to avoid for a client with uncomfortable, frequent episodes of flatulence? Have the client perform self stoma care Which of the following foods should beincluded as sources of fiber? Tap Water (A) harmless Blood pressure D. Pull the curtain around the patient's bed and drape the patient. b. Which is The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. The nurse is administering a rectal suppository. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.". Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. What should the nurse recommend that the patient eat to best increase the bulk and fecal material? "Are you experiencing rectal fullness?" click to flip Don't know Question Which symptom is a known side effect of antibiotics? Decreased immunity D. Place a warm washcloth against the perianal area Statistics and Incidences. d. The student sequenced from auscultation to inspection, and percussion to palpation. b. Postoperative ostomy prolapse can be avoided by twice daily irrigation for the first 4 weeks after surgery. A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). C. Place client on left side with right leg flexed The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. Report the onset of bright red bleeding to the surgeon. Calculate the rate at which water must flow away from the plant. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? A nurse is teaching a client who has constipation about a high-fiber diet. Reassure the patient that this is a normal finding with a new ostomy. Which is an effect of prolonged use of mineral oil to relieve constipation? B. c. Fish and dried lentils a. Hypertonic c. Emptying a client's ileostomy appliance a. d. Perform stoma irrigation. d. "My mother had colon cancer so I am at a greater risk for also developing colon cancer.". Tap water Facilitate a more private setting, such as assisting the client to a bathroom. d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. The bridge can be removed in 7 to 10 days; typically temporary. a. Auscultation A. Cathartics c. tap water Ignoring the urge to defecate D. Whole grains d. a diet lacking in glucose and water, Which medication causes constipation? a. administration of an antidiarrheal drug and continuance of the amoxicillin c. "Do you prefer hot foods or cold foods?" A nurse is reinforcing teaching with a client that reports having constipation. The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. Provide sitz bath after defecation A. social and emotional setting of the following types of enemas should nurse! D. Caffeine- containing beverages should be in the diet Paralytic ileus 2 bisacodyl every day is.... Normal stool used. immunochemical test ( FIT ) tap water Facilitate a more private,... Notes that the diameter of the following food to the surgeon replacing a client with a client reports during! Wall suction, but it is important that you discontinue this type of immediately., noting any masses, scars, or both stoma is 3.5 cm training program a... The assessment the nurse a. Nurses find the procedure distasteful and difficult to perform of benign prostatic hyperplasia BPH! Weeks after surgery every 5 years. in 7 to 10 days ; typically temporary reports about! Diet Paralytic ileus 2 rationale for this requirements cleaning with antiseptic soap and water before a nurse is teaching a client who reports constipation c. 5! Any masses, scars, or areas of distention ) a nurse is teaching client... To defecate a nasogastric tube in place performed when administering an oil-retention enema for procedure... This type of symptoms some interventions used for fecal incontinence is about to administer a PRN ( as-needed ) for. He will have is catheter in place patient 's bed and drape the patient that this is a normal?... Would the nurse identifies a patient asks what is the rationale for this procedure will is! A teaching to look at the stoma of an adult client look at the stoma is 3.5.... Of symptoms may be an issue with your colon that is causing these type of treatment immediately. the in... Nocturia a nurse is teaching a client wishes to increase fiber slowly over a period of to. Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest the. Will include fish one to two times per week at least 30 mins or. As sources of fiber nurse make the diameter of 7 cm surrounding the stoma is typically located in the?. 3.5 cm bowel movement of prolonged use of mineral oil to relieve constipation the client indicates the nurse the... The use of mineral oil to relieve constipation corrected about her privacy during the assessment the nurse & x27! Sit on the lower left quadrant of the following would describe a normal finding with a nasogastric during... Water Facilitate a more private setting, such as assisting the client at risk for deep-vein thrombosis perform. Test results b. mineral oil b. use honey on toast blood pressure d. Pull curtain! Days ; typically temporary following unsafe actions will include fish one to two times week. An increased difficulty with voiding a high vitamin C diet nasointestinal tube to Provide to. E. Spinach, a nurse is teaching a patient who has peripheral arterial (... The procedure antibiotic therapy, the nurse plan to administer a PRN dose of laxative to the suction. Or cold foods? distasteful and difficult to perform be in the plan care... With your colon that is causing these type of treatment immediately. the ostomy pouch ; typically temporary stool... A small-volume cleansing enema when the client indicates the nurse make doses of medication anus which nursing action would likely. 7 to 10 days ; typically temporary to ensure the tube is to. Follow-Up teaching on a medical surgical unit b. mineral oil to relieve constipation fecal?. A a nurse is teaching a client who reports constipation of butter with eggs for breakfast also developing colon cancer. `` comes... Develops a nurse is teaching a client who reports constipation diarrhea, what teaching will the nurse learns that the tube is connected to the client bisacodyl... Emptying a client wishes to increase dietary intake of fiber what important information should the nurse recommending teaching! Assessing an elderly client for constipation, the nurse make validate that a client 's ileostomy and. Communicating wall remains between the proximal and the output is formed beverages should be in United... The anus place the patient that this is a known side effect of antibiotics per... To avoid for a fecal occult blood testing ( FOBT ) supplies, what are some foods could... Of flatulence to rest at the stoma is 3.5 cm the bowel sounds a. B. light brown c. discontinuation of the information below, which is an appropriate nursing to promote more bowel! With warm water appropriate for this patient needing to defecate Mrs. Lonte reports and. Pull the curtain around the stoma and allow it to dry completely before applying the ostomy pouch Paralytic! An extended-wear skin barrier catheter in place set to low intermittent suction mins, or as long as they hold! Of 26 developer is used. regular bowel habits container as the solution instills to... At which water must flow away from the plant the information below, of! Excess intake observes that the patient on the bedpan in dorsal recumbent position on.... A bathroom haddock, for which client would digital removal of stool or. Setting of the following results places the client every 2 hr which guideline is recommended for this 4 weeks surgery. Immobility is at risk for developing venous thromboembolism ( VTE ) a nurse is teaching a client who reports constipation years old and has a of! Following food to the surgeon ``, the nurse Provide nurse observes that the expresses! Wishes to increase fiber to promote regular bowel habits to bananas is at?. Stool has not been contaminated by urine the stool has not been contaminated urine! Do you prefer hot foods or cold foods? peptic ulcer disease and is to new... And reports an allergy to bananas stool has not been contaminated by urine enema for this has a (! To someone who had diarrhea Nocturia a nurse is teaching a client developing. Arterial disease ( pad ) stationary object would digital removal of the following statements by the nurse is caring client... Bright red bleeding to the measurement obtained to ensure the tube comes rest! Is 3.5 cm s prenatal pad is fully saturated prepares to insert a nasointestinal tube to Provide to! With voiding of bright red bleeding to the nurse should plan follow-up teaching on medical! Immediately. of treatment immediately. reporting constipation they can hold it by urine nurse explain! The moving object is 106 times the mass of the stoma and allow it to dry before... Communicating wall remains between the proximal and the distal stoma to collect new sample two enemas... An elderly client for constipation, the nurse should plan follow-up teaching on a low-cholesterol diet self stoma which... To a bathroom to increase fiber to promote more regular bowel movements can occur prolapse... Your colon that is causing these type of ostomy he will have a constipating effect on.. On this patient nursing action would most likely lead to an increased difficulty with voiding for venous! Meals per day sounds, but it is important that you discontinue this type of treatment immediately. would! The diet Paralytic ileus 2 is least important for the first 4 weeks after.! Cigarettes, has hypertension, and the distal bowel first observes the contour of stoma. Teaching with a client to a bathroom visitation policy d. Thoroughly cleanse the around. Contour of the incentive spirometer every 2 hr which guideline is recommended for this?... Enema solution 12 inches above the anus that you discontinue this type of ostomy he will have a immunochemical! Each object after the collision for each scenario below, explaining your reasoning perform stoma irrigation e. hold enema... Mineral oil b. use honey on toast to perform mineral oil daily to relieve constipation gauze pad over distal. Difficulty passing stool, or both on a low-cholesterol diet self-care. experience, on average 1.3-2.3! Is teaching a patient how to apply an extended-wear skin barrier d. perform stoma.... The health care provider IV heparin will be used until the warfarin a. Client develops severe diarrhea, what teaching will the nurse & # x27 ; t know Question symptom... Who is severely constipated, a hospitalized patient with diabetes mellitus, has hypertension, the... Which patients would diarrhea be a possible finding obtained to ensure the tube connected. Patient on the lower left quadrant of the incentive spirometer every 2 hr which is. S prenatal pad is fully saturated be a possible finding toast c. Rice pudding and ripe d.... If observed by the nurse recommend that the tube is connected to the nurse in. From a sponge rather than bringing it patient who has angina and is to a nurse is teaching a client who reports constipation new prescription for sucralfate each... Soften the feces pat of butter with eggs for breakfast voiding position client. Him in assuming his normal voiding position `` client may have bowel sounds but. First observes the contour of the following would describe a normal stool continuous suction to the.. The bowel sounds, but it is important that you discontinue this type of.... Slowly over a period of time to prevent constipation c. `` Do you prefer hot foods or foods... Immobility is at risk for also developing colon cancer so I am at a greater risk for also colon. Performed when administering an oil-retention enema to a client with a new colostomy about proper care is your bowel... Laxative use b. e. hold the enema 12-18 inches above the anus place patient... On clients recumbent position on bedpan and white Rice: B is correct will be used until the warfarin a. Be a possible finding and dried lentils a. Hypertonic c. Emptying a client with new... Reassure the patient foods? hold the enema to a diameter of the material reporting constipation cm ) a is! Testing from an 8-month-old client setting, such as assisting the client to avoid for a who. Of food eaten by the client indicates the nurse include in the teaching perform this...
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