C. Mineral Oil b. Bear down hard when defecating Tap water a. C. "My largest meal of the day should be in the evening." D. Reduce the number of intestinal bacteria, D. Reduce the number of intestinal bacteria, A client has undergone an 8-hour surgical procedure under general anesthesia. If the patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? a. Yogurt and buttermilk B. Defecation d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. Tape a dry gauze pad over the distal stoma to collect drainage. (C) very old 1. A nurse is preparing a hospitalized patient for a colonoscopy. C. Constipation B. Heartburn Apply lubricant to the anus B. D. "Your urine should be clear yellow the evening after the surgery. The appliance will need to be changed daily. The provider has prescribed an enema. D. Bradypnea, A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. A. Hgb of 11.6 and Hct of 37% ", For which client would a hypertonic enema most likely be contraindicated? a. a. Prone b. Anthelmintic b. Encourage the use of the incentive spirometer every 2 hr a. provides an outlet for diarrhea to be funneled into a collection unit If the word group is not a phrase, write no on the line. What is the appropriate nursing recommendation for this client? b. removes hardened fecal impactions from the rectum 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. An episode of diarrhea 4. e. Diphenoxylate/atropine have a longer duration of action than loperamide. b. Limit intake of food high in animal protein. Which foods will the nurse recommend to avoid for a client with uncomfortable, frequent episodes of flatulence? d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. evaluate fluid and electrolyte levels. Which type of enema should the nurse administer? Requirement for verbal stimuli to awaken B. Flatulence The nurse describes the test by explaining that it allows which of the following? a. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. d. Since it uses a closed system, risk for urinary tract infection is absent, a. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. b. ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. b. light brown a. B. D. Reposition the client at least q4h. d. The student sequenced from auscultation to inspection, and percussion to palpation. Milk products cause constipation in clients with lactose intolerance. (D) smooth. Constipation 2. E. Encourage the patient to rock back and forth while defecating, A. Identify the sequence of steps the nurse should take to properly administer the enema. The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. Ignoring the urge to defecate The nurse should identify that which of the following results places the client at risk? A nurse is teaching a client who is to start taking clopidogrel. c. "The client is willing to look at the stoma." A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. D. Abdominal pain, Which enema would be used for fecal impaction? B. d. Administer an oral analgesia 30 to 45 minutes before attempting insertion. C. Administer warm saline throat irrigations Skim milk. d. Asparagus and turnip, The nurse will gather which type of solution to administer a cleansing enema to a client who needs to have water drawn into the bowel? Which of the following should be included in the client's diet? C. Fleet's D. 1-3 in. (b) The stationary object is twice the mass of the moving object. Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. D. Administer fluid. c. Lower the solution container and check the temperature and flow rate. b. chicken a. C. Pale, cool extremities e. yellow, The student nurse has completed a presentation to a group of senior citizens on colorectal screening. D. Temperature. e. Platelet count of 19,500/mm3 (195.00 109/L) 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. Which of the following symptoms should the nurse expect to find in the early stage of the disease? When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following? 2. bowel elimination Which finding is most important for the nurse to report to the health care provider? The patient is nauseated, vomits clear fluid, and voids pink urine. Paralytic ileus 2. What result would contraindicate the safe administration of an enema? 1. a .Loperamide is a nonaddictive antidiarrheal medication that has a longer duration of action than diphenoxylate/atropine. Reassure the patient that this is a normal reaction to the procedure. For which condition should the nurse administer this medication to the postoperative client? Consume foods that are low in fiber content. b. pulling curtains around him to provide privacy during voiding Fresh fruit and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice: B is correct. A. b. Stop the enema b. Do you take Pepto-Bismol? a. a diabetic client with renal complications a. 40-50 g When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? D. Place a warm washcloth against the perianal area A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. Select all that apply. A. Older adults should peel fruits before eating. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. d. Telling the patient that burning and irritation are normal, subsiding within a few days. C. Hemorrhoids E. Hold the enema solution 12 inches above the anus. The provider prescribes warfarin PO without discontinuing the heparin. D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. The nurse is aware of which of the following consideration? (d) The stationary object is 106 times the mass of the moving object. An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). d. physiologic or lifestyle changes in the client. While a nurse is administering a cleansing enema, the patient reports abdominal cramping. Ignore the change in volume of the steel. A nurse is scheduling tests for a patient who has been experiencing epigastric pain. d. offering the urinal on a regular schedule, Which of the following terms denotes a patient's inability to void even though the kidneys are producing urine that enters the bladder? Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match The nurse is administering a rectal suppository. D. Decrease fluid intake while increasing fiber. Cool the container holding the solution. a. The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. E. Lean turkey, A. Kidney beans d. anal yeast infection. b. c. Emptying a client's ileostomy appliance - With a one-piece system, the pouch and skin barrier are permanently attached; with a two-piece system, the pouch may be detached while the skin barrier remains around the stoma. A client who is postoperative Day 1 has rung the call light twice during the nurse's shift in order to request assistance transferring to a bedside commode. The nurse explains that the client will wear antiembolism stockings during and after the procedure. b. Administer a PRN dose of laxative to the client to collect new sample. 1. C. 6-8 in To which patient should a fleet enema NOT be administered to? What are the contraindications for enemas? Green Place the patient on the bedpan in dorsal recumbent position on bedpan. B. Which client statement reflects understanding of the purpose of this test? The nurse is selecting antidiarrheal medications for clients with diarrhea. 3 Auscultation Select all that apply. a. administration of a small-volume enema 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. b. Place the enema 12-18 inches above the anus As a nurse prepares to assist Mrs. P with her newly created ileostomy, she is aware of which of the following? A nurse is caring for a client who practices Orthodox Judaism. A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. C. Do you use anything to help you defecate? 1-2 in d. Skin turgor response of 6 seconds, The nurse has presented an educational in-service about caring for clients who have newly created ostomies. Reduce sodium intake. During the aging or wearout period, the deterioration of a machine usually B. Blackberries The nurse has trimmed the flange of the new appliance to a diameter of 7 cm. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. Which of the following findings are indicative of this condition? f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. Type 2 diabetes c. oliguria What are some assessment questions that could be asked? A. 2. b. c. "As long as you wash the area and dry carefully, you can use the test." D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. What should I do if my patient cannot retain the enema solution? A nurse is teaching an older adult client who reports constipation. E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. A. Lower the solution after instilling about 150 mL of solution. e. "How often do you go out to eat?". A nurse is teaching a patient how to apply an extended-wear skin barrier. 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. 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 appropriate nursing response? a. d. The client repeatedly ignores the urge to defecate. b. Consume citrus fruits d. Plans to eat a snack of fruit twice per day. d. Position the client supine, as dictated by client comfort and condition. A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. D. Apply barrier cream, A. At least 30 mins, or as long as they can hold it. TPN is administered through a large central blood vessel; The solution contains sugar, proteins, and fat for increased calories; tests to monitor blood and urine glucose levels will be done The nurse is caring for a burn client who is receiving total parenteral nutrition (TPN) at 75mL/hour. Provide perineal care after each stool A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. 13. a. The student instructed the client to urinate before beginning the focused assessment. Which assessment technique would be performed last? d. a diet lacking in glucose and water, Which medication causes constipation? Season foods with herbs and spices. a. Incontinence Listen for bowel sounds b. Nursing care for a patient with an indwelling catheter includes which of the following? Which of the following actions should the nurse plan to take? a. d. "If you are having a light flow or spotting then you can perform the test. C. Causes distention of the intestines b. Nasogastric tubes should not be irrigated. Abdominal pain 3. A nurse is talking w/a client who reports constipation. "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." 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. D. Whole wheat bread, A nurse is reinforcing teaching to a client who is experiencing constipation. d. A cleaning- catch midstream specimen is necessary. c. "Auscultated abdomen for bowel sounds. C. Administer the enema while the patient sits on the toilet. b. Abdominal distention What is the best response by the nurse? Celiac disease. b. Anal fissures D. Blood-tinged mucus, C. Frequent swallowing and clearing of the throat, A nurse is completing the admission assessment of a client who has a kidney stone. Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. 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. Which of the following information should the nurse include in the teaching? a. \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ Client report of nausea What should the nurse include when planning this patient's care? Report the onset of bright red bleeding to the surgeon. If the underlined word group in each of the following sentences is a phrase, write phrase on the line. c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. Which finding would most likely contraindicate placement of a nasogastric (NG) tube by the nurse in this client? A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. Example phrase\underline{\color{#c34632}{phrase}}phrase 1. d. a turkey sandwich with whole-grain bread a. Which position would the nurse place the client in? B. Hypotonic; Tap Water 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. Normal Saline d. Carminative, The nurse needs to collect stool for occult blood testing from an 8-month-old client. d. The client eats five to six small meals per day. A client with constipation has been instructed to increase the intake of foods high in fluid. This type of enema should be avoided in ___________ and ________________. The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. Which of the following instructions should the nurse include in the teaching? C. Inadequate fluid intake. Replace legumes with broiled meats. B. Notify the primary care provider that the stoma is prolapsed. A pregnant client tells the nurse she has constipation. d. Drink orange and grapefruit juice. A. A. Excoriated Skin C. Provide the client a high vitamin C diet. 4 Palpation, The nurse is evaluating stool characteristics of an adult client. The patient states "Something just isn't right". A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. All steps must be used.) Increase fluid intake to 3000 mL/day. Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. What color is your usual bowel? In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? Incisional pain 3. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? b. The client states, "I am menstruating right now. The bond matures in 15 years. (Select all that apply.) c. Consume a full liquid diet for 12-24 hours. \text { kerat/o } & \text { trich/o } & \text {-ic } & & \\ D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. Select all that apply. c. Bowel Incontinence related to loss of sphincter control, as evidenced by inability to delay the urge to defecate B. Weakens the muscles and the natural ability to defecate Eat more cabbage and brussels sprouts to decrease gas and add fiber. A. E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. c. Remove the NG tube and replace it with a larger-bore tube, as ordered. b. A. Flank pain that radiates to the lower abdomen B. a. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. D. What time of day is your normal bowel movement? The nurse asks participants, "How will you know when a client begins to accept the altered body image?" E. Spinach, A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). B. Me molestaba que Carlos y Miguel no BLANK (venir) a visitarme. A nurse is talking with a client who reports constipation. Which of the following strategy should she include illustrate the concept of joint protection? Drinking more than 2,000 mL of fluid per day will cause fluid retention The nurse should plan care based on which of the following factors contributing to this postoperative complication? B. B. a. b. Typically, the distal colon is not removed but bypassed. (Select all that apply) A. a. C. Use water-soluble jelly for lubrication. Which of the following actions should the nurse anticipate? A. Constipation A nurse is teaching a client who has constipation about a high-fiber diet. b. Percussion a. hypertonic saline The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. A nurse is performing digital removal of stool on a patient with a fecal impaction. B. Squatting B. Instill 200 mL of fluid every 15 mins. d. Infection, For which patient would a nurse expect the primary care provider to order colostomy irrigation? c. 20-30 g 4. peripheral vascular function. C. Provide the client a high vitamin C diet. d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. The nurse is teaching a patient regarding administration of antiemetic medications. b. ascending colostomy C. Strain urine for 48 hr. A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. c. If portions of the stool include visible blood, mucus, or pus, discard the stool. D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? Decreased immunity Hypertrophic pyloric stenosis Provide perineal care after each stool b. . C. Absent urine output for 2 hr During the assessment the nurse notes that the client's prenatal pad is fully saturated. b. use honey on toast. "I will have a flexible endoscopic exam done every 5 years." Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. c. to relieve constipation Diminished peripheral pulses in the lower extremities B. Diphenhydramine (Benadryl) C. Lubricate 5 inches of the rectal tube. 10 a. a. During discharge instructions, you tell the patient they need to do the test how many consecutive days? Which actions must the nurse perform? What is the next step for the nurse? d. Drink orange juice to stay hydrated through the testing process. A. a. c. black b. Which factor is responsible for primary constipation? Monitor urine pH. 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? Which statements accurately describe the action of specific antidiarrheal medications? What is the most important nursing action in the care of this client? d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. B. It is unusual to feel dizzy while having a bowel movement. C. Happiness \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ c. Provide a light meal before the test and administer two Fleet enemas. c. drinking and smoking habits of the client. ", A. b. 150 to 200 mL Patients typically experience other symptoms such as hard stools,. a. Irrigating a client's NG tube Which action is an appropriate step in this procedure? A. Macaroni and cheese B. A. A. Take 500 mg Is it okay to still do the test?" Select all that apply. B. A _________ is a urinary diversion that allows urine to exit the body after removal of a diseased or damaged section of the urinary tract. A. Backache A. Bradycardia The provider prescribes warfarin PO without discontinuing the heparin. A. B. Malnutrition B. Which of the following is most likely to validate that a client is experiencing intestinal bleeding? B. Squatting A nurse is about to administer a tap-water enema when a patient asks what is the purpose. A. Dehydrated Select all that apply. c. eggs A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. a. briefly clamping the tubing while the client breathes deeply Make a prediction for each scenario below, explaining your reasoning. d. Attempt to irrigate the NG tube with water or normal saline. The client will walk for 30min 5 days a week. b. reassuring the client that cramping is normal The nurse is teaching a client with diarrhea about dietary management. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following assessment findings requires immediate intervention by the nurse? During the assessment, the nurse notices the stoma is pale. Use the elements listed in the table to build medical words.

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