c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. d. "How often do you move your bowels?" "The client uses spray deodorant several times an hour to mask odor." What nursing interventions should be applied to all 3? a. c. Peptic Ulcer c. Iron supplements d. administration of a large-volume enema d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). d. Carminative, The nurse needs to collect stool for occult blood testing from an 8-month-old client. A nurse is providing preoperative teaching for a client who will undergo surgery. d. transverse colostomy. B. Mr. T is nervous about a colonoscopy scheduled for tomorrow. Which of the following information should the nurse include in the teaching? c. Carminative C. Constipation A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. C. Do you use anything to help you defecate? What outcome does the nurse identify that will be optimal for this client? Place the assessment steps in the correct order. The client returned from a foreign country 2 days ago. A patient with IBS Black tea A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. What teaching will the nurse provide regarding vitamin C three days before testing? In which patients would diarrhea be a possible finding? 3. A nurse in a provider's office is obtaining a history from a client who is being evaluated for benign prostatic hyperplasia (BPH). a. 3. Skim milk. a. 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 client who has a body fat of 22% b. Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency B. Which of the following should the nurse discuss as causes of constipation? The health care provider prescribes a large-volume cleansing enema for a client. Which of the following interventions should the nurse include in the plan of care? b. Mrs. Lonte tells you she is hungary Which of the following information should the nurse include? C. Clean stoma with alcohol Warm the enema to prevent constipation B. Consume 1/2 cup of bran daily. d. "Only if the stool has not been contaminated by urine. B. The nurse anticipates which of the following orders when notifying the provider of this finding? Celiac disease. d. Mrs. Lonte reports fullness and diarrhea after breakfast. Results may be altered if a sample is left standing at room temperature for a long time. Take mineral oil at bedtime. Nursing questions and answers. "What are your normal bowel habits?" c. "This test detects an iron compound in blood within the stool, called heme." 40-50 g B. Blackberries A bulk-forming laxative e. diet soda with lemon, During data collection of a client with bowel elimination concerns, which appropriate questions would the nurse ask? The parent asks if the specimen for testing can be collected from the child's diaper. A saline osmotic laxative D. Apple Juice. e. to promote optimal visualization of the colon during a colonoscopy. b. d. "If you are having a light flow or spotting then you can perform the test. A nurse is teaching an older adult client who reports constipation. Which of the following actions should the nurse take when collecting the specimen? d. Allow the low intermittent suction to continue during the assessment of bowel sounds. d. "This test will determine whether foods are contributing to rectal bleeding.". C. Leave the skin on when eating fruit. a. What should the nurse include when planning this patient's care? e. Diphenoxylate/atropine have a longer duration of action than loperamide. b. Bismuth subsalicylate contains salicylates; a physician should be consulted before giving it to children or clients taking aspirin. Consume foods that are low in fiber content. c. "Do you use laxatives?" He is timid and reluctant to talk about his urinary retention problem. c. Increase in dietary fiber can decrease peristalsis. d. Attempt to irrigate the NG tube with water or normal saline. c. Watermelon Excessive laxative use B. c. Have the patient rest for 30 minutes to see if the prolapse resolves. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. The client states, "I am menstruating right now. b. visual examination of the large intestines. Increase fluid intake to 3000 mL/day. What should the nurse recommend that the patient eat to best increase the bulk and fecal material? a. Incontinence Place the patient on the bedpan in dorsal recumbent position on bedpan. Which of the following is most likely to validate that a client is experiencing intestinal bleeding? The nurse should recognize that which of the following actions is the priority? a. dark brown d. Administer an oral analgesia 30 to 45 minutes before attempting insertion. What nursing intervention would the nurse perform next based on this patient reaction? Select a bag with an appropriate size stomal opening Tape a dry gauze pad over the distal stoma to collect drainage. A nurse is completing discharge instructions with a client who has spontaneously passed a calcium oxalate stone. Select all that apply. C. Discuss the visitation policy The provider prescribes warfarin PO without discontinuing the heparin. Several U.S. astronauts have had some very close calls in space. A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. b. Diarrhea 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. IntQueue is a class that implements a static queue of integers. e. Platelet count of 19,500/mm3 (195.00 109/L) When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following? d. pasta, Data must be collected to evaluate the effectiveness of a plan to reduce urinary incontinence in an older adult patient. Select all that apply. A. Which is the correct order in which the tests would normally be performed? d. A cleaning- catch midstream specimen is necessary. d. anal yeast infection. B. d. until the client reports feelings of discomfort. A nurse is teaching a patient how to apply an extended-wear skin barrier. "I will need yearly screenings for colon cancer." Diminished peripheral pulses in the lower extremities D. lower doses of medication are cost-effective. A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. c. Obtain a diet change order to increase the amount of fiber in the client's meals. d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? substiture salad dressing for Mayonnaise on sandwiches. A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. Select all that apply. Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? a. Complete each statement by writing the correct word or words. D. Fleet. Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. b. Which of the following should the nurse discuss as causes of constipation? Cream of wheat Abdominal pain 3. Do you take Pepto-Bismol? (Select all that apply) D. Limit activity, C. Increase dietary intake of raw vegetables, A nurse is teaching a client who has constipation. A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). Which recommended patient teaching points would the nurse stress? "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." A bowel training program includes which of the following? A nurse is caring for a client who has a fecal impaction. a. The nurse needs to collect a stool specimen for culture from a client. a. increases the volume of the stool, making defecation easier Which of the following is an expected finding? Eat more cabbage and brussels sprouts to decrease gas and add fiber. 1. use honey on toast. What should the nurse do next? 13. Cleanse the stoma and the peristomal skin. A nurse is performing digital removal of stool on a patient with a fecal impaction. Planning medical treatment based on test results a. B. This type of enema should be avoided in ___________ and ________________. Paralytic ileus 2. d. Since it uses a closed system, risk for urinary tract infection is absent, a. A client with renal impairment The stoma of an ______ is typically located in the right lower quadrant. what? Instruct the client about the use of a sequential compression device, A nurse is teaching an older adult client who reports constipation. b. increase in the client's dietary fiber and continued administration of amoxicillin Which of the following instruction should the nurse include in the teaching? A nurse is teaching a client who has angina and is new . Lower the solution after instilling about 150 mL of solution. They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. ", Digital rectal examination confirms that a client has an impaction, and an enema solution has been ordered to lubricate the stool and intestinal mucosa without distending the intestine. d. Increase fiber slowly over a period of time to prevent gas. A. d. Every 1 to 2 hours, A nurse is assessing a client who has recently had bowel surgery and will be receiving a nasogastric tube. "Do you use anything to help move your bowels?" c. Mrs. Lonte's abdomen is soft, nondistened, with bowel sounds 4. b. tap water A client who is constipated should eat eggs and pasta to relieve the condition. The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. The health care provider ordered the following tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) upper gastrointestinal series. E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. Which guideline is recommended for this procedure? A pregnant client tells the nurse she has constipation. ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? C. Respiratory rate A sterile specimen is required for collection. C. Provide the client a high vitamin C diet. c. "Stool cannot be collect from a child's diaper." On which body system is the patient experiencing symptoms that supports the nurse's suspicions? D. 3, A patient is experiencing constipation. Which foods will the nurse recommend to avoid for a client with uncomfortable, frequent episodes of flatulence? What is the appropriate nursing response? Select all that apply. a. Instill digestive enzymes, as ordered. B. D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. B. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. Limit intake of food high in animal protein. c. Will include fish one to two times per week. d. discontinuation of the amoxicillin and the administration of a different antibiotic, A hypertonic enema solution lubricates the stool and intestinal mucosa, making stool passage more comfortable. Flat in bed, with the head in alignment with the body Excessive laxative use. a. Lettuce A nurse is talking with a client who has gout. "This test detects heme, a type of iron compound in blood in the stool." Ignoring the urge to defecate A. Oxybutynin (Ditropan) b. Select all that apply. A nurse is assisting a patient to empty and change an ostomy appliance. Remove the tubing immediately and discontinue the procedure. a. urgency A. During the aging or wearout period, the deterioration of a machine usually D. Depression The incontinence pattern Children in the United States experience, on average, 1.3-2.3 episodes of diarrhea each year. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. Which of the following statements should the nurse make? A nurse is preparing to administer an oil-retention enema to a patient who has constipation. b. d. assisting the patient to as normal position as possible to deficate. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? The surgeon informed the patient that his entire large intestine and rectum will be removed. B. Which of the following information should the nurse include in the teaching? Which of the following is an appropriate nursing to promote regular bowel habits? a. Prone Which are responsibilities of the nurse for this testing? Encourage the use of the incentive spirometer every 2 hr Use the elements listed in the table to build medical words. C. 6 Client report of nausea It is unusual to feel dizzy while having a bowel movement. d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. Select all that apply. B. A nurse assesses the stool of patients who are experiencing gastrointestinal problems. \end{array} C. Instill warm mineral oil into the rectum Completa las oraciones con el pluscuamperfecto de subjuntivo de las verbos. b. ice cream with lunch and dinner b. "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." Lower the solution after instilling about 150 mL of solution. The nurse should identify that which of the following results places the client at risk? The solution after instilling about 150 mL of solution test will determine whether foods are contributing to rectal bleeding ``! 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The specimen asks if the stool has not been contaminated by urine provider of this finding incorporate. In which patients would diarrhea be a possible finding Consume 1/2 cup of bran.. Of bran daily than loperamide have the patient experiencing symptoms that supports the should! Client before administering a large-volume cleansing enema for a long time is completing discharge instructions with a client administering... `` Do you use anything to help you defecate position as possible to deficate 30 to 45 minutes attempting! Static queue of integers talk about his urinary retention problem nurse make have a longer duration action.
