When reviewing data collection on a client with constipation, which factor identified by the nurse might suggest the causative factor? 3. b. Consume citrus fruits (b) How much time will elapse before it returns to its starting point? A nurse is reinforcing teaching with a client that reports having constipation. Use between 500-1000 mL of solution. c. A patient with post-radiation damage to the bowel Place the assessment steps in the correct order. 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? Older adults should peel fruits before eating. b. In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? e. Platelet count of 19,500/mm3 (195.00 109/L) During the assessment, the nurse notices the stoma is pale. When was your last bowel movement? c. The external meatus requirements cleaning with antiseptic soap and water before voiding b. Children in the United States experience, on average, 1.3-2.3 episodes of diarrhea each year. c. prune juice with breakfast A nurse is talking w/a client who reports constipation. C. Nocturia C. Milk (Select all that apply) Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? Renal stones A nurse is providing care for four clients on a medical surgical unit. b. Administer analgesia 30 minutes before the procedure. Which is the correct order in which the tests would normally be performed? B. Weakens the muscles and the natural ability to defecate How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? Which is an effect of prolonged use of mineral oil to relieve constipation? A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications. Which factor is related to developmental changes in bowel habits for older adult clients? B. a. Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. Place the patient on the bedpan in dorsal recumbent position on bedpan. After removing the pouch, which of the following should the nurse do first? E. Lean turkey, A. Kidney beans A. b. Gastroesophageal Reflux Disease (GERD) c. Paregoric contains morphine and may be addictive. Ignoring the urge to defecate. Ignoring the urge to defecate. Two objects undergo an elastic head-on collision in one dimension, with one object initially at rest and the other moving at 12m/s[E]12 \mathrm{~m} / \mathrm{s}[\mathrm{E}]12m/s[E]. e. Bananas and applesauce are appropriate. The provider prescribes warfarin PO without discontinuing the heparin. What is likely to cause electrolyte abnormality? A nurse is administering a large-volume cleansing enema to a patient prior to surgery. During an assessment, the nurse suspects a male client is experiencing benign prostatic hyperplasia. The nurse has trimmed the flange of the new appliance to a diameter of 7 cm. Which of the following is an appropriate nursing to promote regular bowel habits? Sit on the toilet 30 minutes after eating a meal. Instruct to splint incision when coughing and deep breathing You may use the elements more than once. c. Most clients will not consent to have digital removal of stool. Excessive laxative use. ", 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. A patient admitted with possible kidney stones suddenly experiences acute crampy pain on the left side that radiates into the groin. use milk instead of water and recipes. A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. What is the best response by the nurse? 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 __________ enema should not be repeated for fear of water toxicity or circulatory overload. B. Administer calcium supplements. The nurse should plan care based on which of the following factors contributing to this postoperative complication? Discontinue the administration of the enema Which of the following should be included in the client's diet? C. Provide the client a high vitamin C diet. d. Refrigerate the specimen until it is cooled before sending it to the laboratory. d. hypertonic saline, A client is prescribed a large volume cleansing enema and is concerned as to why the large volume is indicated. Loose, dark green liquid that may contain blood. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. __________: two separate stomas are created. When comparing the steps of a return-flow enema with a cleansing enema, what nursing intervention is unique to return-flow? a. b. retention D. Citrus fruits. A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel. Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. 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. Place the enema 12-18 inches above the anus Which assessment question will the nurse ask? A. B. What important information should be included in the teaching? A _________ is a urinary diversion that allows urine to exit the body after removal of a diseased or damaged section of the urinary tract. "I need to take a laxative such as milk of magnesia if I don't have a BM every day". A. Bradycardia NEBULOUS A nurse is providing discharge teaching ti a client who has peripheral arterial disease (PAD). a. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? e. "How often do you go out to eat?". Notify the physician. B. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. Which of the following is a clinical finding of postoperative bleeding? a. hot tea with meals c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. D. After client feels abdominal cramping. 1 Inspection Which of the following surgical procedures places the client at risk for deep-vein thrombosis? The nurse should identify that which of the following results places the client at risk? E. Increased activity, A. b. C. Causes distention of the intestines The nurse describes the test by explaining that it allows which of the following? Which statement best explains why digital removal of stool is considered a last resort after other methods of bowel evacuation have been unsuccessful? a. Adjust the thermostat so that the environment is warm. a. Irrigating a client's NG tube B. Heartburn Excessive laxative use B. B. c. If portions of the stool include visible blood, mucus, or pus, discard the stool. Client has no bowel sounds." A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. How will the nurse document this finding? "What are your normal bowel habits?" Inaudible bowel sounds.". b. state of physical mobility a. pouring warm water over Ms. Young's fingers a. causes periodic bleeding and tissue trauma Which of the following should the nurse discuss as causes of constipation? e. Encourage the client to retain the solution. c. egg yolks Which action performed by the student would indicate to nurse faculty that further instruction is needed? d. anal yeast infection. "It depends on which testing developer is used." ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. A. Determine cause (medication, infection, impaction) Which food(s) will the nurse include in the client's education? Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? a. Using a diet that is low in bulk C. Dehydration A. Isotonic; Normal Saline The close proximity of the male genitalia to the rectum c. Every 4 to 8 hours ", A. C. Pale, cool extremities A nurse in a provider's office is obtaining a history from a client who is being evaluated for benign prostatic hyperplasia (BPH). (d) The stationary object is 106 times the mass of the moving object. a. Yogurt and buttermilk Collect stool and send to laboratory for culture per regular protocol. Which of the following would be common nursing diagnosis for the patient with an ileostomy? B. Select all that apply. 60-70 g c. Peptic Ulcer Select all that apply. young infants, patients who are dehydrated. c. "As long as you wash the area and dry carefully, you can use the test." How would this be documented? Lower the solution after instilling about 150 mL of solution. 4. A cleansing enema has been ordered for the client to draw water into the bowel. Continue infusing at a faster rate to finish the enema quicker. While a nurse is administering a cleansing enema, the patient reports abdominal cramping. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. D. Hematuria The client drinks 8 glasses of fluid daily. Which responses by participants indicates a correct understanding of the material? E. Increase fluid intake to 3 L/day. Select all that apply. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. b. When the client asks what the stockings do, which of the following responses should the nurse make? Which of the following strategy should she include illustrate the concept of joint protection? Which factor is most likely the cause of his UTI? Abdominal pain 3. b. Abdominal distention a. Which of the following actions should the nurse plan to take? d. Caffeine- containing beverages should be monitored to prevent excess intake. A nurse is teaching a patient how to apply an extended-wear skin barrier. c. Constipation What is the appropriate nursing intervention for this client? c. Drink a soft drink daily to prevent gas and allow fiber to break down. Limit intake of food high in animal protein. 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? d. to assure a daily bowel movement ______ enema is to assist a client to expel flatus. How many grams should be in the daily diet? A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. A nurse is caring for a client who has a fecal impaction. B. Prune Juice B. Flatulence Pasta with cream sauce will help coat the abdominal mucosa. 20-30 g. While reading a client's history, the nurse notes that a client has a colostomy. The physician has ordered an indwelling catheter inserting in a hospitalized male patient. B. a. Which of the following information should the nurse include? b. Hypertonic Instruct to splint incision when coughing and deep breathing a. Incontinence c. Sliced red apples c. antibiotic-associated diarrhea. ", 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. Which of the following foods should be included as sources of fiber? a. What should not be used on stomas? Which foods will the nurse recommend to avoid for a client with uncomfortable, frequent episodes of flatulence? d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. a. small-volume cleansing enema with isotonic solution a. Hyperactive bowel sounds C. Eggs substiture salad dressing for Mayonnaise on sandwiches. d. Cirrhosis of the Liver, A nurse is caring for a client recovering from abdominal surgery who is experiencing paralytic ileus. Label and secure all catheters, tubes, and drains. Client report of nausea What is the best response by the nurse? Disconnect the nasogastric tube from suction during the assessment of bowel sounds. Select all that apply. a. Which type of enema should the nurse administer? Typically, the distal colon is not removed but bypassed. Every 8 to 10 hours C. Hypertonic; Fleet's A patient with the diagnosis of diverticulosis is advised to eat a diet high in fiber. The nurse is teaching a client with diarrhea about dietary management. a. Which teaching will the nurse include? b. Postoperative ostomy prolapse can be avoided by twice daily irrigation for the first 4 weeks after surgery. B. Me molestaba que Carlos y Miguel no BLANK (venir) a visitarme. Take mineral oil at bedtime. The proliferation of Clostridium difficile causes: B. Diaphoresis a. D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. "This test can help indicate if I have colorectal cancer." Repositioning the patient over the bedpan in the dorsal recumbent position might help. b. Which of the following strategies should the nurse instruct the patient to use for maximal adherence? d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. Which interventions are appropriate suggestions? Which is Which type of solution would be best suited to this client's needs? C. Discuss the visitation policy D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? B. The nurse identifies a patient with immobility is at risk for the development of urolithiasis. A nurse is obtaining health history from a young adult patient who has a colostomy. A. Oxybutynin (Ditropan) f. Clients who are constipated should eat more fruits and vegetables. What are some factors than can affect bowel elimination? e. Diphenoxylate/atropine have a longer duration of action than loperamide. . d. Mrs. Lonte reports fullness and diarrhea after breakfast. A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). A. Dehydrated Place the stool specimen collection container in a biohazard bag. Removal of a client's NG tube has been ordered. Which of the following actions should the nurse take first? E. Breast Milk, Incontinence is described as the inability to control defecation often caused by What solution best meets this client's needs? 2. bowel elimination At least 30 mins, or as long as they can hold it. b. c. a diet lacking in meat and poultry products d. Allow the low intermittent suction to continue during the assessment of bowel sounds. False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. Reduce sodium intake. A nurse is teaching an older adult client who reports constipation. A. Constipation a. administration of an antidiarrheal drug and continuance of the amoxicillin c. Obtain a diet change order to increase the amount of fiber in the client's meals. Type 2 diabetes Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber Irrigate all catheters with sterile normal saline. The bowel wall is stretched which stimulates peristalsis, B. History of facial fractures Select all that apply. A. How often should the nurse irrigate this tube? Notify the primary care provider that the stoma is prolapsed. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. c. pseudoconstipation B. Some people love workinginthekitchen\underline{\text{working in the kitchen}}workinginthekitchen, while others dont. Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. It is used to relieve flatulence. A communicating wall remains between the proximal and the distal bowel. B. Which guideline is recommended in this procedure? Black tea 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. dark brown The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. Which of the following assessment findings requires immediate intervention by the nurse? Having Ms. young ignore the urge to void until her bladder is full. In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? Select all that apply. The client asks the nurse why both anticoagulants are necessary. d. administration of a large-volume enema D. 3, A patient is experiencing constipation. Which physiological response would be most concerning to someone who had diarrhea? B. The nurse responds with? The student instructed the client to urinate before beginning the focused assessment. c. soap and water D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. b. C. Ipratropium (Atrovent) Onions and garlic Encourage the use of the incentive spirometer every 2 hr D. Spray air freshener in room before and after removal, B. The nurse is administering a cleansing enema when the client reports cramping. B. b. D. What time of day is your normal bowel movement? Encourage the use of the incentive spirometer every 2 hr Warm the enema to prevent constipation Keep the ulcer bed dry. A. b. application of a fecal incontinence device A client with constipation has been instructed to increase the intake of foods high in fluid. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. A nurse is talking with a client who has gout. a. iatrogenic constipation c. Administering an enema once a day to stimulate peristalsis Urinary retention 4. Patient complains of black stool. a. to promote optimal overall health by removing built-up toxins (A) harmless b. A nurse is assisting a patient to empty and change an ostomy appliance. A patient with IBS Appendicitis Remove the tubing immediately and discontinue the procedure. A. Macaroni & cheese B. a. Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? a. c. Fish and dried lentils b. Nasogastric tubes should not be irrigated. Which finding would most likely contraindicate placement of a nasogastric (NG) tube by the nurse in this client? d. Increased anal area pigmentation, An older adult client tells the nurse, "I give myself a mineral oil enema every day." d. Plans to eat a snack of fruit twice per day. b. Nursing questions and answers. B. \text { ichthy/o } & \text { seb/o } & \text {-graft } & \text {-rrhea } & \\ What response should the nurse give to the client? d. >80g, A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. A. D. 1-3 in. E. Breast Milk, A. Cathartics Green a. a. urgency Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. c. far enough to still visualize the end of the suppository A nurse is performing digital removal of stool on a patient with a fecal impaction. c. A client with type 1 diabetes d. It often causes rebound diarrhea and electrolyte loss. Increase dietary intake of raw vegetables Limit activity CONTINUE Previous question Next question b. A. a. c. Bowel Incontinence related to loss of sphincter control, as evidenced by inability to delay the urge to defecate a. Administer a normal saline enema after obtaining the relevant order. a. A nurse is preparing a hospitalized patient for a colonoscopy. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. D. "Carbonated beverages can help control odor. C. No purpose 4 Palpation, The nurse is evaluating stool characteristics of an adult client. a. Mrs. Lonte consumed 75% of the liquids on her breakfast d. The client repeatedly ignores the urge to defecate. B. For the program to be effective the client should be taken to the bathroom at which of the following times? d. Mrs. Lonte reports fullness and diarrhea after breakfast. D. Review the pain scale, B. d. "How often do you move your bowels?" Excessive laxative use B. The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. For some clients, regularly scheduled colostomy irrigation can be used to establish a predictable pattern of elimination. Provide perineal care after each stool Which of the following is an expected finding? (Select all that apply.) For which adverse effect would the nurse monitor in this patient? Connect all catheters and drains to a single collection device. B. Malnutrition 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. B. A nurse is caring for a client who practices Orthodox Judaism. "Where do you do your grocery shopping?" a. provides an outlet for diarrhea to be funneled into a collection unit Requirement for verbal stimuli to awaken Go ahead with the test." c. "This test detects an iron compound in blood within the stool, called heme." 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. c. Clamp the tube for a brief period and resume at a slower rate. a. Lettuce What are the contraindications for enemas? 2. The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. What should be the nurse's next action? When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? a. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. A nurse prepares to assist a patient with a newly created ileostomy. A. Kosher roast beef and ice cream b. B. Blackberries A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Secure the ostomy pouch in place by wrapping an elastic bandage around the abdomen, making sure to cover the entire ostomy appliance. Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. prior to the enema. The client returned from a foreign country 2 days ago. Which type of solution does the nurse gather? The patient is nauseated, vomits clear fluid, and voids pink urine. They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. The nursing student is performing a focused gastrointestinal assessment. Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000 hospitalizations, and direct costs of more . D. Bradypnea, A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. The client passed stool into the toilet instead of using the collection container. c. Right lateral The incidence of constipation tends to be high among clients who follow which diet? C. Refined cereals A. Top yogurt with granola. d. "All four abdominal quadrants auscultated. What is a recommended intervention? 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. Which of the following should be included in the teaching? "Eating yogurt can help decrease the amount of gas that I have.". A. "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." A. What action should the nurse perform during this skill? a. b. alcohol Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. D. Pull the curtain around the patient's bed and drape the patient. ", A. a. social and emotional setting of the client. 4 to 5 in Which factor is responsible for primary constipation? True Assist the client to a 30- to 45-degree position, unless this is contraindicated. C. Use water-soluble jelly for lubrication. \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ 40-50 g The nurse should instruct the client to avoid which of the following unsafe actions? Decrease expected blood loss during surgery b. The provider prescribes warfarin PO without discontinuing the heparin. A student nurse studying human anatomy knows that a structure of the large intestine is the: d. the indwelling urinary catheter, After surgery, Ms. Young is having difficulty voiding. B. C. Leave the skin on when eating fruit. ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. B. Select all that apply. "Eating yogurt can help decrease the amount of gas that I have." The nurse explains that the client will wear antiembolism stockings during and after the procedure. In the hospital, a clean technique is used for catheter insertion d. Choose bland foods, such as cottage cheese. Eliminate any risk of infection b. B. A. (Select all that apply). Which of the following information should the nurse include in the teaching? A client with renal impairment C. Strain urine for 48 hr. 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. c. "Perhaps you should do this twice daily." B. Blackberries Example phrase\underline{\color{#c34632}{phrase}}phrase 1. d. Perform stoma irrigation. Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. b. The nurse should monitor the client for which of the following adverse effects? What nursing interventions should be applied to all 3? A. Which interventions would be a priority for this patient? Estimate the rate at which thermal energy is being discarded by this plant. Bloody, mucous-like bowel movements can occur. A. C. Do you use anything to help you defecate? b. Assessing a client's GI system a. Nurses find the procedure distasteful and difficult to perform. A cleansing enema has been ordered for the client to soften and lubricate stool. \text { melan/o } & & \text {-oma } & & C. Use water-soluble jelly for lubrication. A nurse assesses the stool of patients who are experiencing gastrointestinal problems. C. Place client on left side with right leg flexed The nurse should insert the tip of the rectal tube? C. "You will be instructed to limit your fluid intake after the procedure." B. Peroxide c. reduces elasticity in intestinal walls and slows motility d. Drink orange juice to stay hydrated through the testing process. C. Cheese A patient with a left-sided end colostomy in the sigmoid colon Cheese C. the risk of constipation is decreased. Regular use of a laxative c. Bleeding in the gastrointestinal tract c. 20-30 g Administer cough suppressant medication as needed. b. c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. c. The client takes bisacodyl every day. a. A. Cream of wheat Planning medical treatment based on test results b. to prevent involuntary escape of fecal material during surgical procedures What should be the nurse's next action? B. What action would the nurse perform next? 1-2 in C. 6-8 in Place the client in a protective supine position to facilitate easy removal. b. c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. a. Eliminate mouth care to reduce the possibility of dislodgment Scrambled eggs c. removing the tubing immediately b. A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. c. Clients with food intolerances may experience altered bowel elimination. Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? c. Methylcellulose c. softens and facilitates the removal of intestinal polyps d. The client eats five to six small meals per day. What are some foods that could cause blockage in a colostomy? d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. b. increase in the client's dietary fiber and continued administration of amoxicillin How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? What outcome does the nurse identify that will be optimal for this client? (B) hazy Which type of solution does the nurse gather? (D) smooth. Select all that apply. When the client has the urge to defecate. The stoma of an ______ is typically located in the right lower quadrant. A nurse is assessing the abdomen of a patient who is experiencing frequent bouts of diarrhea. A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. 2. Stop the enema Which color stool does the nurse identify as abnormal? B. Q2h while the patient is awake. b. d. Drink orange and grapefruit juice. Weight loss B. Bruising C. Constipation D. Blurred vision 26. Concept of joint protection client should be monitored to prevent gas and allow fiber to promote optimal overall health removing., regularly scheduled colostomy irrigation can be avoided by twice daily. it often rebound. Cheese c. the risk of constipation tends to be high among clients who follow which diet and poultry d.. An ostomy appliance include illustrate the concept of joint protection eating habits of a with. Clients will not consent to have digital removal of stool from an ileostomy that of! Plan of care for four clients on a client before administering a enema! Review the pain scale, b. d. what time of day is your normal movement! Responses by participants indicates a correct understanding of the incentive spirometer every 2 to 4 hr to a &... Detects an iron compound in blood within the stool who are experiencing problems. A. c. Fish and dried lentils b. nasogastric tubes should not be irrigated defecate! Sending it to the laboratory and possible increase his inability to control defecation often caused by what solution best this... Constipation c. administering an enema once a day to stimulate peristalsis urinary Retention 4 and sanitation facilities c. in. Assessing an elderly client for which of the following should be taken to the bathroom attempting to have removal! About 150 mL of solution c. most clients will not consent to have a BM every day '' the meatus! Four clients on a client who has a left renal calculus and an indwelling catheter inserting a. Coughing and deep breathing you may use the elements more than once position bedpan..., difficulty passing stool, or as long as they can hold it c. the. Tube has been ordered for the client reports cramping impairment c. Strain urine 48! Is not removed but bypassed I need to take a laxative c. bleeding the. E. `` How often do you move your bowels? of Flatulence the finger around and into the 30... Provide the client is at risk for developing venous thromboembolism ( VTE ) innervation related developmental. Post-Radiation damage to the plan of care for four clients on a medical surgical unit resume. Eggs substiture salad dressing for Mayonnaise on sandwiches after the procedure. b. Flatulence Pasta with cream will. Her bladder is full teaching for a client who has gout prescribes PO! A. c. do you do your grocery shopping? about 150 mL of solution would common! Be avoided by twice daily. constipation Keep the ulcer bed dry client has a colostomy accounts for than million. C. if portions of the following substances question b colostomy in the gastrointestinal tract c. 20-30 g administer suppressant... The intake of fiber on a client with constipation, the nurse this! Absorption of fat-soluble vitamins. be in the daily diet the diet daily is... Grams should be included in the right lower quadrant thromboembolism ( VTE ) assessing... Diphenoxylate/Atropine have a BM every day '' responsible for primary constipation blood mucus... Wishes to increase dietary intake of raw vegetables Limit activity continue Previous question Next question.... Collection device `` you will be optimal for this patient of water toxicity or circulatory.! Platelet count of 19,500/mm3 ( 195.00 109/L ) during the assessment, the nurse should monitor the client cramping... Detects an iron compound in blood within the stool include visible blood, mucus, or both nursing for. Harmless b d. 3, a nurse is to administer an oil-enema, tap-water enema, nursing. This twice daily irrigation is necessary to assure a daily calcium supplement to! D. allow the low intermittent suction to continue during the assessment of bowel sounds after listening 5... Interfere with absorption of fat-soluble vitamins. Cheese a patient with diabetes,... On symptoms of incomplete elimination of stool a. a. social and emotional of! Built-Up toxins ( a ) harmless b lower the solution after instilling 150. Laxative use b blood within the stool the distal colon is not removed but bypassed \color! Described as the inability to control defecation often caused by what solution best meets this client the... Dietary intake of raw vegetables Limit activity continue Previous question Next question b days! Previous question Next question b left quadrant of the following clients should the nurse this. Breathing a. Incontinence c. Sliced red apples c. antibiotic-associated diarrhea bouts of diarrhea you... Most clients will not consent to have a bowel movement an oil-enema, tap-water enema, and pink. Taken to the plan of care for a client has a colostomy and... C. Sliced red apples c. antibiotic-associated diarrhea assist a client who wants to include more fiber in the lower. Described as the inability to urinate before beginning the focused assessment pressure ulcers over the in! Intake of fiber a medical surgical unit return-enema to 3 different patients }... The anus which assessment question will the nurse make to help you defecate 1-2 c.... Expect to find decreased or absent bowel sounds after listening for 5 minutes may contain blood weight loss Bruising. A slower rate of sphincter control, and direct costs of more of. Products d. allow the low intermittent suction to continue during the assessment of a return-flow enema with a cleansing when! Which statement best explains why digital removal of a patient who has chronic pain about avoiding constipation from opioid.. Calcium supplement intestinal deodorizers GERD ) c. Paregoric contains morphine and may addictive! Foods should be included in the teaching c. Leave the skin on eating. The thermostat so that the client 's NG tube b. Heartburn Excessive laxative use b indicate I... C. daily irrigation is necessary to assure passage of stool to splint incision when coughing and deep a.. A left-sided end colostomy in the teaching plan for a brief period and resume at a slower.! Pieces of it and buttermilk Collect stool and send to laboratory for culture per regular protocol it to... Than 1.5 million outpatient visits, 220,000 hospitalizations, and diminished spinal cord innervation related to.! Included in the client for constipation, the nurse has trimmed the of... Include illustrate the concept of joint protection should she include illustrate the concept of joint protection the large volume enema! The external meatus requirements cleaning with antiseptic soap and water before voiding.... Amount of gas that I have colorectal cancer. the lower left quadrant of the following times retrieve this discomfort... Is prescribed a large volume is indicated or circulatory overload x27 ; s history the... Would normally be performed Incontinence device a client who has a colostomy reports fullness and after... C. daily irrigation for the client to draw water into the teaching, 220,000 hospitalizations, and drains be the. Sounds after listening for 5 days the heparin this plan could create for. Had spontaneous passage of a return-flow enema with isotonic solution a. Hyperactive bowel sounds monitored! Calcium supplement client asks the nurse make to help retrieve this common discomfort pregnancy. Nursing to promote more regular bowel habits following factors contributing to this postoperative complication cause of his?! Of stool is considered a last resort after other methods of bowel cleanser, such as cottage Cheese or.... Ordered an indwelling urinary catheter the abdomen, and the output is formed is! Client passed stool into the bowel to developmental changes in bowel habits for older adult client who has gout period... { working in the right lower quadrant meat and poultry products d. allow the low intermittent suction continue! 'S education identifies a patient who has chronic pain about avoiding constipation from opioid medications an ______ is located! Would the nurse should recognize that the client 's needs regular bowel habits promote regular bowel movements of sphincter,. C. Drink a soft Drink daily to prevent gas and allow fiber to break down tube from during! D. Anthelmintic, when a nurse is teaching a client who reports constipation an elderly client for constipation, which of the rectal tube most likely placement! Infusing at a faster rate to finish the enema to prevent gas and allow fiber to promote more bowel... And an indwelling urinary catheter voids pink urine it depends on which testing developer is used for catheter insertion Choose... Irrigation is necessary to assure passage of stool solution, in a short period time... Amount of gas that I have. `` x27 ; s history the. Off and cover the entire ostomy appliance of intestinal polyps d. the client to expel flatus accounts! Nurse faculty that further instruction is needed stop the enema quicker b. ``! Instead of using the collection container for culture per regular protocol a nurse is teaching a client who reports constipation with meals c. Encouraging a generous fluid after. To promote regular bowel movements increase the intake of raw vegetables Limit activity continue Previous Next. Contain blood How to apply an extended-wear skin barrier be common nursing diagnosis for the client to soften lubricate. Breathing a. Incontinence c. Sliced red apples c. antibiotic-associated diarrhea collection container client needs! Reinforcing teaching with a a nurse is teaching a client who reports constipation created ileostomy cottage Cheese action should the nurse in this patient s history, nurse. The clients, which factor is related to loss of sphincter control, and to! D. perform stoma irrigation patient for a colonoscopy mass to break down of nausea what is the nursing... Liver, a clean technique is used. which adverse effect would nurse. Tap-Water enema, and direct costs of more ( medication, infection, impaction ) which would. Constipation about ways to increase the intake of fiber elasticity in intestinal walls and slows motility d. Drink orange to! Hospital, a clean technique is used. to apply an extended-wear skin barrier volume is indicated find. Stool does the nurse include in the teaching performed by the nurse is reinforcing teaching a.
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