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Chapter 30: Promoting Bowel Elimination
Terms in this set (33)
The nurse has assessed that a patient's stool has changed from brown to dark black and sticky. The nurse suspects:
presence of occult blood.
The nurse has documented that a patient has had two episodes of steatorrhea, which means that the character of the stool is:
frothy and foul smelling.
The nurse should plan interventions to combat constipation in a patient:
who just completed barium studies of the bowel.
An elderly patient who routinely takes the bulk-forming laxative psyllium (Metamucil) is counseled by the home health nurse that in order to prevent constipation and possible fecal impaction, this patient should be sure to take:
the medication with a large amount of fluid.
A patient calls the nurse at the health clinic and reports that since his trip to Mexico, he has been experiencing diarrhea. The nurse suggests he try the antidiarrheal drug:
An elderly resident in a long-term care facility has experienced constant diarrhea for 3 days and is now exhibiting signs and symptoms of dehydration. The nurse initiates an intervention to offer small amounts of ________ frequently.
A patient who has started antibiotic therapy is having diarrhea as a side effect of the medication. The nurse should encourage the patient to eat:
The nurse caring for a patient with lactose intolerance would anticipate the need to offer interventions for
A nurse has performed abdominal assessments on four patients. After reviewing the findings, the nurse is least concerned about problems with bowel elimination for the patient with abdomen _____ bowel sounds in all four quadrants.
nondistended, soft, with active
A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement within how many days?
A patient has just completed a series of upper gastrointestinal tract radiographs that involved the use of barium as a contrast agent. Which measure will this patient need to help excrete the barium?
Laxatives and fluid intake increased to 3.5 L
An ambulatory clinic patient telephones to report diarrhea and to ask for advice on medication to manage it. The best response by the nurse is, "Do not use antidiarrheal medication for longer than _____ hours without calling back for an appointment."
There is an order to administer a cleansing enema to an adult patient before bowel surgery. The nurse will fill the enema bag with how many milliliters of fluid for this procedure?
500 to 1000
A patient who is badly constipated has just received an oil-retention enema. The nurse encourages this patient to try to hold the enema for at least how long before trying to have a bowel movement?
A nurse is preparing a cleansing enema for an adult patient who is constipated and has not responded to laxative use. Before giving the enema, the nurse should:
warm the solution to 105° F.
A patient scheduled for bowel surgery has an order to receive enemas until clear. The nurse is aware that no more than three enemas should be given because:
repeated enemas may cause electrolyte imbalance.
A nurse is digitally removing a fecal impaction from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:
pulse rate decreases from 78 to 52 beats/min.
A nurse is reinforcing teaching with a patient who will begin a bowel training program. An intervention this program does not include is:
use of an enema.
A nurse is assisting a patient with a new continent ileostomy to catheterize the internal reservoir to drain the ileostomy. When the catheter meets resistance from the internal valve, the nurse should:
have the patient take a deep breath and apply gentle pressure over the area.
A patient with a new colostomy should have the hole in the faceplate cut to allow _____ inch around the stoma.
A nurse is caring for a patient who had bowel surgery 3 days ago and is now beginning to have a well-functioning ostomy. The ostomy drainage bag should be emptied whenever it is:
A patient with a colostomy asks about foods that can be eaten that will reduce odor in the ostomy drainage bag. The most informative response by the nurse is to say that ostomy odor can be decreased with the intake of:
The nurse is caring for an anxious patient who is scheduled for surgery for colostomy placement. While the nurse is talking to the patient, the patient states, "I am so scared." The nurse's most supportive response would be:
What about your colostomy scares you?"
The nurse reminds the patient that digestion of food is a complex process with much of the food breaking down in intestines. The small intestine functions to:
absorb food substances from the bloodstream.
The nurse caring for a patient who had a colostomy 2 days ago assesses slight bleeding around the stoma when the area is cleansed, colostomy bag filled with gas, pale stoma, and a reddened area under the adhesive of the appliance. The assessment that should be reported immediately is the assessment pertaining to the:
The patient asks the nurse how an ileostomy differs from a colostomy. The most informative response by the nurse would be that a(n):
colostomy is an opening into the colon, whereas an ileostomy is an opening at the ileum.
The patient with the new colostomy is concerned about how to control diarrhea of the effluent. The nurse suggests that diarrhea can be controlled by the intake of:
The gastrocolic reflex initiates ________.
The nurse assesses a pale, light gray stool and recognizes that the cause of this abnormal color is due to an obstruction in the _________ duct.
The nurse reminds a group of older adults that a colonoscopy is recommended every _______ year(s) after the age of 50.
The nurse instructs the patient who has had an ileostomy to modify the diet to include: (Select all that apply.)
increase the protein intake.
choose foods that are high in calories.
The nurse points out that age-related changes in the intestinal tract are relatively insignificant. The changes include: (Select all that apply.)
atrophy of the villi in the small intestine.
decreased absorption of fats and vitamin B12.
creation of excessive flatus.
The nurse instructs a patient with a new colostomy against eating food that may cause an obstruction. These foods include: (Select all that apply.)
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