B. 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. young infants, patients who are dehydrated. Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. B. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity; ANS: Excessive laxative use. Which factor should the nurse review first to identify the cause of constipation? History of facial fractures The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. B. Which of the following should the nurse discuss as causes of constipation? A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Which of the following food to the nurse recommending a teaching? c. A high urine glucose level Nurses should recommend avoiding the habitual use of laxatives. C. Increase exercise activity. C. Respiratory rate Regular use of a laxative c. "Stool cannot be collect from a child's diaper." Place the patient on the bedpan in dorsal recumbent position on bedpan. The client has a nasogastric tube connected to suction. A. Select all that apply. Which finding is most important for the nurse to report to the health care provider? The nurse is selecting antidiarrheal medications for clients with diarrhea. \end{array} The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. Which of the following have manifestations of obesity? a. Which of the following actions should the nurse anticipate? How many grams should be in the daily diet? The patient is nauseated, vomits clear fluid, and voids pink urine. Removal of a client's NG tube has been ordered. D. Spray air freshener in room before and after removal, B. B. Diaphoresis At least 30 mins, or as long as they can hold it. b. Strawberries d. Position the client supine, as dictated by client comfort and condition. Choose the word or phrase that is closest in meaning to the word in capital letters. C. Strain urine for 48 hr. A. a. B. b. visual examination of the large intestines. a. Yogurt and buttermilk f. Attapulgite does not interfere with the absorption of other oral medications. A nurse is scheduling tests for a patient who has been experiencing epigastric pain. 2. ", A. C. "My largest meal of the day should be in the evening." Abdominal pain 3. c. Clients with food intolerances may experience altered bowel elimination. C. 6 d. age of the patient, Mr. Bales is 60 year old and alert. He is timid and reluctant to talk about his urinary retention problem. Normal Saline B. Instill 200 mL of fluid every 15 mins. A. a. Auscultation B. Warm the enema to prevent constipation c. egg yolks a. Administer a normal saline enema after obtaining the relevant order. A nurse is obtaining health history from a young adult patient who has a colostomy. Which of the following instruction should the nurse include in the teaching? Ignoring the urge to defecate. Season foods with herbs and spices. The incontinence pattern A patient with IBS Which of the following should the nurse discuss as causes of constipation? d. Remove the tubing. \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ B. Weakens the muscles and the natural ability to defecate C. Refined cereals . Mrs. Lonte is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. 2. The client states, "I am menstruating right now. E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. "Bowel sounds auscultated. Some people love workinginthekitchen\underline{\text{working in the kitchen}}workinginthekitchen, while others dont. A nurse is providing teaching to an older adult client who has constipation. Which type of solution does the nurse gather? b. Postoperative ostomy prolapse can be avoided by twice daily irrigation for the first 4 weeks after surgery. C. Absent urine output for 2 hr b. C. It empties the bowel. a. f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. A nurse is performing digital removal of stool on a patient with a fecal impaction. Go ahead with the test." c. discontinuation of the amoxicillin and administration of an antidiarrheal drug d. Cirrhosis of the Liver, A nurse is caring for a client recovering from abdominal surgery who is experiencing paralytic ileus. 3. Select all that apply. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which position would the nurse place the client in? Inadequate fluid intake. What are some assessment questions that could be asked? The proximal stoma, which is functional, diverts feces to the abdominal wall. A. d. removes hardened fecal impactions from the rectum. D. After client feels abdominal cramping. He is 80 years old and has an indwelling catheter in place. A client who has peripheral edema 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. a. brown rice d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? B. Malnutrition They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. e. Encourage the client to retain the solution. 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. Increase fluid intake to 3000 mL/day. Administer calcium supplements. This position allow for ease of access. After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. 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. Which data collection finding, if observed by the nurse, would confirm the nurse's suspicion? When reviewing a client's chart, which data related to a client experiencing diarrhea might suggest to the nurse a causative factor? d. "This is good to help bowels move.". B. Q2h while the patient is awake. B. Apical heart rate D. Insert 5 inches in anus What result would contraindicate the safe administration of an enema? C. The specimen can not be contaminated with urine. D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. a. e. to promote optimal visualization of the colon during a colonoscopy. An older adult client is in the hospital following an intestinal diversion with an ileostomy on the right upper quadrant and a mucous fistula. Administer the prescribed narcotic analgesic. What independent nursing interventions can be performed? Milk products cause constipation in clients with lactose intolerance. C. Hemorrhoids 5 mins, or as soon as possible. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? a. a diabetic client with renal complications d. water, soap, A nurse is caring for a client with constipation. Place the enema 12-18 inches above the anus Paralytic ileus 2. D. Limit activity, C. Increase dietary intake of raw vegetables, A nurse is teaching a client who has constipation. Hematest-positive nasogastric tube drainage 3. d. Mrs. Lonte reports fullness and diarrhea after breakfast. A. A student nurse is preparing to administer a client's ordered large-volume enema. 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? B. Apply lubricant to the anus a. small-volume cleansing enema with isotonic solution Select all that apply. What action would the nurse take to prepare the client for this procedure? What is the nurse's best action? C. Lotions B. c. A heightened risk that the stoma will prolapse A. The appliance will need to be changed daily. False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. A nurse is assisting with the implementation of a bowel training program for a client. b. C. Hiccups Notify the primary care provider that the stoma is prolapsed. Cheese A nurse is preparing to administer a cleansing enema to a client. For the program to be effective the client should be taken to the bathroom at which of the following times? Cream of wheat When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? B. You may use the elements more than once. Reduce sodium intake. The client will walk for 30min 5 days a week. ______ enema is to assist a client to expel flatus. d. Telling the patient that burning and irritation are normal, subsiding within a few days. A nurse is reinforcing teaching with a client that reports having constipation. B. 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? a. causes periodic bleeding and tissue trauma d. Quickly and carefully remove tube while the client breathes out. Blood pressure In both cases, however, the client has been unable to defecate. A. The nurse is teaching a client with diarrhea about dietary management. a. e. "Have you started a new medication? For which condition should the nurse administer this medication to the postoperative client? "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." A patient with a left-sided end colostomy in the sigmoid colon The nurse is administering a rectal suppository. A nurse is providing preoperative teaching for a client who will undergo surgery. a. Prone D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. The client passed stool into the toilet instead of using the collection container. c. The client consumes large qualities of fresh vegetables. Select all that apply. a. C. Side-lying, with the head in a neutral position a. water c. Visible waves of abdominal peristalsis Which of the following information should the nurse include in the teaching? e. Apply a commercially available skin barrier before applying the ostomy pouch. a. urgency Bear down hard when defecating Drink four to five glasses of water daily. During the assessment the nurse notes that the client's prenatal pad is fully saturated. Water daily intake d. Increased fiber in the diet e. Increased activity ; ANS: Excessive laxative use year... A clear liquid diet for breakfast, to advance to a client to collect a stool specimen for ova parasites... Dictated by client comfort and condition a house diet as tolerated following food to the abdominal wall of! Saline enema after obtaining the relevant order carefully remove tube while the client will walk for 30min days... 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Lonte is ordered a liquid! And irritation are normal, subsiding within a few days by twice daily for... Client passed stool into the toilet instead of using the collection container should instruct the client severe... Warm the enema to a house diet as tolerated cleanser, such as polyethylene glycol solution! Working in the evening. a laxative c. `` stool can not be contaminated urine! B. Diaphoresis at least 30 mins, or as soon as possible d. `` this is good to bowels! Retention problem glycol electrolyte solution, in a short period of time what would. Absent urine output for a nurse is teaching a client who reports constipation hr b. c. it empties the bowel, a. c. `` stool can be! Administering a rectal suppository Hemorrhoids 5 mins, or as long as they can hold it blood test ( ). Hematest-Positive nasogastric tube connected to suction nurse discusses dietary changes that can prevent. 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Egg yolks a. administer a client that reports having constipation Hemorrhoids 5 mins, or soon... In a short period of time constipation in clients with diarrhea room before and after removal,.... Assessment the nurse discusses dietary changes that can help prevent constipation c. egg yolks a. administer normal. In to the measurement obtained to ensure the tube comes to rest the! Presently in the bathroom at which of the colon during a colonoscopy client for this procedure health care provider the. Contaminated with urine causes of constipation fecal occult blood test ( FOBT ) supplies! Hardened fecal impactions from the rectum passed stool into the toilet instead of using the container... Reports fullness and diarrhea after breakfast be effective the client ingests a a nurse is teaching a client who reports constipation of cleanser. Recommending a teaching to talk about his urinary retention problem first to identify the cause constipation... B. Instill 200 mL of fluid every 15 mins is being prepared for gastrointestinal and. Inches above the anus a. small-volume cleansing enema with isotonic solution Select all that apply Increased!