Bowel Elimination: Davis Advantage (Exam 3)

In which ways can surgery or procedures contribute to sluggish bowel elimination? Select all that apply.

- Anesthesia - Stress - Decreased mobility - Manipulation of the bowel

The nurse is reviewing the medical record of a client who has not had a bowel movement for 3 days. What factors are concerning? Select all that apply.

- Client is on bedrest - Client is in a semiprivate room - Client took a laxative prior to hospitalization - Clients is receiving an iron supplement - CLient has not eaten for 48 hours

The nurse is teaching his client about laxative use. What should be included in the instructions? Select all that apply.

- Do not ignore the urge to defecate - Daily psyllium is prefered to an over-the-counter laxative - An uninterrupted time for bowel movement should be set aside each day

Which diagnostic tests provide direct visualization of the intestinal tract? Select all that apply.

- Fiberoptic colonoscopy - Esophagogastroduodenoscopy

Which are common disorders that are primary causes of bowel function? Select all that apply.

- Food allergies - Diverticulosis - Food intolerance

Which should be included in client teaching to support normal bowel elimination? Select all that apply.

- Increase fluid intake - Increase physical activity - Do not ignore the urge to defecate

Which action is most appropriate for a client experiencing constipation? Select all that apply.

- Increase intake of beans and legumes - Increase intake of fruits and vegetables

Which are ways the nurse can promote regular defecation for clients? Select all that apply.

- Provide privacy - Take a matter-of-fact straightforward approach - Control odors to prevent embarrassment

Which are common gastrointestinal symptoms suggestive of food allergy? Select all that apply.

- Rash around the anus - Excessive gas - Intestinal bleeding

The nurse is speaking to her neighbor, whose child has had diarrhea for 24 hours. What suggestion should be made? Select all that apply.

- Wash hands frequently - Increase hydration with popsicles - Eat bananas, rice, applesauce, and toast

The nurse is teaching bowel health to a group of senior citizens. What are some common reasons for bowel changes in the older adult? Select all that apply.

- Weakened abdominal muscles - Loss of smooth muscle tone - Immobility

The nurse is asked for a list of bulk-forming foods to be included in a patient's diet. What should be included? Select all that apply.

- Whole grains - Dried beans

Place the anatomical parts of the digestive system in the appropriate order according to how digestion occurs.

1. Mastication 2. Stomach 3. Duodenum 4. Ileum 5. Cecum

A nurse is teaching wellness to a church group. How many daily 8-ounce servings of water should be encouraged for normal bowel health?

6 to 8 servings

Undigested food first enters the large intestine through which structure?

Cecum

A nurse is auscultating bowel sounds on a client who has had recent abdominal surgery. She hears approximately 1 to 2 sounds per minute in each quadrant. Which condition should the nurse expect?

Constipation

Which is the result of the passage of stool through the colon being slowed?

Constipation

During digital removal of stool, which is the most serious complication the client is at risk of developing?

Decreased heart rate (stimulation of the vagus nerve)

A client has a tendency to develop frequent constipation. Which dietary consideration should the nurse recommend?

The client should increase fiber intake

Which procedure produces a surgical opening in the abdomen and bypasses the large intestine entirely?

Ileostomy

What is the effect of physical activity on normal defecation?

Increased physical activity promotes normal defecation patterns

The nurse is assisting a client in the emergency department who needs to use the restroom for a bowel movement. Which option is best?

Private restroom

With which type of bowel diversion is the client most likely to have control over bowel elimination and not need to wear an appliance?

Sigmoid colostomy

A client is diagnosed with an intestinal infection after traveling to a developing country. The nurse should encourage the intake of which food to optimize the gut's normal flora, creating a healthier environment?

Yogurt