3:2

A patient with renal dysfunction experiences constipation. Which medication does the nurse avoid in this patient when managing the constipation?

magnesium hydroxide

Chronologically arrange the steps for assisting a patient on a bedpan.

mobility pt level of comfort hand hygien curtain raise bed top linen folded back

Which type of laxative acts by causing the stool to absorb water and swell?

Bulk-forming

An older male patient states that he is having problems starting and stopping his stream of urine and feels the urgency to void. Which intervention to assist this patient is best?

Initiate Kegel exercises

The nurse receives a prescription to obtain a postvoid residual for a patient via catheterization. Which method to obtain this measurement is best?

Intermittent catheterization

When collecting a guaiac fecal occult blood test (gFOBT), the nurse should take which action?

Interpret the color of the guaiac paper after 30 to 60 seconds.

When mucus is noted in a patient's feces, the nurse suspects which cause?

Intestinal infection

A patient experiences chronic constipation but has no other symptoms. The nurse anticipates the health care provider will prescribe which medication to provide relief for the condition?

Polycarbophil

Which intervention is most appropriate for a patient with functional urinary incontinence?

Provide normal fluid intake and establish a toilet schedule.

A nurse is educating a patient who has altered urinary elimination on how to maintain a healthy bladder. Which statement by a patient indicates a need for further education? Select all that apply. One, some, or all responses may be correct.

"After each voiding and bowel movement, I'll cleanse my perineum from back to front." "I'll avoid drinking fluids 4 hours before bedtime to decrease nocturia."

A nurse is assessing the severity of a patient's urinary elimination problem. Which question is most appropriate for the nurse to ask?

"How often are you awakened with the urge to void while you are sleeping?

The patient states that she "loses urine" every time she laughs or coughs. The nurse teaches the patient measures to regain urinary control. Which statement by the patient indicates the need for further teaching?

"I drink two glasses of wine with dinner."

A patient with epigastric and abdominal pain is scheduled for a barium swallow. Which statement by the patient indicates a correct understanding of the required preparation for the test?

"I will take a laxative to clear my bowels the day before the test."

Which statement by a patient with an ileostomy indicates the need for additional teaching?

"I won't drink too much so the amount of stool is less."

A patient tells a nurse, "I lose small amounts of urine while coughing, laughing, exercising, and walking but not at night while sleeping." Which response by the nurse is most appropriate?

"I'll teach you pelvic muscle exercises that you can perform regularly to address the problem."

Which statement by the student about urinary incontinence caused by weakness or injury to the urinary sphincter indicates effective understanding? Select all that apply. One, some, or all responses may be correct.

"It can be managed by performing pelvic muscle exercises." "It is characterized by loss of a small volume of urine when coughing, laughing, exercising, and walking."

Which statement by a student nurse regarding urinary incontinence requires correction?

"Mixed incontinence is a combination of stress and functional incontinence."

A parent tells the nurse, "My infant who is breastfed passes stools an average of 5 times per day." How does the nurse respond?

"This is a normal finding for the infant.

A parent tells the nurse, "My infant who is breastfed passes stools an average of 5 times per day." How does the nurse respond?

"This is a normal finding for the infant."

A 55-year-old man is admitted to the hospital with urinary retention. The health care provider prescribes catheterization for the patient. When setting up the supplies for catheterization, which size catheter would the nurse select for this patient?

14 Fr

A patient with diabetes has a urine test positive for glucose. The nurse would expect the patient's blood glucose to be a minimum of which level?

185 mg/100 mL

The nurse is administering psyllium to a patient who has constipation. How does psyllium act to help relieve the condition? Select all that apply. One, some, or all responses may be correct.

Absorbs water into the stools Stretches the intestinal wal

When comparing nasogastric tubes used for gastric decompression, the nurse recognizes which specific purpose of the Salem Sump?

Allow for stomach decompression and provide an air vent.

What is the daily recommended volume of fluid intake for a woman? Record your answer using one decimal place. _______ L

2.7

A nurse is teaching a 55-kg patient about the promotion of normal micturition by maintaining optimal fluid intake. The nurse is aware that the patient has normal renal function and no heart disease or alterations that require fluid restriction. What is the approximate amount of fluid that the nurse should instruct the patient to drink per day? Record your answer using a whole number.____ mL

2300

Which intervention does the nurse include in the bowel-training program for a patient with chronic constipation secondary to cognitive impairment?

Allowing ample time for evacuation

What is the recommended daily fluid intake for men? Record your answer using a one decimal place. ______ L

3.7

An elderly patient has undergone a radical retropubic prostatectomy and will need an indwelling catheter. Which balloon size is most appropriate for this patient?

30 mL

A cleansing enema is prescribed for an adult patient before intestinal surgery. What is the maximum amount of fluid the nurse should give?

750 to 1000 mL

While performing continuous bladder irrigation, a nurse assesses the patient's urine for color, amount, clarity, and the presence of mucus, blood clots, or sediment. What is the nurse looking for?

A need for increased irrigation rate to prevent bleeding

The nurse identifies that the use of a fracture pan for a bowel movement would be beneficial for which patient?

A patient recovering from a total hip replacement

Which patient would the nurse anticipate to require the use of a short- or long-term urinary catheter? Select all that apply. One, some, or all responses may be correct.

A patient who needs accurate monitoring of urine output after a gynecological procedure A patient who is unable to completely empty the bladder because of a neurological condition

A nurse is assisting the health care provider assess a patient with altered urinary elimination. After assessing the patient, the health care provider suspects that the patient has an obstruction of the ureters. Which diagnostic test does the nurse expect the patient to undergo?

Axial computed tomographic scan

The nurse reviews the types of radiological tests performed to assess the abdomen. The nurse identifies that the preparation for which procedure requires a dietary restriction? Select all that apply. One, some, or all responses may be correct.

Barium swallow Colonoscopy Computed tomography scan with contrast

The patient is incontinent, and a condom catheter is placed. Which action would the nurse take?

Assess the patient for skin irritation.

A nurse is caring for an elderly patient who has recently started taking an antimuscarinic medication to treat urinary continence. Which nursing intervention is most important in this situation?

Assessing the patient for mental status changes

The nurse is caring for a patient with urinary incontinence. Which action would the nurse perform to promote comfort for the patient? Select all that apply. One, some, or all responses may be correct.

Change dressings and linens when wet. Use absorbent pads Catheterize the patient.

The nurse reviews the procedure for inserting and maintaining a small-bore nasogastric tube. The nurse identifies that which step is included to increase patient comfort? Select all that apply. One, some, or all responses may be correct.

Change the tape on the fixation device Apply a lubricant to the nares. Use gargles with topical Xylocaine jelly Provide lozenges for the patient to suck.

The nurse suspects that a patient has a bowel obstruction based on which assessment finding?

Cramping; absence of bowel movements

A patient presents with a 5-day history of diarrhea. The patient states, "I initially experienced nausea and vomiting that lasted 24 hours." For which additional symptom does the nurse assess to determine the plan of care? Select all that apply. One, some, or all responses correct.

Dark-colored urine Dry skin Dizziness

After assessing a patient, a nurse suspects that the patient has overflow urinary incontinence. Which finding supports the nurse's conclusion? Select all that apply. One, some, or all responses may be correct.

Distended bladder on palpation Frequency Nocturia

Which condition might the nurse identify as a cause of polyuria? Select all that apply. One, some, or all responses may be correct

Diuretic therapy Uncontrolled diabetes mellitus

How would the nurse position a female patient for examining the genitalia for inflammation and infection related to urinary elimination problems?

Dorsal recumbent

A patient presents with a 5-day history of diarrhea. The patient states, "I initially experienced nausea and vomiting that lasted 24 hours." For which additional symptom does the nurse assess to determine the plan of care? Select all that apply. One, some, or all responses correct.

Dry skin dizziness dark-colored urine

A 70-year-old woman complains about involuntary passage of urine. The leakage of urine occurs in small amounts and is more frequent when she coughs. The nursing assessment reveals that the patient is obese, has had three pregnancies, and has already gone through menopause. The nurse understands that the patient is at increased risk of developing a urinary tract infection. Which nursing intervention can help prevent a urinary tract infection in the patient? Select all that apply. One, some, or all responses may be correct.

Emphasize wearing cotton underwear. Promote complete emptying of bladder by double voiding. Emphasize the importance of perineal hygiene.

A 55-year-old man is admitted to the hospital with urinary retention. The patient is catheterized to relieve retention. Which action is necessary to prevent infection in the patient? Select all that apply. One, some, or all responses may be correct.

Ensure a closed drainage system. Monitor the patency of the catheter. Ensure that the bag's drain does not touch any contaminated surfaces. Follow good hand-hygiene techniques.

A patient undergoes surgery on the pharynx and has a small-bore nasogastric tube in place. The nurse understands that the tube is inserted for which purpose? Select all that apply. One, some, or all responses may be correct.

Enteral feeding Medication administration

A nurse is caring for a patient who is receiving treatment for a urinary elimination problem. After a few days of taking the prescribed medications, the patient reports a dry mouth, constipation, and blurred vision. Which medication is the most likely cause of the patient's symptoms?

Fesoterodine

A male patient is admitted to the hospital with urinary retention. Which intervention would the nurse perform to stimulate the micturition reflex? Select all that apply. One, some, or all responses may be correct.

Help the patient relax and void in a standing position. Encourage the patient to run water while trying to void. Pour warm water over the patient's perineum.

What should the nurse include in the plan of care for a patient with urge urinary continence?

Helping the patient strengthen the pelvic floor muscles and learn fluid and food modifications

A patient reports passing narrow pencil-shaped stools over the past few days. The nurse suspects which cause for the assessment finding? Select all that apply. One, some, or all responses may be correct.

Increased peristalsis Obstruction

A patient tells a nurse, "My urine output is lower even after increasing my fluid intake." The nurse suspects that which condition is the cause?

Increased production of antidiuretic hormone

A patient with alcoholism develops chronic pancreatitis. Which laboratory parameter is helpful in diagnosing pancreatitis?

Increased serum amylase

A patient is experiencing difficulty in voiding. Which nursing intervention may help stimulate the micturition reflex in the patient? Select all that apply. One, some, or all responses may be correct

Induce sound of running water. Help the patient assume the normal position for voiding.

The nurse cares for a patient with a nasogastric tube for gastric decompression in place. Which action does the nurse include in the plan of care to prevent adverse effects related to the tube? Select all that apply. One, some, or all responses correct.

Irrigate the tube with saline. Administer frequent oral hygiene. Measure the length of the exposed tube. Measure the pH of the aspirated tube contents Frequently lubricate the nares to minimize discomfort.

A normal saline enema has which effect? Select all that apply. One, some, or all responses may be correct.

It lessens the danger of excess fluid absorption. It exerts the same osmotic pressure as fluids in interstitial spaces surrounding the bowel It stimulates peristalsis

A normal saline enema has which effect? Select all that apply. One, some, or all responses may be correct

It stimulates peristalsis. It exerts the same osmotic pressure as fluids in interstitial spaces surrounding the bowel. It lessens the danger of excess fluid absorption.

An obese patient reports leaking urine while coughing. Which management strategy should be included in the patient's treatment plan? Select all that apply. One, some, or all responses may be correct.

Kegel exercises Weight-control measures

A health care provider instructs the nurse to insert an indwelling urinary catheter in a patient for 3 weeks. Which type of catheter is the best choice for this patient to prevent infection and promote comfort?

Latex catheter

Which symptom would the nurse anticipate in a patient with urge urinary incontinence? Select all that apply. One, some, or all responses may be correct.

Leaks on the way to the bathroom Strong urge or leaks upon hearing water running

A patient is being assessed for a possible urinary tract infection (UTI). Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine to perform a dipstick test. If the patient has a UTI, which component should be detected in the urine?

Leukocytes

Which pretest and/or posttest procedure would the nurse follow while managing a patient who is scheduled for a cystoscopy? Select all that apply. One, some, or all responses may be correct.

Monitor intake and output. Inform the patient that he or she may have voiding difficulty postprocedure. Inform the patient that he or she may pass red-tinged urine postprocedure.

A nurse is caring for a patient with a spinal cord injury who reports an absence of awareness of bladder filling and the urge to void. A family member adds that the patient also sometimes has leakage of urine without awareness. Which nursing intervention is most important for the patient?

Monitoring for autonomic dysreflexia

The nurse analyzes the characteristics of a patient's feces and identifies that which substance indicates an abnormality? Select all that apply. One, some, or all responses may be correct.

Mucus Blood Excess fat

A patient is scheduled for a plain film x-ray of the kidney, ureter, and bladder. Which preparation will be included on the patient's treatment plan?

No preparation required

The nurse provides education for a nursing student about auscultating the abdomen for bowel sounds and includes which information? Select all that apply. One, some, or all responses may be correct.

Normal bowel sounds occur every 5 to 15 seconds. Each bowel sound lasts 1 to several seconds. High-pitched sounds occur with small intestine obstruction

Which instruction regarding bladder training would be included in the teaching plan for the family of a patient who is incontinent because of a stroke?

Offer the patient the commode or urinal every 2 hours

The nurse is caring for a patient with malabsorption syndrome. Which change in bowel elimination is the patient likely to report? Select all that apply. One, some, or all responses may be correct.

Pale stools Oily stools

The nurse provides education for a group of community members about colorectal cancer and includes which warning sign of cancer? Select all that apply. One, some, or all responses may be correct.

Rectal bleeding Change in bowel habits

After assessing a patient with urinary incontinence, the health care provider confirms that the patient is at risk of a life-threatening condition that causes severe elevation of the blood pressure and pulse rate as well as diaphoresis. Which type of urinary incontinence does this patient have?

Reflex urinary incontinence

During a colonoscopy, the health care provider finds a single polyp in the patient. The nurse anticipates which intervention will be performed? Select all that apply. One, some, or all responses may be correct.

Removal of the growth Sample collection for a biopsy

A patient's urinalysis shows the presence of casts. Based on this laboratory data, which condition would the nurse suspect?

Renal disease

The nurse notices pus in the catheter of a patient who had an indwelling catheter inserted 4 days ago. Which nursing measure is appropriate for this patient?

Replacing the catheter with a new one

Which tube is appropriate as an intervention for bleeding esophageal varices?

Sengstaken-Blakemore

When a patient presents with acute abdominal pain, a diagnosis of hepatobiliary disease is suspected. On reviewing the laboratory test report, the nurse expects to find increased levels of which substance?

Serum amylase

Upon auscultating the abdomen of a patient with a stethoscope, the nurse hears high-pitched and hyperactive bowel sounds. The nurse identifies that the assessment findings correspond with which condition?

Small intestine obstruction

A patient who is a smoker complains of involuntary passage of urine after a strong sense of urgency to void. Which nursing intervention would be helpful to this patient? Select all that apply. One, some, or all responses may be correct.

Smoking cessation Antimuscarinic agents Behavioral interventions

A patient needs a bowel preparation before a procedure. The nurse anticipates that which type of agent will be prescribed?

Sodium phosphate

While administering an enema to a patient, the nurse notes blood in the return fluid and rectal bleeding. Which action does the nurse take?

Stop the instillation and obtain vital signs.

A 70-year-old woman complains about involuntary passage of urine. The leakage of urine occurs in small amounts and is more frequent when she coughs. The nursing assessment reveals that the patient is obese, has had three pregnancies, and has already gone through menopause. Which nursing intervention would help this patient reduce incontinence? Select all that apply. One, some, or all responses may be correct.

Stress the importance of losing weight. Advise the patient to avoid caffeinated drinks Teach the patient Kegel exercises.

A male patient returned from the operating room 6 hours ago with a cast on his right arm. He has not yet voided. Which action would be most beneficial in assisting the patient to void?

Suggest he stand at the bedside.

When caring for patients of varying ages with disorders of bowel elimination, which information does the nurse consider?

The ability to control defecation is absent until 2 to 3 years of age.

A patient receives a prescription for an oil-retention enema. When asked about the mechanism of action of this enema, which explanation would the nurse provide? Select all that apply. One, some, or all responses may be correct.

The feces absorb oil and become softer. It lubricates the rectum and colon.

A patient with abdominal pain is scheduled for a barium enema with air contrast. Which information does the nurse give to the patient before the procedure? Select all that apply. One, some, or all responses may be correct.

The patient will need to take laxatives the day before the procedure. The procedure will help in the examination of the lower gastrointestinal (GI) tract.

The nurse is caring for a patient with abdominal pain who is scheduled for a barium enema with air contrast. Which information would the nurse give to the patient before the procedure? Select all that apply. One, some, or all responses may be correct.

The procedure will help in the examination of the lower gastrointestinal (GI) tract. The patient will take laxatives the day before the procedure

While caring for a female patient with altered urinary elimination, the nurse instructs the patient to assume a squatting position when voiding. Which rationale is the reason behind this recommendation?

To promote complete bladder emptying

A postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower abdomen. Which action would the nurse implement first?

Turn on the bathroom faucet as the patient tries to void.

What can a nurse use to measure the postvoid residual (PVR) volume in a patient with urinary retention? Select all that apply. One, some, or all responses may be correct.

Ultrasound Bladder scanner Straight catheterization

The nurse assesses that the patient has a full bladder, and the patient states that he or she is having difficulty voiding. Which instruction would the nurse provide the patient?

Use the Credé method.

A patient who is taking opioids to control cancer-related pain develops constipation. On assessment, the nurse finds that the patient has abdominal distention and hypoactive bowel sounds. The nurse anticipates that the treatment plan will include which intervention? Select all that apply. One, some, or all responses may be correct.

Using laxatives Promoting water intake Encouraging high-fiber diet

After reviewing a patient's laboratory reports, the nurse suspects that the patient has pancreatitis based on increased levels of which component?

amylase

Place the following steps in correct order for irrigating a nasogastric (NG) tube.

apply clamping flush aspiration reconnecting

Which event may occur because of vagus nerve stimulation during removal of a fecal impaction?

bradycardia

List the steps in the correct order in which to apply an ostomy pouch .

clean gloves remove cleansing measure cutting press close

An elderly African American patient reports a change in bowel habits with rectal bleeding and a sense of incomplete bowel evacuation. Which disorder would the nurse suspect in this patient?

colorectal cancer

Which bowel elimination problem is most likely the result of improper diet, reduced fluid intake, and lack of exercise?

constipation

The nurse analyzes the characteristics of a patient's feces and identifies that which substance indicates an abnormality? Select all that apply. One, some, or all responses may be correct.

excess fat blood mucus

The nurse observes the presence of a tympanic note when percussing the abdomen of a patient and suspects which cause?

gas

A patient who has undergone urological surgery is prescribed urinary catheterization. Which diameter of catheter does the nurse anticipate will be used for this patient?

greater than 16

A patient who presents with dribbling of urine is diagnosed with stress incontinence. Which datum would the nurse include in the assessment of this patient? Select all that apply. One, some, or all responses may be correct.

height an weight menopausal status Number of live births

Which sign manifests in infants and young children who are dehydrated? Select all that apply. One, some, or all responses may be correct.

high fever sunken eyes dry eyes when crying listlessness or irritability

A patient presents with abdominal discomfort, and the nurse auscultates 40 bowel sounds in 1 minute. Which pattern of bowel sounds does the nurse document?

hypo

When a patient reports passing black and tarry stools, the nurse identifies that the patient should be evaluated for which condition? Select all that apply. One, some, or all responses may be correct.

iron ingestion gastrointestinal bleeding

For which purpose is a nasogastric (NG) tube inserted? Select all that apply. One, some, or all responses may be correct.

lavage compression enternal feeding decompression

A nurse instructs an elderly patient to restrict fluid intake 2 hours before bedtime. Which complication is the nurse trying to reduce?

nocturia

A nurse is assisting an immobilized female patient with collecting a midstream urine specimen. Place the steps of this process in the correct order.

perform position spread clean patient initial stream sterile specimen remove release

A nurse is performing closed continuous bladder irrigation (CBI) for a patient who has blood clots in the urine. In which order would the nurse perform the beginning actions?

position remove close fill

Allow for stomach decompression and provide an air vent.

raise side rail patients head patient raises hips place palm slip bed pan small pillow

A patient reports having the urge to void, but urine starts leaking before the patient reaches the bathroom. Which treatment strategy would be helpful for this patient? Select all that apply. One, some, or all responses may be correct.

scheduled toileting absorbent products clothing modifications

Which result can occur from excess manipulation when performing a digital rectal examination to determine the presence of fecal impaction?

slowing heart rate

The nurse is reviewing laboratory results for a patient and notices the urine tested positive for ketones. Which underlying factor may lead to the presence of urinary ketone bodies? Select all that apply. One, some, or all responses may be correct.

starvation dehydration uncontrolled diabetes mellitus

What can a nurse use to measure the postvoid residual (PVR) volume in a patient with urinary retention? Select all that apply. One, some, or all responses may be correct.

ultrasound bladder scanner straight Cath