Elimination GI

A nurse teaches a patient who is at risk for constipation. Which statements would the nurse include in this patient's teaching?

"Eat a high-fiber diet including raw fruits and vegetables."

A 60-year-old woman was admitted this morning with vomiting and pain in the midabdominal region caused by a bowel obstruction that will require immediate surgery. The dietary department delivers a regular lunch food tray and asks if you could take it into the room. Which response is most appropriate?

"I don't think this tray was ordered for her."

Which of the following is a potential cause of constipation for older adults? Select all that apply.

- anticholinergics - opioids - medical conditions - slowed peristalsis

A six-year-old child visiting primary care complains of abdominal pain. The mother states he hasn't had a bowel movement for about a week. Which of the following patient instructions are appropriate? Select all that apply.

- encourage exercise - drink plenty of fluids with a high fiber diet - miralax can be given to children

Which of the following clinical manifestations are associated with small bowel obstruction? Select all that apply.

- high pitched bowel sounds - vomiting - abnormal electrolyte values

During an assessment, the patient states that his bowel movements cause discomfort because the stool is hard and difficult to pass. Which of the following suggestions would improve the quality of his bowel movement? (Select all that apply.)

- increase fiber intake - increase water consumption

Which of the following are factors that affect bowel elimination? Select all that apply.

- laxative use - age - fiber intake - privacy - neuromuscular disorders - exercise

Which of the following statements about elimination across the lifespan are true? Select all that apply.

- school aged children who have a busy schedule will often forget to use the bathroom - older male adults are more likely to develop benign prostatic hyperplasia - older adults have a greater risk for constipation due to medications - constipation is common with pregnancy due to the elevated progesterone

Which of the following situations places a child at risk for constipation? Select all that apply.

- the child is engaged in an after school activity - the child has food preferences include mostly fast foods - the child doesn't like to drink fluids

Which of the following questions is most important to ask the newly admitted patient who may have a bowel obstruction?

When was the last time you moved your bowels?

A nurse cares for a patient who has been diagnosed with an acute small bowel obstruction. Which assessment findings would the nurse correlate with this diagnosis?

abdominal pain

A nurse is planning care for an older long-term care resident who has diarrhea. The resident is incontinent. Which nursing action should the nurse include in this patient's plan of care?

applying a barrier cream to the skin after cleaning

Which of the following diagnostic test is used to visually examine the large intestine?

colonoscopy

A 90-year-old patient is hospitalized with a history of 10 liquid stools per day for 3 days in a row. What is the priority nursing concept to consider when planning interventions?

fluid and electrolytes

The nurse is caring for a long-term care resident who is unable to transfer to the chair without the assistance of staff has stool in his briefs. Which of the following disorders best characterizes the problem?

functional incontinence

Which patient population is at greatest risk of life-threatening complications from diarrhea because they have a greater portion of their bodies are made from water?

infant

A nurse assesses a patient with a mechanical bowel obstruction who reports intermittent abdominal pain. An hour later the patient reports constant abdominal pain. Which action would the nurse take next?

insert a nasogastric tube for gastric decompression per provider orders

The nurse is caring for a postsurgical patient who is being discharged with antibiotics, oral opioid analgesics, and stool softeners. Which of the following is important to include in the discharge instructions?

monitor for both constipation and diarrhea

Which of the following statements about elimination is accurate?

school aged children are at greater risk for constipation than infants

The nurse working in memory care is caring for a patient with dementia who has periodic episodes of incontinence of the bowel and bladder. Which intervention is most important for improving elimination?

toilet the patient upon waking, at bedtime, after meals and every two hours